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Frailty, Quality of Life, Anxiety, and Other Factors Affecting Adherence to Physical Activity Recommendations by Hemodialysis Patients

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  • Beata Hornik

    (Department of Internal Nursing, School of Health Sciences in Katowice, Medical University of Silesia, 40-752 Katowice, Poland)

  • Jan Duława

    (Department of Internal Medicine and Metabolic Diseases, School of Health Sciences in Katowice, Medical University of Silesia, 40-752 Katowice, Poland)

Abstract

Hemodialysis patients perform little physical activity. We formulated a hypothesis that some factors, i.e., frailty, medical and functional factors, psychological factors, quality of life, awareness of recommendations, and sociodemographic factors influence the decisions of taking up physical activity. This prospective study comprised 72 dialysis patients aged 57.8 ± 16.0 ( x ¯ ± SD; in the range of 19–87 years of age). The following research tools were used: an interview about awareness of the physical activity recommendations, the Canadian Study of Health and Aging Scale (CSHA-CFS), scales for the assessment of functional status, State-Trait Anxiety Inventory (STAI), Acceptance of Illness Scale (AIS), and the questionnaire of Kidney Disease Quality of Life (KDQOL-SF 1.3). The majority of patients diagnosed with frailty did not follow the physical activity recommendations (79.3%). Quality of life was better in active patients compared to inactive patients, especially in the domains of sleep and physical performance. The severity of trait anxiety was significantly higher in patients who did not follow the recommendations compared to patients who adhered to physical activity recommendations (46.0 ± 10.5 vs. 40.0 ± 8.2; p = 0.021 ). The likelihood of adherence decreased by 1% after each subsequent month of dialysis (odds ratio = 0.99; 95% confidence interval = 0.972–0.999; p = 0.047 ). Adherence was most limited by frailty. Adherence to recommendations on physical activity was affected by: motivation, lower levels of trait anxiety, and better quality of life. Age modified the effect of awareness and acceptance of the disease on adherence to physical activity recommendations.

Suggested Citation

  • Beata Hornik & Jan Duława, 2019. "Frailty, Quality of Life, Anxiety, and Other Factors Affecting Adherence to Physical Activity Recommendations by Hemodialysis Patients," IJERPH, MDPI, vol. 16(10), pages 1-18, May.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:10:p:1827-:d:233605
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    References listed on IDEAS

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    1. Felton, Barbara J. & Revenson, Tracey A. & Hinrichsen, Gregory A., 1984. "Stress and coping in the explanation of psychological adjustment among chronically ill adults," Social Science & Medicine, Elsevier, vol. 18(10), pages 889-898, January.
    2. Ewa Rzońca & Grażyna Iwanowicz-Palus & Agnieszka Bień & Artur Wdowiak & Ryszard Szymański & Gustaw Chołubek, 2018. "Generalized Self-Efficacy, Dispositional Optimism, and Illness Acceptance in Women with Polycystic Ovary Syndrome," IJERPH, MDPI, vol. 15(11), pages 1-10, November.
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    1. Beata Hornik & Jan Duława & Jacek Durmała, 2021. "Metabolic Syndrome and Psychological Effects of Exercise in Hemodialysis Patients," IJERPH, MDPI, vol. 18(22), pages 1-16, November.
    2. Khanh Vuong Diem Doan & Hien Thi Minh Nguyen & Nhi Thi Hong Nguyen & Khoa Cao Dang & Shwu-Huey Yang & Tuyen Van Duong, 2020. "Associations of Socio-Demographic, Clinical and Biochemical Parameters with Healthcare Cost, Health- and Renal-Related Quality of Life in Hemodialysis Patients: A Clinical Observational Study," IJERPH, MDPI, vol. 17(18), pages 1-15, September.
    3. Yu-Hui Wu & Yu-Juei Hsu & Wen-Chii Tzeng, 2022. "Physical Activity and Health-Related Quality of Life of Patients on Hemodialysis with Comorbidities: A Cross-Sectional Study," IJERPH, MDPI, vol. 19(2), pages 1-12, January.
    4. Yu-Hui Wu & Yu-Juei Hsu & Wen-Chii Tzeng, 2022. "Correlation between Physical Activity and Psychological Distress in Patients Receiving Hemodialysis with Comorbidities: A Cross-Sectional Study," IJERPH, MDPI, vol. 19(7), pages 1-16, March.
    5. Sisook Kim & Eunhye Kim & Eunjung Ryu, 2019. "Illness Perceptions, Self-Care Management, and Clinical Outcomes According to Age-Group in Korean Hemodialysis Patients," IJERPH, MDPI, vol. 16(22), pages 1-12, November.

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