Determinants of moderate‐to‐high physical activity levels in hemodialysis patients: A multicenter cross‐sectional study

Author:

Chiang Shang‐Lin12ORCID,Lai Chia‐Ying1,Lee Yi‐Ling3,Hsu Pi‐Hsiu4,Hsu Yu‐Juei25,Chao Ta‐Chung1ORCID,Lee Meei‐Shyuan6,Lin Chueh‐Ho7,Lin Chia‐Huei8ORCID

Affiliation:

1. Department of Physical Medicine and Rehabilitation Tri‐Service General Hospital Taipei Taiwan, ROC

2. School of Medicine National Defense Medical Center Taipei Taiwan, ROC

3. Department of Nursing Songshan Branch of Tri‐Service General Hospital Taipei Taiwan, ROC

4. Deparment of Nursing Tri‐Service General Hospital Taipei Taiwan

5. Department of Internal Medicine Tri‐Service General Hospital Taipei Taiwan

6. School of Public Health & Graduated Institute of Medical Science National Defense Medical Center Taipei Taiwan, ROC

7. National Center for Geriatrics and Welfare Research National Health Research Institutes Hsinchu Taiwan, ROC

8. School of Nursing & Graduate Institute of Medical Sciences National Defense Medical Center Taipei Taiwan, ROC

Abstract

AbstractModerate physical activity is related to reduced mortality in hemodialysis patients. However, most hemodialysis patients have low physical activity levels for complex reasons. This study investigated the determinants of moderate‐to‐high physical activity levels and whether psychosocial correlates are associated with engagement in moderate‐to‐high physical activity among hemodialysis patients. A cross‐sectional survey was conducted with 134 hemodialysis outpatients, aged 64.7 years, in three hemodialysis centers in Taiwan. Data on sociodemographics, comorbidities, lifestyles, and psychosocial correlates, including perceived benefits, barriers, and self‐efficacy of physical activity, were collected. Multiple logistic regression analyses were performed. Results showed that patients with moderate‐to‐high physical activity levels constituted a significantly lower proportion of current smokers and had fewer perceived physical activity barriers and higher self‐efficacy of physical activity compared with those with low levels. After adjusting for potential sociodemographic covariates, current employment, nonsmoking status, and high self‐efficacy of physical activity were significantly associated with moderate‐to‐high physical activity levels. Developing strategies to improve the self‐efficacy of physical activity, support employment, and enhance anti‐smoking campaigns in hemodialysis patients can help them engage in moderate‐to‐high levels of physical activity.

Publisher

Wiley

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