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Title: Physical activity and energy expenditure in haemodialysis patients: an international survey
Authors: Avesani, Carla Maria
Trolonge, Stanislas
Deleaval, Patrik
Baria, Flavia [UNIFESP]
Mafra, Denise
Faxen-Irving, Gerd
Chauveau, Phillipe
Teta, Daniel
Kamimura, Maria Ayako [UNIFESP]
Cuppari, Lilian [UNIFESP]
Chan, Maria
Heimbuerger, Olof
Fouque, Denis
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
Keywords: energy expenditure
physical activity
Issue Date: 1-Jun-2012
Publisher: Oxford Univ Press
Citation: Nephrology Dialysis Transplantation. Oxford: Oxford Univ Press, v. 27, n. 6, p. 2430-2434, 2012.
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.
ISSN: 0931-0509
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