Kuban Magdalena, Królikowski Jerzy, Nowicki Michał
Department of Nephrology, Hypertension and Kidney Transplantation, Medical University of Lodz, Poland.
Hemodial Int. 2016 Jul;20(3):447-52. doi: 10.1111/hdi.12398. Epub 2016 Feb 3.
Introduction The Statement from the American Heart Association has emphasized a need for novel strategies that can reduce the risk of cardiovascular disease (CVD). Taking a dog for a walk forces its owner to take physical activity. Several studies have explored the relationship between pet ownership and CVD and most reported benefits. This issue has not been investigated in dialysis patients. The aim of the study was to analyze the influence of pet ownership on health and physical activity in hemodialysis patients. Methods 270 chronic hemodialysis patients (172 male, 98 female, mean age 62.7 ± 14.0 years, hemodialysis vintage 4 ± 5 years) took part in the survey focused on their general health and physical activity. Findings Two hundred nineteen (81%) patients were mobile. One hundred sixteen participants had dog at home (43%). An additional physical activity was reported by 46 dog owners (40%) compared with 34 (23%) of nonowners (P = 0.002). Patients who often go for a walk were more often pet owners 49 (57%) than nonowners (n = 37, 43%; P = 0.004). Pet owners were younger (58.3 ± 13.6 vs. 66 ± 13.5 years). Body mass index (BMI) was similar. Patients with BMI from upper tertile (>27.5 kg/m(2) ) and from lower (<23.9) were more often dog owners than from the middle (52.9%, 43.7%, and 31.4%). Dog owners were on dialysis for longer time (5.0 ± 6.5 vs. 3.5 ± 3.7 years; P = 0.02). Discussion Dog ownership appears to positively influence the level of physical activity. Age but not time on dialysis seems to be the most important factor that influences a decision to own a pet and undertake physical activity.
引言 美国心脏协会的声明强调了需要有新的策略来降低心血管疾病（CVD）的风险。遛狗迫使狗主人进行体育活动。几项研究探讨了养宠物与心血管疾病之间的关系，大多数研究报告了其益处。但这一问题尚未在透析患者中进行研究。本研究的目的是分析养宠物对血液透析患者健康和体育活动的影响。方法 270名慢性血液透析患者（172名男性，98名女性，平均年龄62.7±14.0岁，透析时间4±5年）参与了一项关于他们总体健康和体育活动的调查。结果 219名（81%）患者能够活动。116名参与者家中养狗（43%）。46名狗主人（40%）报告有额外的体育活动，而非狗主人中有34名（23%）报告有额外体育活动（P = 0.002）。经常散步的患者中，宠物主人（49名，57%）比非宠物主人（37名，43%）更常见（P = 0.004）。宠物主人更年轻（58.3±13.6岁 vs. 66±13.5岁）。体重指数（BMI）相似。BMI处于上三分位数（>27.5 kg/m²）和下三分位数（<23.9）的患者中，养狗的比例高于处于中间三分位数的患者（52.9%、43.7%和31.4%）。狗主人接受透析的时间更长（5.0±6.5年 vs. 3.5±3.7年；P = 0.02）。讨论 养狗似乎对体育活动水平有积极影响。年龄而非透析时间似乎是影响养宠物和进行体育活动决策的最重要因素。
