Hayhurst William S G, Ahmed Aimun
Renal Department, Royal Preston Hospital, Lancashire Teaching Hospitals NHS Foundation Trust, Preston, UK ; Medical School, University of Manchester, Manchester, UK.
Renal Department, Royal Preston Hospital, Lancashire Teaching Hospitals NHS Foundation Trust, Preston, UK.
Springerplus. 2015 Sep 21;4(1):536. doi: 10.1186/s40064-015-1338-3. eCollection 2015.
This study aimed to create a unique assessment tool to investigate the physical activity levels of patients suffering from chronic kidney disease (CKD). Previous studies have documented a lack of physical activity within patients living with CKD and patients on renal replacement therapy (RRT). Physical activity plays a key role in the prevention and management of cardiovascular disease (CVD). Patients with CKD are at high risk of developing CVD. Physical inactivity can be considered as a major modifiable risk factor for CVD in CKD patients. In this study 100 patients completed the 20 item questionnaire which produced a total activity score (TAS) and activity loss score for each patient. Bio-chemical markers, haemoglobin, erythropoietin therapy and co-morbidities were documented for each patient. Results were compared against 50 age, sex-matched controls. Results showed a significant difference in TAS between in-centre haemodialysis (ICHD) patients and the healthy control group. A significant difference was also seen with the home haemodialysis (HD) and ICHD patients against the transplant group (TX). Our quick assessment tool identified the ICHD patients as the most physically inactive group within the CKD and RRT population compared to a healthy control group. We therefore recommend that doctors encourage physical activity within this high risk group and start 'prescribing exercise' to their patients.
本研究旨在创建一种独特的评估工具，以调查慢性肾脏病（CKD）患者的身体活动水平。先前的研究已证明，CKD患者以及接受肾脏替代治疗（RRT）的患者缺乏身体活动。身体活动在心血管疾病（CVD）的预防和管理中起着关键作用。CKD患者发生CVD的风险很高。身体不活动可被视为CKD患者发生CVD的一个主要可改变风险因素。在本研究中，100名患者完成了一份包含20个条目的问卷，该问卷得出了每位患者的总活动得分（TAS）和活动丧失得分。记录了每位患者的生化指标、血红蛋白、促红细胞生成素治疗情况和合并症。将结果与50名年龄、性别匹配的对照组进行比较。结果显示，中心血液透析（ICHD）患者与健康对照组之间的TAS存在显著差异。家庭血液透析（HD）患者和ICHD患者与移植组（TX）相比也存在显著差异。与健康对照组相比，我们的快速评估工具确定ICHD患者是CKD和RRT人群中身体活动最少的组。因此，我们建议医生鼓励这一高危人群进行身体活动，并开始为他们的患者“开具运动处方”。
