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Assessment of Vascular Function in Patients With Chronic Kidney Disease
Published on: June 16, 2014
Cognitive abilities and physical activity in chronic kidney disease patients undergoing hemodialysis
Raiana Lídice Mór Fukushima1, Pollyanna Natalia Micali2, Elisangela Gisele do Carmo2
1Universidade Estadual Paulista Ringgold standard institution - Physical Education Rio ClaroSP Brazil Universidade Estadual Paulista, Ringgold standard institution - Physical Education, Rio Claro, São Paulo, SP, Brazil.
Insights
Hemodialysis patients often experience cognitive deficits. Regular physical activity may improve cognitive function in these individuals, offering a low-cost therapeutic option.
Area of Science:
- Nephrology
- Gerontology
- Exercise Physiology
Background:
- Chronic Kidney Disease (CKD) is commonly treated with hemodialysis (HD).
- Cognitive impairment is a significant concern for patients undergoing hemodialysis.
- Assessing physical activity levels is crucial for understanding patient health outcomes.
Purpose of the Study:
- To evaluate physical activity and cognitive function in hemodialysis patients.
- To compare cognitive function between active and inactive hemodialysis patients.
Main Methods:
- A study involving 84 hemodialysis patients in Brazil.
- Data collected via interviews, International Physical Activity Questionnaire (IPAQ), and Addenbrooke's Cognitive Examination Revised (ACE-R).
- Mann Whitney U-test used for comparing cognitive function between groups (p≤.05).
Main Results:
- Most patients exhibited insufficient physical activity levels.
- Average cognitive test scores were below recommended levels.
- Physically active patients showed significantly better performance in the fluency domain.
Conclusions:
- Hemodialysis patients face an elevated risk of cognitive decline.
- Physical activity presents a viable, non-pharmacological strategy to enhance cognitive abilities in HD patients.
- Findings support encouraging physical activity in HD patients and developing targeted protocols.
Abstract:
Hemodialysis (HD) is a common treatment for Chronic Kidney Disease (CKD).
Objective:
the objective of the present study was twofold. First, to assess the level of physical activity and cognitive function in hemodialysis (HD) patients and, second, to compare cognitive function of active and insufficiently active HD patients.
Methods:
the sample consisted of 84 HD patients. Data collection took place in two different Renal Replacement Therapy Units (RRTU) in Brazil. A sociodemographic and clinical structured interview, the International Physical Activity Questionnaire (IPAQ) and the Addenbrooke's Cognitive Examination Revised (ACE-R) were used for data collection. The Mann Whitney U-test was used to compare cognitive function between groups. The significance level adopted was p≤.05.
Results:
the majority of the patients were insufficiently active. The total average score on the cognitive test was lower than recommended and physically active HD patients had a significant score in the fluency domain.
Conclusion:
we found that HD patients are at greater risk of developing cognitive deficits. Physical activity was shown to be a potential non-pharmacological, low-cost therapeutic alternative for improving cognitive abilities in HD patients. The present study can help health professionals to encourage HD patients to engage in regular physical activity and contributes to the development of specific protocols for these patients.
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