Physical activities of haemodialysis patients assessed by triaxial accelerometer
10.3969/j.issn.1671-8283.2023.10.005
- VernacularTitle:基于三轴加速度计评估的血液透析患者身体活动状况及其对策研究
- Author:
Chengliang ZHANG
1
;
Xiaoying HU
;
Li ZHANG
;
Jie XIONG
;
Yan SUN
Author Information
1. 上海中医药大学附属曙光医院血透中心,上海,201203
- Keywords:
triaxial accelerometer;
haemodialysis;
sedentariness;
physical activity
- From:
Modern Clinical Nursing
2023;22(10):30-34
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the physical activities of the patients under haemodialysis(HD)with triaxial accelerometers so as to provide data for development of interventional exercise programs for the HD patients.Methods A total of 38 patients who underwent HD in our hospital between March 2021 and July 2021 were included in the study group.Further 38 healthy subjects without chronic disease with matched gender and age to the HD patients in the study group,were recruited from local communities as a control group.The subjects in both groups were asked to wear an Altigraph GT3X+ accelerometer on waist after getting up in the morning for 12 hours a day for 7 consecutive days.The average number of steps and the standard rate of exercise time in the 7 days were compared between the groups.Durations of the exercises,standing,walking,sitting,and lying down were also compared between the groups.Results Both groups had completed the study.The number of daily steps in the HD group was found significantly lower than that in the control group(5684.3±1238.5 step/day vs.8792.2±2870.8 step/day,P<0.001).The rate of sedentariness in the HD group was significantly higher than that in the control group(47.4%vs.10.5%,P<0.001).In comparison with the control group,HD patients spent more time for lying down per day(195.6±77.8 min/day vs.47.8±15.5 min/day,P<0.001)and sitting(369.3±79.8 min/day vs.301.2±77.1 min/day,P<0.001).For intragroup comparison,on the days of dialysis,the HD patients spent more time for lying down[250.1±71.1 min/day vs.152.1±40.6 min/day,P<0.001],sitting(371.2±76.9 min/day vs.332.2±88.6 min/day,P<0.05)and with less walking(4362.3±1084.5 steps/day vs.7007.6±2437.8 steps/day,P<0.001),in comparison with those on the non-dialysis days.Conclusions HD patients spend less time on physical activities,but more time on sitting and lying down.The situation is even worse on the days of dialysis treatment.The HD patients should be advised and encouraged to take more physical activities.
