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. 2015 Sep 21;4(1):536.
doi: 10.1186/s40064-015-1338-3. eCollection 2015.

Assessment of physical activity in patients with chronic kidney disease and renal replacement therapy

William S G Hayhurst  1 , Aimun Ahmed  2
Affiliations

Assessment of physical activity in patients with chronic kidney disease and renal replacement therapy

William S G Hayhurst et al. Springerplus. .

Erratum in

Abstract

This study aimed to create a unique assessment tool to investigate the physical activity levels of patients suffering from chronic kidney disease (CKD). Previous studies have documented a lack of physical activity within patients living with CKD and patients on renal replacement therapy (RRT). Physical activity plays a key role in the prevention and management of cardiovascular disease (CVD). Patients with CKD are at high risk of developing CVD. Physical inactivity can be considered as a major modifiable risk factor for CVD in CKD patients. In this study 100 patients completed the 20 item questionnaire which produced a total activity score (TAS) and activity loss score for each patient. Bio-chemical markers, haemoglobin, erythropoietin therapy and co-morbidities were documented for each patient. Results were compared against 50 age, sex-matched controls. Results showed a significant difference in TAS between in-centre haemodialysis (ICHD) patients and the healthy control group. A significant difference was also seen with the home haemodialysis (HD) and ICHD patients against the transplant group (TX). Our quick assessment tool identified the ICHD patients as the most physically inactive group within the CKD and RRT population compared to a healthy control group. We therefore recommend that doctors encourage physical activity within this high risk group and start 'prescribing exercise' to their patients.

Keywords: Cardiovascular disease; Chronic kidney disease; Home haemodialysis; Human Activity Profile; In-centre haemodialysis; Peritoneal dialysis; Physical activity; Questionnaire; Renal replacement therapy.

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Figures

Fig. 1
Fig. 1
Mean total activity score. Graph to show the mean total activity scores within each of the renal sub-groups. *Statistical significance was reached comparing the ICHD patients to the control (p < 0.05)
Fig. 2
Fig. 2
Mean activity loss score. Graph to show the mean activity loss per patient since their diagnosis/intervention within each renal sub-group. Statistical significance (p < 0.05) was reached within HHD and ICHD patients compared to the transplant group
Fig. 3
Fig. 3
The average mean arterial pressure within each renal sub-group. Graph to show the differences in mean arterial pressure between the 5 renal sub-groups
Fig. 4
Fig. 4
Mean haemoglobin levels within each renal sub-group. Graph to show the mean haemoglobin levels within each sub-group
See this image and copyright information in PMC

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