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Continuous Long-Term Physical Activity Monitoring in Hemodialysis Patients
Brandon Cohen1, Samhitha Munugoti1, Sonia Kotwani1
1Department of Medicine, Albert Einstein College of Medicine, Bronx, New York.
Kidney360
|October 17, 2022
Summary
Long-term activity monitoring is feasible for hemodialysis patients. Physical activity increases significantly in the hour after dialysis, especially for those with faster recovery.
Area of Science:
- Nephrology
- Physical Therapy
- Biomedical Engineering
Background:
- Physical inactivity is prevalent in hemodialysis patients.
- Activity patterns relative to dialysis treatments remain largely unknown.
- Continuous activity monitoring is needed but has not been feasible or acceptable.
Purpose of the Study:
- To assess the feasibility of long-term continuous physical activity monitoring in hemodialysis patients.
- To characterize daily activity patterns in relation to dialysis sessions.
- To identify factors associated with post-dialysis activity levels.
Main Methods:
- Ambulatory hemodialysis patients wore wrist-worn activity monitors for 6 months.
- Step counts were collected every 15 minutes and linked to dialysis.
- Physical function assessed by Short Physical Performance Battery (SPPB); recovery time defined.
Main Results:
- High adherence (95%) and feasibility of long-term monitoring were observed.
- Step counts were lower on dialysis days but significantly higher in the hour post-dialysis.
- Post-dialysis activity increases were more pronounced in patients with fast recovery (SPPB ≥7).
Conclusions:
- Long-term continuous physical activity monitoring is feasible in hemodialysis patients.
- Granular data revealed novel insights into post-dialysis activity patterns.
- Activity monitoring can provide valuable data on patient recovery and function.
Keywords:
accelerometrychronic renal insufficiencydata visualizationdialysisexercisefatiguephysical activityphysical fitnessrenal dialysisMore Related Videos
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