ARTICLE

Volume 10,Issue 1

Fall 2025

Cite this article
21
Citations
52
Views
25 July 2023

Level and Determinants of Physical Activity in  Chronic Hemodialysis Patients at the Donka National  Hemodialysis Center

Fousseny Diakite1,2* Ali Traore1 Mamadou Saliou Balde1,2 Sého René Audrey Alladakan1 Mohamed Lamine Tegui Camara1 Alpha Oumar Bah1,2 Mohamed Lamine Kaba1,2 Ka Ef3
Show Less
1 Gamal Abdel Nasser University of Conakry, Conakry, Guinea
2 Department of Nephrology-Haemodylasis, Donka Hospital, Conakry, Guinea
3 Cheikh Anta Diop University, Dakar 10700, Senegal
© 2023 by the Author(s). Licensee Whioce Publishing, USA. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution 4.0 International License ( https://creativecommons.org/licenses/by/4.0/ )
Abstract

Introduction: Regular physical activity plays a protective role over the  cardiovascular system and also against cardiovascular risk factors, and  improves the prognosis of patients. The aim of this study was to assess  the overall level of physical activity in chronic hemodialysis patients  and the factors associated with low levels of activity. Research subjects  and methods: A four-month long cross-sectional descriptive and  analytical study was performed on chronic hemodialysis patients of all  ages, regardless of sex, who agreed to take part in the study. There were  both quantitative and qualitative variables in this study, and the Baecke  questionnaire was used. Results: Out of 237 hemodialysis patients,  211 were included in our study, i.e., a frequency of 89.02%. The work  activity index was low in 91% of cases, the sports activity index was  low in 19 out of 20 patients, and the leisure activity index was low  in 63% of patients. Meanwhile, the overall physical activity level  was low in 76.8% of patients. In our study, low physical activity was  significantly correlated with the gender of patients, unemployment of  patients since starting dialysis, diabetic nephropathy, diabetes, obesity,  dilated cardiomyopathy, a sedentary lifestyle, or interdialytic weight  gain ≥ 3kg. Conclusion: The assessment of patients’ physical activity  should be integrated into hospital practices for better management of  chronic hemodialysis patients.

Keywords
Physical activity
Associated factors
Chronic hemodialysis patients in Conakry
References

