Inactivity and Health Related Quality of Life in Dialysis Patients and Peritoneal Dialysis Patients
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 120
- 试验地点
- 1
- 主要终点
- Quality of life level
研究概览
简要总结
The goal of this observational study is to compare hemodialysis and peritoneal dialysis patients. The main questions it mains to answer are:
- What is the level of physical activity in hemodialysis and peritoneal dialysis patients?
- What is the level of quality of life of hemodialysis and peritoneal dialysis patients?
- Is there any relation between inactivity and quality of life in hemodialysis and peritoneal dialysis patients?
Participants will answer 2 questionnaires and will do some functional tests.
详细描述
Physical functioning and physical activity are low in patients treated with maintenance hemodialysis (HD).
One of the factors that lead to a further decrease in the activity of hemodialysis patients and its complications is the immobility of these patients during hemodialysis. This method of treatment forces patients to remain motionless for 4 hours on average 3 times a week. In addition, fatigue after dialysis also requires additional rest and immobility for about 2 to 6 hours.
Sedentary behaviors are also common in peritoneal dialysis (PD) patients (about 63%), and studies have shown that there is no significant difference between the physical activity level of PD and HD patients.
In PD patients, in addition to reducing functional capacity and feeling extreme fatigue, the fear of dialysis fluid leakage, hernia and infection also causes a decrease in physical activity and an increase in inactivity in these patients.
The lack of physical mobility and the resulting movement restrictions affect the patient's independence and ability to perform daily tasks, including self-care. In addition, the emotional and mental health of patients is greatly affected by these restrictions Inactivity sets off a vicious cycle in which energy imbalances can increase comorbidities such as hypertension, diabetes, coronary artery disease, depressive disorders, hospitalization rates, and disability. Each of these conditions aggravates the decrease in the quality of life and increases the mortality of patients.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Control
- 时间视角
- Cross Sectional
入排标准
- 年龄范围
- 18 Years 至 95 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •being treated with the same respective dialysis modalities for at least 3 months
- •being ambulatory (with or without assistive device)
- •ability to understand and provide informed consent
排除标准
- •non-ambulatory
- •had significant cognitive dysfunction
- •progressive degenerative
- •neurologic disease
- •severe rheumatologic or orthopedic conditions that would limit and would be exacerbated by the testing
- •angina upon exertion, or myocardial infarction or cardiac surgery within the last year.
结局指标
主要结局
Quality of life level
时间窗: Through out study completion, an average of 2 weeks
Quality of life will be assessed by health related quality of life questionnaire for chronic kidney disease patients Higher scores indicate higher levels of quality of life
Physical activity level
时间窗: Through out study completion, an average of 2 weeks
Physical activity level will be assessed by Low Physical activity questionnaire (LoPAQ) This questionnaire assesses the levels of physical activity and will be explained by calories expenditure. Those who are less active will have lower calories expenditure.
次要结局
- Physical functioning level(Through out study completion, an average of 2 weeks)