透析强加的,每周和季节性的体力活动模式:在使用可穿戴活动追踪器的患者中进行的一项多中心前性研究
Maggie Han1, Frank M van der Sande2, Jeroen P Kooman2
1Renal Research Institute, New York, NY, USA.
Clinical kidney journal
|August 14, 2025
概括
血液透析患者的体力活动减少,特别是在周日和透析间的日子,季节性变化会影响步数. 针对这些模式的干预措施可以改善患者的流动性和健康结果.
科学领域:
- 腎病學和運動生理學.
- 医疗保健中的可穿戴技术
- 慢性疾病管理 慢性疾病管理
背景情况:
- 血液透析患者往往过着久坐不动的生活方式,每天的日常生活是由透析时间表决定的.
- 可穿戴活动追踪器为这一群体的持续体育活动监测提供了一种可行的方法.
- 了解活动模式对于开发有针对性的干预措施至关重要.
研究的目的:
- 描述透析患者体力活动的透析强加,每周和季节性模式.
- 在这个群体中确定身体活动水平的决定因素.
- 探索在血液透析患者群体中改善身体活动的机会.
主要方法:
- 一项前性观察性研究,涉及纽约市109名血液透析患者.
- 使用Fitbit® Charge 2TM可穿戴设备对身体活动进行一年的监测.
- 通过使用线性混合效应模型,按工作日,透析与透析间日,透析开始时间和季节分析活动数据.
主要成果:
- 平均每日步数为6590±4014,其中40%的人每天步行<5000步.
- 与透析日相比,在周日 (912个更少) 和第二次透析日 (284个更少) 观察到步骤的显著减少.
- 与其他季节相比,冬季活动减少了321-455步. 老年,糖尿病和更高的平衡Kt/V与较低的活动有关;较高的白蛋白与活动增加有关.
结论:
- 血液透析患者通常没有达到每天推的10,000步,患者内和患者间的变化很大.
- 身体活动明显受到透析时间表,每周循环和季节的影响.
- 通过共享决策,在特定的隔离日减少活动为干预策略提供了潜在的目标.
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