Document Detail


Exercise and limitations in physical activity levels among new dialysis patients in the United States: an epidemiologic study.
MedLine Citation:
PMID:  19041586     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: Epidemiologic studies of physical activity among patients with end-stage renal disease (ESRD) are lacking. The aim of this study was to describe the patterns of physical activity among new dialysis patients in the United States. METHODS: Multivariate logistic regression analyses examined associations of self-reported limitations in physical activity and exercise frequency with sociodemographic and clinical variables in 2,264 patients from Wave 2 of the Dialysis Morbidity and Mortality Study. RESULTS: Overall, 56% of patients exercised less than once a week, 75% reported severe limitations in vigorous activities, whereas 42% had severe limitations in moderate physical activities. Fewer limitations in moderate or vigorous activities correlated positively with male gender (odds-ratio [OR] = 1.61), black race OR =1.49), Hispanic ethnicity (OR = 2.39), serum albumin (OR = 1.69 per 1 g/L higher), positive affect (OR = 2.33), peritoneal dialysis (OR = 1.90), and negatively with age (OR = 0.67), heart failure (OR = 0.75), peripheral vascular disease (OR = 0.69), malnutrition (OR = 0.67), and depression (OR = 0.39). Patients reporting fewer limitations in moderate or vigorous activities (OR = 1.35 and 1.28, respectively), or frequent visits with a dietitian (2 to 3 times per week vs. less) (OR = 1.21) in the pre-ESRD period exercised more frequently. CONCLUSIONS: Limitations in physical activity are common among new ESRD patients and these, in part, are related to pre-existing cardiovascular disease, malnutrition, and mental health.
Authors:
Austin G Stack; Bhamidipati Murthy
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Annals of epidemiology     Volume:  18     ISSN:  1873-2585     ISO Abbreviation:  Ann Epidemiol     Publication Date:  2008 Dec 
Date Detail:
Created Date:  2008-12-01     Completed Date:  2009-02-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9100013     Medline TA:  Ann Epidemiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  880-8     Citation Subset:  IM    
Affiliation:
Regional Kidney Center, Department of Medicine, Letterkenny General Hospital, Health Services Executive (HSE) West, Letterkenny, County Donegal, Ireland. Austin.Stack@hse.ie
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MeSH Terms
Descriptor/Qualifier:
Affect
Aged
Aging
Cardiovascular Diseases / complications
Continental Population Groups
Depression / complications
Ethnic Groups
Exercise*
Female
Humans
Kidney Failure, Chronic / complications,  physiopathology,  therapy
Logistic Models
Male
Malnutrition / complications
Middle Aged
Motor Activity*
Multivariate Analysis
Questionnaires
Renal Dialysis*
Serum Albumin
Sex Factors
United States / epidemiology
Chemical
Reg. No./Substance:
0/Serum Albumin

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