1. World Health Organisation (WHO), 2010, Global Recommendations on Physical Activity for Health, Geneva.
2. Blair SN, 2009, Physical Inactivity: The Biggest Public Health Problem of the 21st century. Br J Sports Med, 43: 1–2.
3. Wittink H, Engelbert R, Takken T, 2011, The Dangers of Inactivity; Exercise and Inactivity Physiology for the Manual Therapist. Man Ther, 16(3): 209–216. https://www.doi.org/10.1016/j.math.2011.01.006.
4. Johansen KL, Chertow GM, Alexander V, et al., 2000, Physical Activity Level in Patients on Hemodialysis and Healthy Sedentary Controls. Kidney Int, 57(6): 2564–2570. https://www.doi.org/10.1046/j.1523-1755.2000.00116.x.
5. Haskell W, Lee I, Pate R, et al., 2007, Physical Activity and Public Health: Updated Recommendation for Adults from the American College of Sports Medicine and the American Heart Association. Circulation, 39(8): 1423–1434. https://www.doi.org/10.1249/mss.0b013e3180616b27.
6. Nelson E, Rejeski WJ, Blair SN, et al., 2007, Physical Activity and Public Health in Older Adults. Recommendation from the College of Sports Medicine and the American Heart Association. Circulation; 39(8): 1435–1445.
7. National Kidney Foundation, 2005, K/DOQI Clinical Practice Guidelines for Cardiovascular Disease in Dialysis Patients. Am J Kidney Dis, 45: 16–153. https://doi.org/10.1053/j.ajkd.2005.01.019.
8. Stessman J, Hammerman-Rosenberg R, Cohen A, et al., 2009, Physical Activity, Function, and Longevity Among the Very Old. Arch Intern Med, 169(16): 1476–1483. https://doi.org/10.1001/archinternmed.2009.248.
9. O’hare AM, Tawney K, Bacchetti P, et al., 2003, Decreased Survival Among Sedentary Patients Undergoing Dialysis: Results from the Dialysis Morbidity and Mortality Study Wave 2. Am J Kidney Dis, 41(2): 447–454. https://doi.org/10.1053/ajkd.2003.50055.
10. Viana JL, Kosmadakis GC, Watson EL, et al., 2014, Evidence for Anti-Inflammatory Effects of Exercise in CKD. J Am Soc Nephrol, 25(9): 2121–2130. https://doi.org/10.1681/ASN.2013070702.
11. Wilund KR, 2010, Intradialytic Exercise Training Reduces Oxidative Stress and Epicardial Fat: A Pilot Study. Nephrol Dial Transplant, 25(8): 2695–2701. https://doi.org/10.1093/ndt/gfq106.
12. Groussard C, Rouchon-Isnard M, Coutard C, et al., 2015, Beneficial Effects of An Intradiactily Cycling Training Program in End-Stage Kidney Disease Patients. Appl Physiol Nutr Metab, 40(6): 550–555. https://doi.org/10.1139/apnm-2014-0357.
13. Tentori F, 2008, Focus on: Physical Exercise in Hemodialysis Patients. J Nephrol, 21(6): 808–812.
14. Stack AG, Molony DA, Rives T, et al., 2005, Association of Physical Activity with Mortality in the US Dialysis Population. M J Kidney Dis, 45(5): 690–701. https://doi.org/10.1053/j.ajkd.2004.12.013.
15. Kutner NG, 2007, How can Exercise be Incorporated into the Routine Car of Patients on Dialysis? Int Urol Nephrol, 39(4): 1281–1285. https://doi.org/10.1007/s11255-007-9281-z.
16. Baecke JA, Burema J, Frijters JE, 1982, A Short Questionnaire for the Measurement of Habitual Physical Activity in Epidemiological Studies. Am J Clin Nutr 36(5): 936–942. https://doi.org/10.1093/ajcn/36.5.936.
17. Rhair A, Houmaid Z, Faqih AS, 2014, Activité Physique Chez L’hémodialysé Chronique [Physical Activity in Chronic Hemodialysis Patients]. Néphrologie et Thérapeutique, 10(5): 291–330. https://doi.org/10.1016/j.nephro.2014.07.067.
18. Ayed A, Chemli I, Ayed S, et al., 2020, Activité Physique Chez Les Hémodialysés Chroniques: À Propos De 71 Patients [Physical Activity in Chronic Hemodialysis Patients: 71 Patients]. Néphrologie et Therapeutique, 16(5): 266–287. https://doi.org/10.1016/j.nephro.2020.07.086.
19. Gomes PE, Reboredo MM, Carvalho EV, et al., 2015, Physical Activity in Hemodialysis Patients Measured by Triaxial Accelerometer. Biomed Res Int, 2015: 645645. https://doi.org/10.1155/2015/645645.
20. Ficcadori E, Sabatino A, Schito F, et al., 2014, Barriers to Physical Activity in Chronic Hemodialysis Patients: A Single-Center Pilot Study in an Italian Dialysis Facility. Kidney Blood Press Res, 39(2–3): 169–175. https://doi.org/10.1159/000355793.
21. Karimi I, Nawal B, Yassamine B, et al., 2013, Evaluation Du Niveau D’activité Physique Dans un Service Marocain D’hémodialyse Chronique [Evaluation of the Level of Physical Activity in a Moroccan Chronic Hemodialysis Service]. Pan African Medical Journal, 15: 79.
22. Mokoli VM, Bukabau JB, Izeidi PPO, et al., 2016, Prédicateur du Degré D’incapacité Physique chez les Hémodialysés de Kinshasa: Rôle Primordial de la Diurèse Résiduelle [Predictor of the Degree of Physical Incapacity in Hemodialysis Patients in Kinshasa: Primordial Role of Residual Diuresis]. Néphrologie & Thérapeutique, 12(7): 530–535. https://doi.org/10.1016/j.nephro.2016.06.004.
23. Lagtarna H, 2020, Bilan de L’activité Physique des Patients Hémodialysés Chroniques dans la Region de Guelmin-Oued Noun [Assessment of the Physical Activity of Chronic Hemodialysis Patients in the Region of Guelmin-Oued Noun], thesis, Université Cadi Ayyad.
24. Avesani CM, Trolonge S, Deleaval P, et al., 2012, Physical Activity and Energy Expenditure in Haemodialysis Patients: An International Survey. Nephrol Dial Transplant, 27(6): 2430–2434. https://doi.org/10.1093/ndt/gfr692.
25. Touil Y, 2019, Evaluation de L’activité Physique chez les Patients Hémodialysés Chroniques : Étude Multicentrique Réalisée dans Trois Centres D’hémodialyse à Dakar [Evaluation of Physical Activity in Chronic Hemodialysis Patients: Multicenter Study Conducted in Three Hemodialysis Centers in Dakar], thesis, Université Cheikh Anta Diop De Dakar.
26. Johansen K, Sakkas GK, Doyle J, et al., 2003, Exercise Counselling Practices Among Nephrologist Caring for Patients on Dialysis. Am J Kidney Dis, 41(8): 171–178. https://doi.org/10.1053/ajkd.2003.50001.

Conflict of interest
The authors declare no conflict of interest.
Share
Back to top