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Physical Function and Physical Activity in Peritoneal Dialysis Patients.

Patricia L Painter1, Adhish Agarwal2,3, Micah Drummond4

  • 1Department of Physical Therapy, University of Utah, Salt Lake City, UT, USA Trish.painter@hsc.utah.edu.

Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis
|October 4, 2017
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Summary

Physical functioning and physical activity are low in both peritoneal dialysis (PD) and maintenance hemodialysis (MHD) patients. Interventions to improve physical activity and functioning are recommended for both PD and MHD patient groups.

Keywords:
Exercisedialysisgait speedphysical performance

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Area of Science:

  • Nephrology
  • Geriatrics
  • Physical Medicine

Background:

  • Physical functioning (PF) and physical activity (PA) are notably low in patients undergoing maintenance hemodialysis (MHD).
  • Limited data exists regarding PF and PA in patients undergoing peritoneal dialysis (PD).
  • This study addresses the gap by comparing PF and PA in Stage-5 chronic kidney disease (CKD) patients on PD versus in-center MHD.

Purpose of the Study:

  • To compare physical functioning (PF) and physical activity (PA) between patients with Stage-5 chronic kidney disease (CKD) treated with peritoneal dialysis (PD) and in-center maintenance hemodialysis (MHD).

Main Methods:

  • PF was assessed in 45 prevalent PD patients using standardized physical performance tests (gait speed, chair stand, balance, 6-minute-walk, shuttle walk) and the SF-36 questionnaire.
  • PA was evaluated using self-report and the Community Healthy Activities Model Program for Seniors (CHAMPS) questionnaire.
  • MHD patients were matched to PD patients by age, gender, and diabetes status.

Main Results:

  • Unadjusted analyses revealed higher 6-minute-walk, shuttle-walk, and hand-grip strength in PD patients.
  • After adjustment, only gait speed remained significantly different between the groups.
  • Both PD and MHD groups exhibited impaired physical functioning and low physical activity levels, comparable to older community-dwelling adults.

Conclusions:

  • Physical functioning and physical activity are significantly reduced in both peritoneal dialysis (PD) and maintenance hemodialysis (MHD) patients.
  • There is a critical need for interventions aimed at enhancing physical activity and physical functioning in both PD and MHD populations.