BACKGROUND: Children and adolescents with chronic kidney disease (CKD) are inactive relative to their peers. METHODS: Forty-four children and adolescents aged 7-20 years with CKD, end-stage renal disease (ESRD) on dialysis or a kidney transplant participated in a 12-week pedometer-based intervention to increase physical activity. Patients recorded daily step counts and reported them weekly. Pediatric Quality of Life Inventory (PedsQL) and 6-min walk (6 MW) were administered at baseline and after 12 weeks. RESULTS: Age was 15.1 ± 3.4 years; 27 % had CKD, 16 % were receiving dialysis, and 57 % had received a kidney transplant. Mean daily step count did not change significantly (+48, 95 % CI -48 to +145 steps/day per week). Transplant recipients and patients with CKD increased their activity by 100 steps/day (95 % CI -14 to 208) and 73 steps/day (95 % CI -115 to 262) each week, respectively, and patients on dialysis decreased by 133 steps/day (95 % CI -325 to 58; p value for interaction 0.03) in multivariable analysis. Change in physical activity was associated with change in 6 MW distance (r = 0.74, p < 0.001) and change in physical functioning (r = 0.53, p = 0.001). CONCLUSIONS: Youths with CKD did not significantly increase their activity over 12 weeks of a pedometer-based intervention. However, changes in physical activity were associated with changes in physical functioning and performance.
BACKGROUND:Children and adolescents with chronic kidney disease (CKD) are inactive relative to their peers. METHODS: Forty-four children and adolescents aged 7-20 years with CKD, end-stage renal disease (ESRD) on dialysis or a kidney transplant participated in a 12-week pedometer-based intervention to increase physical activity. Patients recorded daily step counts and reported them weekly. Pediatric Quality of Life Inventory (PedsQL) and 6-min walk (6 MW) were administered at baseline and after 12 weeks. RESULTS: Age was 15.1 ± 3.4 years; 27 % had CKD, 16 % were receiving dialysis, and 57 % had received a kidney transplant. Mean daily step count did not change significantly (+48, 95 % CI -48 to +145 steps/day per week). Transplant recipients and patients with CKD increased their activity by 100 steps/day (95 % CI -14 to 208) and 73 steps/day (95 % CI -115 to 262) each week, respectively, and patients on dialysis decreased by 133 steps/day (95 % CI -325 to 58; p value for interaction 0.03) in multivariable analysis. Change in physical activity was associated with change in 6 MW distance (r = 0.74, p < 0.001) and change in physical functioning (r = 0.53, p = 0.001). CONCLUSIONS: Youths with CKD did not significantly increase their activity over 12 weeks of a pedometer-based intervention. However, changes in physical activity were associated with changes in physical functioning and performance.
Authors: J R Ruiz; J Castro-Piñero; E G Artero; F B Ortega; M Sjöström; J Suni; M J Castillo Journal: Br J Sports Med Date: 2009-01-21 Impact factor: 13.800
Authors: Kirsten L Johansen; Glenn M Chertow; Nancy G Kutner; Lorien S Dalrymple; Barbara A Grimes; George A Kaysen Journal: Kidney Int Date: 2010-09-01 Impact factor: 10.612
Authors: James W Varni; Tasha M Burwinkle; Sandra A Sherman; Kanela Hanna; Susan J Berrin; Vanessa L Malcarne; Henry G Chambers Journal: Dev Med Child Neurol Date: 2005-09 Impact factor: 5.449
Authors: Catrine Tudor-Locke; Robert P Pangrazi; Charles B Corbin; William J Rutherford; Susan D Vincent; Anders Raustorp; L Michaud Tomson; Thomas F Cuddihy Journal: Prev Med Date: 2004-06 Impact factor: 4.018
Authors: Kirsten L Johansen; George A Kaysen; Lorien S Dalrymple; Barbara A Grimes; David V Glidden; Shuchi Anand; Glenn M Chertow Journal: Clin J Am Soc Nephrol Date: 2012-11-02 Impact factor: 8.237
Authors: Briony F Hudson; Linda Jm Oostendorp; Bridget Candy; Victoria Vickerstaff; Louise Jones; Monica Lakhanpaul; Myra Bluebond-Langner; Paddy Stone Journal: Palliat Med Date: 2016-09-08 Impact factor: 4.762
Authors: Tanya S Johns; Denver D Brown; Alain H Litwin; Georgette Goldson; Rupinder S Buttar; Jacqueline Kreimerman; Yungtai Lo; Kimberly J Reidy; Laurie Bauman; Frederick Kaskel; Michal L Melamed Journal: Kidney Med Date: 2020-04-18