Volume 20 Issue 10
Oct.  2022
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Article Navigation >  Chinese Journal of General Practice  > 2022  >  20(10): 1695-1699
WANG Ying-wei, ZHANG Geng-rui, LIU Xin-yu, YANG Yang. Analysis of the level of physical activity and influencing factors of the young and middle-aged maintenance haemodialysis patients[J]. Chinese Journal of General Practice, 2022, 20(10): 1695-1699. doi: 10.16766/j.cnki.issn.1674-4152.002682
Citation: WANG Ying-wei, ZHANG Geng-rui, LIU Xin-yu, YANG Yang. Analysis of the level of physical activity and influencing factors of the young and middle-aged maintenance haemodialysis patients[J]. Chinese Journal of General Practice, 2022, 20(10): 1695-1699. doi: 10.16766/j.cnki.issn.1674-4152.002682
shu

Analysis of the level of physical activity and influencing factors of the young and middle-aged maintenance haemodialysis patients

doi: 10.16766/j.cnki.issn.1674-4152.002682
  • 1.

    Interventional Catheterization Laboratory, Nanyang Central Hospital, Nanyang, Henan 473000, China

Funds:

 192103210065

  • Received Date: 2021-07-25
    Available Online: 2022-11-30
    Abstract
  •   Objective  To explore the level of physical activity of young and middle-aged maintenance haemodialysis (MHD) patients and analyse its influencing factors.  Methods  A total of 267 young and middle-aged patients with MHD treated in the blood purification department of four hospitals in Nanyang from May to December 2020 were enrolled. The basic data questionnaire and the international physical activity questionnaire (IPAQ) were used in collecting relevant data and analysing the level of physical activity, and influencing factors were examined through multiple-factor logistic regression analysis.  Results  A total of 267 cases of MHD were investigated: 81 cases were adequately physically active (30.34%), and 186 cases were insufficiently physically active (69.66%). As dialysis age increased, the proportion of insufficient physical activity gradually increased (Z=5.459, P < 0.001). The results of multivariate logistic regression analysis showed that dialysis age (OR=1.726, P=0.002), family monthly income (OR=1.213, 1.457, all P < 0.001), dialysis frequency (OR=1.572, P < 0.001), dialysis mode (OR=1.425, P < 0.001), nutritional level (OR=1.253, P < 0.001; OR=0.634, P=0.021), comorbidity index (OR=1.715, P < 0.001), blood creatinine level (OR=1.919, P < 0.001), blood urea nitrogen level (OR=1.895, P < 0.001), hemoglobin level (OR=1.172, P=0.004), blood calcium level (OR=0.435, P=0.038) and brain natriuretic peptide level (OR=3.186, P < 0.001) were influential factors of physical activity of young and middle-aged patients with MHD (all P < 0.05).  Conclusion  Patients with MHD consitute a high-risk group of insufficient physical activity. The level of physical activity is mainly affected by adequacy of dialysis, nutritional level, frequency and mode of dialysis, family economics and comorbidities. It is suggested that the evaluation and intervention of nutrition and physical activity in MHD patients should be emphasized.

     

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