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Physical Activity and Health-Related Quality of Life of Patients on Hemodialysis with Comorbidities: A Cross-Sectional Study

Author

Listed:
  • Yu-Hui Wu

    (Graduate Institute of Medical Sciences, National Defense Medical Center, Taipei 11490, Taiwan
    Nursing Department, Tri-Service General Hospital, Taipei 11490, Taiwan)

  • Yu-Juei Hsu

    (Nephrology Division, Tri-Service General Hospital, Taipei 11490, Taiwan
    School of Medicine, National Defense Medical Center, Taipei 11490, Taiwan)

  • Wen-Chii Tzeng

    (School of Nursing, National Defense Medical Center, Taipei 11490, Taiwan)

Abstract

Patients on hemodialysis with multiple comorbidities have limited physical activity, resulting in poor health, low activity participation, and low quality of life. Accordingly, the nursing care provided to such patients should include regular physical activity training programs. Therefore, this cross-sectional descriptive study investigated whether patients on hemodialysis with and without comorbidities have different levels of physical activity and health-related quality of life (HRQoL); the correlations among the comorbidities, physical activity, and HRQoL of the two cohorts were also assessed. The 36-Item Short-Form Health Survey version 2 and International Physical Activity Questionnaire were employed to collect data from 120 patients on hemodialysis. An independent samples t -test and univariate and multivariate linear regression analyses were conducted. The overall HRQoL of patients with comorbidities was lower than that of patients without comorbidities ( p = 0.008). Compared with patients who participated in low-intensity physical activity, the overall HRQoL of patients who participated in moderate-intensity physical activity was higher ( p < 0.001). The overall HRQoL of patients with comorbidities who participated in low-intensity physical activity was lower than that of those who participated in moderate-intensity physical activity ( p < 0.001). Moderate-intensity physical activity was correlated with higher HRQoL for patients with comorbidities. This finding supports the implementation of effective physical activity intervention measures. Furthermore, it supports the promotion of patient self-management and the implementation of regular exercise programs and lifestyle changes, and patients on hemodialysis can benefit from the future management of physical activities.

Suggested Citation

  • 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.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:2:p:811-:d:722846
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    References listed on IDEAS

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    1. 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.
    2. Chia-Huei Lin & Yu-Juei Hsu & Pi-Hsiu Hsu & Yi-Ling Lee & Chueh-Ho Lin & Meei-Shyuan Lee & Shang-Lin Chiang, 2021. "Effects of Intradialytic Exercise on Dialytic Parameters, Health-Related Quality of Life, and Depression Status in Hemodialysis Patients: A Randomized Controlled Trial," IJERPH, MDPI, vol. 18(17), pages 1-16, August.
    3. Tjaša Filipčič & Špela Bogataj & Jernej Pajek & Maja Pajek, 2021. "Physical Activity and Quality of Life in Hemodialysis Patients and Healthy Controls: A Cross-Sectional Study," IJERPH, MDPI, vol. 18(4), pages 1-9, February.
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    Cited by:

    1. 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.
    2. Muhammad Daoud Butt & Siew Chin Ong & Fatima Zahid Butt & Ahsan Sajjad & Muhammad Fawad Rasool & Imran Imran & Tanveer Ahmad & Faleh Alqahtani & Zaheer-Ud-Din Babar, 2022. "Assessment of Health-Related Quality of Life, Medication Adherence, and Prevalence of Depression in Kidney Failure Patients," IJERPH, MDPI, vol. 19(22), pages 1-16, November.

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