Factors associated with leisure-time physical activity among patients undergoing hemodialysis

• Published in: BMC nephrology Vol. 16; no. 1; p. 192
• Main Authors: Rosa, Clara S C, Bueno, Denise R, Souza, Giovana D, Gobbo, Luís A, Freitas, Jr, Ismael F, Sakkas, Giorgos K, Monteiro, Henrique L
• Format: Journal Article
• Language: English
• Published: England BioMed Central Ltd 27.11.2015; BioMed Central
• Subjects: Adult; Aged; Aged, 80 and over; Brazil - epidemiology; Chronic kidney failure; Comorbidity; Cross-Sectional Studies; Diabetes; Diabetes Complications - epidemiology; Diabetes Complications - psychology; Exercise; Female; Hemodialysis; Humans; Hypertension; Hypertension - epidemiology; Hypertension - psychology; Kidney Failure, Chronic - epidemiology; Kidney Failure, Chronic - psychology; Leisure Activities - psychology; Male; Medical research; Medicine, Experimental; Middle Aged; Motor Activity; Nephrology; Physical fitness; Prevalence; Renal Dialysis - psychology; Renal Dialysis - statistics & numerical data; Risk Factors; Brazil
• ISSN: 1471-2369; 1471-2369
• DOI: 10.1186/s12882-015-0183-5

End-stage renal disease patients are characterized by low levels of physical activity, especially during leisure time. However, the recognition of variables associated with patterns of physical activity in this population has been little explored. Thus, the objective was to assess factors associated with levels of physical activity during leisure time among patients on haemodialysis. Ninety-eight patients (51.6 ± 15.7 years, 57 M/41 F) from two dialysis centres in São Paulo, Brazil participated in this cross-sectional study. Participants were divided into those who never exercised during leisure-time (inactive) and those who exercised at least once a week (active). The independent factors assessed were: socio-demographic data, comorbidities, personal barriers to exercise and physical activity records from childhood to adulthood (tracking of physical activity). Only 27 % of patients were engaged in PA during their leisure time at least once a week. Patients who engaged in regular physical activity during adulthood before the initiation of the hemodialysis treatment (adjusted OR: 7.24 95 % IC: 1.99; 26.50), those who developed the renal disease through diseases other than diabetes or hypertension (adjusted OR: 4.82; 95 % IC: 1.48; 15.68), and those who had no cardiovascular diseases (adjusted OR: 11.33; 95 % IC: 1.23; 103.8) where more likely to be active during their leisure-time. Comorbidities such as cardiovascular disease, hypertension and diabetes mellitus as well as the level of physical activity prior to end-stage renal disease could predict leisure-time physical activity among patients receiving hemodialysis therapy.