Sugahara Kentaro, Miyatake Nobuyuki, Kondo Takashi, Namio Keiichi, Hishii Shuhei, Nishi Hiroyuki, Ujike Kazuhiro, Koumoto Kiichi, Suzuki Hiromi, Yamamoto Yorimasa
Hygiene, Kagawa University, Miki, JPN.
Physical Therapy, Vocational School Anabuki Rehabilitation College, Takamatsu, JPN.
Cureus. 2024 Sep 24;16(9):e70126. doi: 10.7759/cureus.70126. eCollection 2024 Sep.
Previous studies have revealed that sedentary behavior, including quantitative and qualitative parameters, was associated with health-related quality of life (HRQOL) in patients on chronic hemodialysis.
The present study examined the relationships between various parameters of prolonged sedentary bouts on non-hemodialysis days and HRQOL in patients on chronic hemodialysis.
A total of 110 patients (47.2%) on chronic hemodialysis (64 men and 46 women, aged 71.4 ± 11.2 years) among 233 patients, who were outpatients at a hospital in Hiroshima prefecture, Japan, were enrolled in this cross-sectional study. Prolonged sedentary bouts were evaluated using a tri-accelerometer, i.e., sedentary behavior (minutes), median sedentary bouts (minutes), maximum sedentary bouts (minutes), sedentary bouts (bouts and minutes/bout), and prolonged sedentary bouts (≥5, ≥10, ≥30, and ≥60 minutes; bouts and minutes/bout). HRQOL was assessed using EuroQol 5-Dimension (EQ-5D).
The EQ-5D score was 0.755 ± 0.216. All prolonged sedentary parameters, except for sedentary bouts (bouts), correlated with HRQOL, and higher correlation coefficients were observed between sedentary behavior (minutes) and HRQOL (r = -0.416) and between maximum sedentary bouts (minutes) and HRQOL (r = -0.436) than between other parameters. These parameters were also identified as factors affecting HRQOL, even after adjustments for confounding factors.
In summary, sedentary behavior (minutes) and maximum sedentary bouts (minutes) on non-hemodialysis days, which may be representative of quantitative parameters for sedentary behavior, correlated with HRQOL in patients on chronic hemodialysis.
先前的研究表明，慢性血液透析患者的久坐行为，包括定量和定性参数，与健康相关生活质量（HRQOL）相关。
本研究探讨了慢性血液透析患者非透析日长时间久坐发作的各种参数与HRQOL之间的关系。
在日本广岛县一家医院的233名门诊患者中，共有110名慢性血液透析患者（47.2%）（64名男性和46名女性，年龄71.4±11.2岁）纳入了这项横断面研究。使用三轴加速度计评估长时间久坐发作，即久坐行为（分钟）、久坐发作中位数（分钟）、久坐发作最长时间（分钟）、久坐发作次数（次数和分钟/次）以及长时间久坐发作（≥5、≥10、≥30和≥60分钟；次数和分钟/次）。使用欧洲五维健康量表（EQ-5D）评估HRQOL。
EQ-5D评分为0.755±0.216。除久坐发作次数（次数）外，所有长时间久坐参数均与HRQOL相关，久坐行为（分钟）与HRQOL之间（r=-0.416）以及久坐发作最长时间（分钟）与HRQOL之间（r=-0.436）的相关系数高于其他参数。即使在调整混杂因素后，这些参数也被确定为影响HRQOL的因素。
总之，非透析日的久坐行为（分钟）和久坐发作最长时间（分钟），这可能是久坐行为定量参数的代表，与慢性血液透析患者的HRQOL相关。
