Author:
Sato Yoichi,Usui Naoto,Abe Yoshifumi,Okamura Daisuke,Kuramochi Yota,Kojima Sho,Shinozaki Nobuto,Shimano Yu,Shirai Nobuyuki,Mikami Kenta,Yamada Yoji,Saitoh Masakazu
Abstract
Abstract
Introduction
Physical activity is an important prognostic factor in patients undergoing hemodialysis. Walkability also affects physical activity. This study aimed to examine the effects of walkability on the physical activity of patients undergoing hemodialysis.
Methods
This multicenter study included 372 outpatients (69.1 ± 11.9 years, 229 males) undergoing hemodialysis at eight facilities in Japan. Patients were classified into two groups according to the walk score (WS) at home: WS ≥ 50 (walkable area group) and WS < 50 (car-dependent area group). The effects of WS on total physical activity, moderate-to-vigorous physical activity (MVPA), and walking that was assessed using the International Physical Activity Questionnaire (IPAQ) were examined.
Results
In the multivariate analysis, WS ≥ 50 was positively associated with walking (β = 0.129, p = 0.013) and negatively associated with MVPA (β = −0.102, p = 0.045). Subgroup analysis stratified by the age of 65 years showed similar results in both groups.
Conclusions
Walkability is associated with various intensities of physical activity in Japanese patients undergoing hemodialysis. Exercise management should take into account the characteristics of physical activity, depending on the residential area.
Trial registration: UMIN, UMIN000050089. Registered 2023/01/20, https://center6.umin.ac.jp/cgi-open-bin/ctr/ctr_view.cgi?recptno=R000057060.
Funder
Japan Society for the Promotion of Science
Publisher
Springer Science and Business Media LLC
Cited by
1 articles.
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