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ESRD patients using permanent vascular access report greater physical activity compared with catheter users
Haimanot Wasse1, Rebecca Zhang, Kirsten L Johansen
1Division of Nephrology, WMB, Emory University School of Medicine, Room 338, 1639 Pierce Dr., Atlanta, GA 30322, USA. hwasse@emory.edu
International Urology and Nephrology
|February 22, 2012
Summary
End-stage renal disease patients using an arteriovenous fistula (AVF) reported higher physical activity levels than those using a central venous catheter (CVC). Early AVF use may improve physical activity in hemodialysis patients.
Area of Science:
- Nephrology
- Vascular Access
- Patient Outcomes
Background:
- Low physical activity in end-stage renal disease (ESRD) patients correlates with higher hospitalization and mortality risks.
- Central venous catheters (CVCs) in hemodialysis (HD) patients may limit physical activity due to infection concerns or dislodgement fears.
Purpose of the Study:
- To investigate the association between vascular access type and physical activity levels in incident hemodialysis patients.
- To identify factors contributing to reduced physical activity in ESRD patients undergoing hemodialysis.
Main Methods:
- A survey of 1,458 incident hemodialysis patients using the Human Activity Profile (HAP) questionnaire.
- Analysis of physical activity scores (self-care and leg effort) based on vascular access type (AVF, graft, CVC).
Main Results:
- Patients using an arteriovenous fistula (AVF) reported higher self-care and leg effort scores compared to those using a central venous catheter (CVC).
- Early nephrology care and AVF use were associated with improved physical activity scores, with AVF users receiving early care showing scores similar to healthy adults.
Conclusions:
- Incident hemodialysis patients with AVFs demonstrated superior self-care and leg effort activity compared to CVC users.
- Promoting pre-dialysis physical activity education and increasing early AVF utilization could enhance physical activity in ESRD patients.
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