Factors Associated with Physical Activity Level among Haemodialysis Patients in Selected Dialysis Centres in Kuala Lumpur

Lin, Lin Qian Yong (2021) Factors Associated with Physical Activity Level among Haemodialysis Patients in Selected Dialysis Centres in Kuala Lumpur. [Project Paper] (Submitted)

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Abstract

Physical inactivity is prevalent among haemodialysis (HD) patients due to kidney failure itself, side effects of treatment and worsening co-morbidities. It is linked with a greater mortality rate and increased protein-energy wasting among HD patients. However, most of the studies enrolled mainly the Western population, with a lack of data among the local population. Hence, this study aimed to determine the factors associated with low physical activity (PA) among HD patients. This was a cross-sectional study that involved 55 HD patients in the Kuala Lumpur, Malaysia. A face-to-face interview was conducted to obtain sociodemographic data of patients while anthropometric, biochemical parameters and medical history were obtained via dialysis medical records as secondary data. International Physical Activity Questionnaire (IPAQ) and Beck Depression Index (BDI) questionnaire were used to assess the PA level (PAL) and depressive symptoms of the patients. IBM SPSS version 25 was used in the statistical analysis with a significance value of <0.05. The majority of the respondents were 60-69 years old (mean age= 56.7 ±13.8), male, Malay, married, unemployed, having diabetes as the primary cause of dialysis, having low-income level, hyperphosphatemia (mean=1.8 ± 0.6mmol/L), hyperkalemia (mean= 5.1 ± 1.0), and having low hemoglobin (mean= 10.1 ± 1.8). The average duration of study was 10.6 ± 3.2 years (min-max = 0 -17 years) while the average duration on dialysis is 62.6 ± 49.7 months (min-max = 3 -192 months). Two-third of the respondents had moderate to high PA level (mean PA=1728.5±2098.1 MET-minutes). About 40% of respondents have high depressive symptoms (≥14) with a mean score of 13.6 ± 10.1. Young age (r=-0.311, p = 0.021) and high serum creatinine (r=0.298, p=0.027) were significantly correlated with high PAL. As most of the respondents had hyperkalemia, hyperphosphatemia and low hemoglobin level, nutrition education especially on food intake high in potassium, phosphorus and iron is recommended to be given for hemodialysis patients. Hemodialysis patients should be encouraged to perform more physical exercise, especially older patients who are more prone to fall and sarcopenia. Appropriate exercise and PA guidelines should be formulated to provide structured and specific recommendation on frequency, intensity, types and duration of exercise or PA for HD patients.

Item Type:	Project Paper
Faculty:	Faculty of Medicine and Health Science
Depositing User:	Mr Khoirul Asrimi Md Nor
Date Deposited:	21 Aug 2023 04:29
Last Modified:	21 Aug 2023 04:29
URI:	http://psaspb.upm.edu.my/id/eprint/899

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