Physical activity and energy expenditure in haemodialysis patients: an international survey

Physical activity and energy expenditure in haemodialysis patients: an international survey

Author Avesani, Carla Maria Google Scholar
Trolonge, Stanislas Google Scholar
Deleaval, Patrik Google Scholar
Baria, Flavia Autor UNIFESP Google Scholar
Mafra, Denise Google Scholar
Faxen-Irving, Gerd Google Scholar
Chauveau, Phillipe Google Scholar
Teta, Daniel Google Scholar
Kamimura, Maria Ayako Autor UNIFESP Google Scholar
Cuppari, Lilian Autor UNIFESP Google Scholar
Chan, Maria Google Scholar
Heimbuerger, Olof Google Scholar
Fouque, Denis Google Scholar
Institution Universidade do Estado do Rio de Janeiro (UERJ)
Karolinska Inst
Aurad Aquitaine
CHU Vaudois
Universidade Federal de São Paulo (UNIFESP)
Univ Lyon
Universidade Federal Fluminense (UFF)
Karolinska Univ Hosp
St George Hosp
Abstract 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 +/- 1.4 days (mean +/- 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.
Keywords energy expenditure
haemodialysis
nutrition
physical activity
Language English
Sponsor Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
Baxter France
Grant number FAPESP: 07/05184-1
Date 2012-06-01
Published in Nephrology Dialysis Transplantation. Oxford: Oxford Univ Press, v. 27, n. 6, p. 2430-2434, 2012.
ISSN 0931-0509 (Sherpa/Romeo, impact factor)
Publisher Oxford Univ Press
Extent 2430-2434
Origin http://dx.doi.org/10.1093/ndt/gfr692
Access rights Open access Open Access
Type Article
Web of Science ID WOS:000304832100047
URI http://repositorio.unifesp.br/handle/11600/34913

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