Functional Capacity and Physical Activity Level in Patients with Chronic Kidney Disease undergoing Hemodialysis
Abstract
To minimize the problems resulting from chronic kidney disease, the practice of physical activities is indicated and consequently the improvement of physical capacity. Therefore, the aim of this study was to analyze the correlation between functional capacity and physical activity level in patients with chronic kidney disease undergoing hemodialysis. This cross-sectional study was conducted with 24 individuals at hemodialysis clinic in the northwestern portion of the state of Rio Grande do Sul/Brazil. The outcome variables were distance traveled on the six-minute walk test (6MWT) and physical activity level determined by the average number of steps per day measured using a pedometer (objective measure) as well as the International Physical Activity Questionnaire (IPAQ) (subjective measure). It was shown that the distance travelled on the 6MWT was not correlated with the average number of steps per day or results of the IPAQ. In contrast, a moderate correlation was found between the two physical activity measures (pedometer and IPAQ). The patients were classified as insufficiently active and also had low functional capacity, with a mean of 53.93% of the predicted distance on the 6MWT. It is concluded that no significant correlation was found between functional capacity measured using the 6MWT and physical activity level measured using a pedometer and the IPAQ. A moderate correlation was found between the pedometer and IPAQ. The patients were insufficiently active and achieved low percentages of the predicted distance on the 6MWT.
References
Alves, M.A.S., Bueno, F.R., Haraguchi, L.I.H., Corrêa, F.R., & Dourado, V.Z. (2013). Correlação entre a média do número de passos diário e o teste de caminhada de seis minutos em adultos e idosos assintomáticos. Fisioterapia e Pesquisa, 20(2). https://doi.org/10.1590/S1809-29502013000200005
Andrade, FP, Borba, GC, da Silva, KC, Ferreira, TDS, de Oliveira, SG, Antunes, VVH, & Rovedder, PME (2022). Intradialytic periodized exercise improves cardiopulmonary fitness and respiratory function: A randomized controlled trial. Seminars in Dialysis, 35(2),181-189. https://doi.org/10.1111/sdi.13020
Araújo Filho, J.C., Amorim, C.T., Brito, A.C.N.L., Oliveira, D.S., Lemos, A., & Marinho, P.E.M. (2016). Nível de atividade física de pacientes em hemodiálise: um estudo de corte transversal. Fisioterapia e Pesquisa, 23(3), 234-40. https://doi.org/10.1590/1809-2950/14160723032016
Barros, F.S., Pinheiro, B.V., Lucinda, L.M.F., Rezende, G.F., Segura-Ortí, E., & Reboredo, M.M. (2021). Exercise training during hemodialysis in Brazil: a national survey. Artificial Organs, 45, 1368-76. https://doi.org/10.1111/aor.14018
Barros, P.H.V., Fuzari, H.K.B., de Medeiros, A.I.C., & de Melo Marinho, P.É. (2019). Fatores preditores da capacidade funcional em pacientes com doença renal crônica sob hemodiálise. ConScientiae Saúde, 18(2), 149-55. https://doi.org/10.5585/conssaude.v18n2.8770
Brasil (2017). Vigitel Brasil 2017: Vigilância de fatores de risco e proteção para doenças crônicas por inquérito telefônico. http://bvsms.saude.gov.br/bvs/publicacoes/vigitel_brasil_2017_vigilancia_fatores_riscos.pdf
Britto, R.R., & Sousa, L.A.P. (2006). Teste de caminhada de seis minutos uma normatização brasileira. Fisioterapia em movimento, 19(4), 49-54. https://periodicos.pucpr.br/fisio/article/view/18789
