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Titolo Physical activity and energy expenditure in haemodialysis patients: an international survey
Autore Carla Maria Avesani1,2, Stanislas Trolonge3, Patrik Dele´aval4, Flavia Baria5, Denise Mafra6,7, Gerd Faxe´n-Irving8,9, Phillipe Chauveau3, Daniel Teta4, Maria Ayako Kamimura5, Lilian Cuppari5, Maria Chan2,10, Olof Heimbu¨rger2 and Denis Fouque6
Referenza Nephrol Dial Transplant (2011) doi: 10.1093/ndt/gfr692
Contenuto

Background.
The assessment of physical activity and energy expenditure is relevant to the care of maintenance haemodialysis (MHD) patients. In the current study, we aimed to evaluate measurements of physical activity and energy expenditure in MHD patients from different centres and countries and explored the predictors of physical activity in these patients.

Methods.
In this cross-sectional multicentre study, 134 MHD patients from four countries (France, Switzerland, Sweden and Brazil) were included. The physical activity was evaluated for 5.0 6 1.4 days (mean 6 SD) by a multisensory device (SenseWear Armband) and comprised the assessment of number of steps per day, activity-related energy expenditure (activity-related EE) and physical activity level (PAL).

Results.
The number of steps per day, activity-related EE and PAL from the MHD patients were compatible with a sedentary lifestyle. In addition, all parameters were significantly lower in dialysis days when compared to non-dialysis days (P <0.001). The multivariate regression analysis revealed that diabetes and higher body mass index (BMI) predicted a lower PAL and older age and diabetes predicted a reduced number of steps.

Conclusions.
The physical activity parameters of MHD patients were compatible with a sedentary lifestyle. This inactivity was worsened by aging, diabetes and higher BMI. Our results indicate that MHD patients should be encouraged by the health care team to increase their physical activity.

 

Data 29.08.2012
 
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