Division of Nephrology, Department of Internal Medicine, CHA Gumi Medical Center, CHA University, Gumi, Republic of Korea.
Department of Internal Medicine, Yeungnam University College of Medicine, 170, Hyeonchung-ro, Nam-gu, Daegu, 42415, Korea.
Sci Rep. 2021 Nov 2;11(1):21487. doi: 10.1038/s41598-021-00924-0.
Data regarding the status of physical activity or understanding of the importance of exercise, such as barriers of exercise or enablers of exercise, in dialysis patients were insufficient. This study aimed to evaluate the status of physical activity and the understanding of the importance of exercise in Korean dialysis patients. The study participants were recruited from 27 hospitals or dialysis centers (n = 1611). Physical activity was evaluated using the Korean version of the International Physical Activity Questionnaire-Short Form. High physical activity was defined as ≥ 600 metabolic equivalent of task (MET). Knowledge about the importance of exercise, enabler for regular exercise, benefits of exercise, and barrier to exercise was evaluated. Health-related quality of life (HRQoL) was assessed by the Kidney Disease Quality of Life version 1.3. The number of participants in the hemodialysis (HD) and peritoneal dialysis (PD) groups was 1247 and 364, respectively. The intensity of physical activity did not differ between the two modalities. The time of physical activity was longer in HD patients than in PD patients, which resulted in greater MET values and the number of high physical activity. There were 762 (61.1%) HD patients and 281 (77.2%) PD patients who heard of the importance of exercise (P < 0.001). In both HD and PD patients, dialysis staff played the most significant role as educators on the importance of exercise and enablers of exercise. The most important barriers to exercise were poor motivation and fatigue in both modalities. HD patients exhibited greater differences in HRQoL scales across two physical activity levels, compared to PD patients. Our study showed that the barrier to exercise and the enablers of exercise were poor motivation/fatigue and encouragement from dialysis staff, respectively.
关于体力活动状况或对运动重要性的认识（如运动障碍或促进因素）的数据在透析患者中不足。本研究旨在评估韩国透析患者的体力活动状况和对运动重要性的认识。研究参与者从 27 家医院或透析中心招募（n=1611）。使用国际体力活动问卷-短表的韩语版本评估体力活动。高体力活动定义为≥600 代谢当量（MET）。评估对运动重要性的认识、规律运动的促进因素、运动的益处以及运动障碍。通过肾脏病生活质量量表 1.3 评估健康相关生活质量（HRQoL）。血液透析（HD）和腹膜透析（PD）组的参与者人数分别为 1247 人和 364 人。两种方式的体力活动强度没有差异。HD 患者的体力活动时间长于 PD 患者，导致 MET 值和高体力活动人数增加。有 762 名（61.1%）HD 患者和 281 名（77.2%）PD 患者听说过运动的重要性（P<0.001）。在 HD 和 PD 患者中，透析工作人员作为运动重要性和促进因素的教育者发挥着最重要的作用。运动的两个模式中最重要的障碍是动机不足和疲劳。与 PD 患者相比，HD 患者在两个体力活动水平的 HRQoL 量表上表现出更大的差异。我们的研究表明，运动障碍和运动促进因素分别是缺乏动力/疲劳以及透析工作人员的鼓励。