Cecconello, L., Winkelmann, E.R., Morais, E.M., Krug, R.R., & Moreira, P.R. (2019). Perfil clinico-epidemiológico dos doentes renais crônicos em tratamento hemodialítico: Um estudo da região Noroeste do Estado do Rio Grande do Sul. Temas em Saúde, 19(3), 407-32. https://temasemsaude.com/wp-content/uploads/2019/09/19323.pdf
Cleland, C., Ferguson, S., Ellis, G., & Hunter, R.F. (2018). Validity of the International Physical Activity Questionnaire (IPAQ) for assessing moderate-to-vigorous physical activity and sedentary behaviour of older adults in the United Kingdom. BMC Medical Research Methodology, 18, 176. https://doi.org/10.1186/s12874-018-0642-3
Cunha, M.S., Andrade, V., Guedes, C.A.V., Meneghetti, C.H.Z., Aguiar, A.P., & Cardoso, A.L. (2009). Avaliação da capacidade funcional e da qualidade de vida em pacientes renais crônicos submetidos a tratamento hemodialítico. Fisioterapia e Pesquisa, 16(2),155-60. https://doi.org/10.1590/S1809-29502009000200011
Dowd, KP, Szeklicki, R., Minetto, MA, Murphy, MH, Polito, A., Ghigo, E., van der Ploeg, H., Ekelund, U., Maciaszek, J., Stemplewski, R., Tomczak, M., & Donnelly, AE (2018). A systematic literature review of reviews on techniques for physical activity measurement in adults: a DEDIPAC study. International Journal of Behavioral Nutrition and Physical Activity, 15(15), 1-33. https://doi.org/10.1186/s12966-017-0636-2
Falck, R.S., McDonald, S.M., Beets, M.W., Brazendale, K., & Liu-Ambrose, T. (2016). Measurement of physical activity in older adult interventions: a systematic review. British Journal of Sports Medicine, 50(8),464-70. https://doi.org/10.1136/bjsports-2016-096113
Fukushima, R.L.M., Costa, J.L.R., & Souza, O.F. (2018). Atividade física e a qualidade de vida de pacientes com doença renal crônica em hemodiálise. Fisioterapia e Pesquisa, 25(3), 338-44. https://doi.org/10.1590/1809-2950/18021425032018
Garcia, RSA, Lucinda, LMF, Ramos, FA, Bueno GDS, Oliveira, GMR, Bonisson, LSA, Silva, MA, Zolli, TI, Pinheiro, B., Paula, R., Pazeli, J., & Reboredo, MM (2017). Factors associated with functional capacity in hemodialysis patients. Artificial organs, 41(12), 1121-26. https://doi.org/10.1111/aor.12938
Gomes, EP, Reboredo, MM, Carvalho, EV, Teixeira, DR, Carvalho, LFCO, Filho GFF, Oliveira, JCA, Sanders-Pinheiro, H., Chebli, JMF, Paula, RB, & Pinheiro, BV (2015). Physical activity in hemodialysis patients measured by triaxial accelerometer. BioMed Research International. https://doi.org/10.1155/2015/645645
Heiwe, S., & Jacobson, S.H. (2014). Exercise training in adults with CKD: s systematic review and meta-analysis. American Journal Kidney Disease, 64(3),383-393. https://doi.org/10.1053/j.ajkd.2014.03.020
Howden, E.J., Coombes, J.S., & Isbel, N.M. (2015). The role of exercise training in the management of chronic kidney disease. Current opinion in nephrology and hypertension, 24(6),480-487. https://doi.org/10.1097/MNH.0000000000000165
Matsudo, S., Araújo, T., Matsudo, V., Andrade, D., Andrade, E., Oliveira, L.C., & Braggion, G. (2001). Questionário Internacional de Atividade Física (IPAQ): Estudo de validade e reprodutibilidade no Brasil. Revista Brasileira de Atividade Física e Saúde, 6(2), 5-18. https://doi.org/10.12820/rbafs.v.6n2p5-18
Mazo, G.Z., & Benedetti, T.R.B. (2010). Adaptação do questionário internacional de atividade física para idosos. Revista Brasileira de Cineantropometria e Desempenho Humano, 12(6), 480-484. https://doi.org/10.5007/1980-0037.2010v12n6p480
Morishita, S., Tsubaki, A., & Shirai, N. (2017). Physical function was related to mortality in patients with chronic kidney disease and dialysis. Hemodialysis International, 21(4), 483-9. https://doi.org/10.1111/hdi.12564
