PMID- 31126041
OWN - NLM
STAT- MEDLINE
DCOM- 20191206
LR  - 20200309
IS  - 1660-4601 (Electronic)
IS  - 1661-7827 (Print)
IS  - 1660-4601 (Linking)
VI  - 16
IP  - 10
DP  - 2019 May 23
TI  - Frailty, Quality of Life, Anxiety, and Other Factors Affecting Adherence to 
      Physical Activity Recommendations by Hemodialysis Patients.
LID - 10.3390/ijerph16101827 [doi]
LID - 1827
AB  - 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.
FAU - Hornik, Beata
AU  - Hornik B
AUID- ORCID: 0000-0002-0106-9216
AD  - Department of Internal Nursing, School of Health Sciences in Katowice, Medical 
      University of Silesia, 40-752 Katowice, Poland. bhornik@sum.edu.pl.
FAU - Dulawa, Jan
AU  - Dulawa J
AUID- ORCID: 0000-0002-2230-9258
AD  - Department of Internal Medicine and Metabolic Diseases, School of Health Sciences 
      in Katowice, Medical University of Silesia, 40-752 Katowice, Poland. 
      jdulawa@sum.edu.pl.
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20190523
PL  - Switzerland
TA  - Int J Environ Res Public Health
JT  - International journal of environmental research and public health
JID - 101238455
SB  - IM
MH  - Adult
MH  - Age Factors
MH  - Aged
MH  - Aged, 80 and over
MH  - Anxiety/*psychology
MH  - Canada
MH  - Exercise/*psychology
MH  - Exercise Therapy/*psychology
MH  - Female
MH  - Frailty/*psychology
MH  - Humans
MH  - Kidney Diseases/*therapy
MH  - Male
MH  - Middle Aged
MH  - Prospective Studies
MH  - Quality of Life/*psychology
MH  - Renal Dialysis/*psychology
MH  - Socioeconomic Factors
MH  - Surveys and Questionnaires
MH  - Young Adult
PMC - PMC6571908
OTO - NOTNLM
OT  - acceptance of illness
OT  - adherence
OT  - anxiety
OT  - frailty
OT  - functional status
OT  - hemodialysis
OT  - motivation
OT  - physical activity
OT  - quality of life
COIS- The authors declare no conflict of interest. The funders had no role in the 
      design of the study; in the collection, analyses, or interpretation of data; in 
      the writing of the manuscript; or in the decision to publish the results.
EDAT- 2019/05/28 06:00
MHDA- 2019/12/18 06:00
PMCR- 2019/05/01
CRDT- 2019/05/26 06:00
PHST- 2019/04/08 00:00 [received]
PHST- 2019/05/15 00:00 [revised]
PHST- 2019/05/16 00:00 [accepted]
PHST- 2019/05/26 06:00 [entrez]
PHST- 2019/05/28 06:00 [pubmed]
PHST- 2019/12/18 06:00 [medline]
PHST- 2019/05/01 00:00 [pmc-release]
AID - ijerph16101827 [pii]
AID - ijerph-16-01827 [pii]
AID - 10.3390/ijerph16101827 [doi]
PST - epublish
SO  - Int J Environ Res Public Health. 2019 May 23;16(10):1827. doi: 
      10.3390/ijerph16101827.