Physical Activity in End-Stage Renal Disease Patients: The Effects of Starting Dialysis in the First 6 Months after the Transition Period

Autor: Joris J. J. M. Wirtz, Natascha J. H. Broers, Marc M. H. Hermans, Nanda M. P. Diederen, Jeroen P. Kooman, Peter Wabel, Remy J.H. Martens, Frank Stifft, Tom Cornelis, Bernard Canaud, Karel M.L. Leunissen, Frank M. van der Sande, Tom Dejagere, Constantijn J.A.M. Konings
Přispěvatelé: Interne Geneeskunde, RS: NUTRIM - R3 - Respiratory & Age-related Health, RS: NUTRIM - R1 - Metabolic Syndrome, MUMC+: MA Med Staf Artsass Interne Geneeskunde (9), Promovendi NTM, RS: NUTRIM - R3 - Chronic inflammatory disease and wasting, MUMC+: MA Nefrologie (9), MUMC+: CCZ Hemodialyse (9), Afdeling Onderwijs FHML, RS: CARIM - R3.02 - Hypertension and target organ damage
Jazyk: angličtina
Rok vydání: 2017
Předmět:
CHRONIC KIDNEY-DISEASE
Male
Time Factors
Stage 5 chronic kidney disease
medicine.medical_treatment
030232 urology & nephrology
HEMODIALYSIS-PATIENTS
030204 cardiovascular system & hematology
urologic and male genital diseases
AMBULATORY PERITONEAL-DIALYSIS
End-stage renal disease
MUSCLE STRENGTH
0302 clinical medicine
Risk Factors
Longitudinal Studies
Hand Strength
SUBSEQUENT DISABILITY
Middle Aged
Clinical Practice: Original Paper
Energy expenditure
Body Composition
Female
Adult
medicine.medical_specialty
BODY-COMPOSITION
Physical activity
Dialysis patients
End stage renal disease
03 medical and health sciences
INTERNATIONAL COHORT
Renal Dialysis
Internal medicine
medicine
OLDER ADULTS
Humans
Exercise
Dialysis
Aged
business.industry
SENSEWEAR ARMBAND
Walking Speed
Preferred walking speed
LOWER-EXTREMITY FUNCTION
Cross-Sectional Studies
Physical performance
Case-Control Studies
Physical therapy
Kidney Failure
Chronic
business
Energy Metabolism
Zdroj: The Nephron Journals, 137(1), 47-56. Karger
ISSN: 1660-8151
Popis: Objectives: Physical inactivity in end-stage renal disease (ESRD) patients is associated with increased mortality, and might be related to abnormalities in body composition (BC) and physical performance. It is uncertain to what extent starting dialysis influences the effects of ESRD on physical activity (PA). This study aimed to compare PA and physical performance between stage 5 chronic kidney disease (CKD-5) non-dialysis and dialysis patients, and healthy controls, to assess alterations in PA during the transition from CKD-5 non-dialysis to dialysis, and to relate PA to BC. Methods: For the cross-sectional analyses 44 CKD-5 non-dialysis patients, 29 dialysis patients, and 20 healthy controls were included. PA was measured by the SenseWear™ pro3. Also, the walking speed and handgrip strength (HGS) were measured. BC was measured by the Body Composition Monitor©. Longitudinally, these parameters were assessed in 42 CKD-5 non-dialysis patients (who were also part of the cross-sectional analysis), before the start of dialysis and 6 months thereafter. Results: PA was significantly lower in CKD-5 non-dialysis patients as compared to that in healthy controls but not as compared to that in dialysis patients. HGS was significantly lower in dialysis patients as compared to that in healthy controls. Walking speed was significantly lower in CKD-5 non-dialysis patients as compared to that in healthy controls but not as compared to that in dialysis patients. Six months after starting dialysis, activity related energy expenditure (AEE) and walking speed significantly increased. Conclusions: PA is already lower in CKD-5 non-dialysis patients as compared to that in healthy controls and does not differ from that of dialysis patients. However, the transition phase from CKD-5 non-dialysis to dialysis is associated only with a modest improvement in AEE.
Databáze: OpenAIRE
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