Nascimento, F.W.A., & Dos Santos, A.A. (2022). Os benefícios do exercício físico em pacientes com doença renal crônica: uma revisão bibliográfica. Revista Ibero-americana de Humanidades, Ciências e Educação, 8(1), 1446-1455. https://doi.org/10.51891/rease.v8i1.3989
Neves, P.D.M.D.M., Sesso, R.D.C.C., Thomé, F.S., Lugon, J.R., & Nascimento, M.M. (2020). Censo Brasileiro de Diálise: análise de dados da década 2009-2018. Brazilian Journal of Nephrology, 42(2), 191-200. https://doi.org/10.1590/2175-8239-JBN-2019-0234
Nicaise, V., Crespo, N.C., & Marshall, S. (2014). Agreement between the IPAQ and accelerometer for detecting intervention-related changes in physical activity in a sample of Latina women. Journal of Physical Activity and Health, 11(4), 846-852. https://doi.org/10.1123/jpah.2011-0412
Painter, P., & Roshanravan, B. (2013). The association of physical activity and physical function with clinical outcomes in adults with chronic kidney disease. Current opinion in nephrology and hypertension, 22(6), 615-623. http://dx.doi.org/10.1097/MNH.0b013e328365b43a
Pu, J., Jiang, Z., Wu, W., Li, L., Zhang, L., Li, Y., Liu, Q., & Ou, S. (2019). Efficacy and safety of intradialytic exercise in haemodialysis patients: a systematic review and meta-analysis. BMJ Open, 9(020633). https://doi.org/10.1136/bmjopen-2017-020633
Sesso, R.C., Lopes, A.A., Thomé, F.S., Lugon, J.R., & Martins, C.T. (2017). Brazilian chronic dialysis Survey 2016. Jornal Brasileiro de Nefrologia, 39(3), 261-266. https://doi.org/10.5935/0101-2800.20170049
Silveira, KN, Dutra, TS, Kupske, JW, Marchesan, M., Keller, KD, Moreira, PR, & Krug, RR (2021). Comparação das variáveis de saúde de pacientes inativos e ativos fisicamente em hemodiálise. Lecturas: Educación Física y Deportes, 26(281), 43-61. https://doi.org/10.46642/efd.v26i281.2474
Siviero, P.C.L., Machado, C.J., & Cherchiglia, M.L. (2014). Insuficiência renal crônica no Brasil segundo enfoque de causas múltiplas de morte. Caderno de saúde coletiva, 22(1), 75-85. https://doi.org/10.1590/1414-462X201400010012
Torino, C., Manfredini, F., Bolonha, D., Aucella, F., Baggetta, R., Barillà, A., Battaglia, Y., Bertoli, S., Bonanno, G., Castellino, P., Ciurlino D., Cupisti, A., D'Arrigo, G., De Paola, L., Fabrizi, F., Fatuzzo, P., Fuiano, G., Lombardi, L., Lucisano, G., Messa, P., Rapanà, R., Rapisarda, F., Rastelli, S., Rocca-Rey, L., Summaria, C., Zuccalà, A., Tripepi, G., Catizone, L., Zoccali, C., Mallamaci, F., & EXCITE Working Group (2014). Physical performance and clinical outcomes in dialysis patients: a secondary analysis of the EXCITE trial. Kidney Blood Pressure Research, 39(2-3), 205-211. https://doi.org/10.1159/000355798
Tsai, YC, Chen, HM, Hsiao, SM, Chen, CS, Lin MY, Chiu, YW, Hwang, SJ, & Kuo, MC (2017). Association of physical activity with cardiovascular and renal outcomes and quality of life in chronic kidney disease. Plos One, 12(8), 1-12. https://doi.org/10.1371/journal.pone.0183642
Tudor-Locke, C., Craig, CL, Aoyagi, Y., Bell, RC, Croteau, KA, De Bourdeaudhuij, I., Ewald, B., Gardner, AW, Hatano, Y., Lutes, L., Matsudo, SM, Ramírez-Marrero, FA, Rogers, LQ, Schmidt, MD, Tully, MA, & Blair, SN (2011). How many steps/day are enough? For older adults and special populations. International Journal of Behavioral Nutrition and Physical Activity, 8(1), 80. http://dx.doi.org/10.1186/1479-5868-8-80
Wuttke, M., Yong, L., Li, M., Sieber, K.B., Feitosa, M.F., Gorski, M., et al. (2019). A catalog of genetic loci associated with kidney function from analyses of a million individuals. Nature Genetics, 51, 957-972. http://dx.doi.org/10.1038/s41588-019-0407-x
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