Körperliche Aktivität und potenzielle Korrelate bei Hämodialysepatienten

Sanftenberg, L.; van Dyck, M.; Bucksch, J.; Weber, A.; Schelling, J.; Kohls, N.; Sirois, F.; Toussaint, L.; Hirsch, J. und Offenbaecher, M. (2019): Körperliche Aktivität und potenzielle Korrelate bei Hämodialysepatienten. In: Pravention und Gesundheitsforderung, Bd. 14, Nr. 3: S. 290-297

Abstract

BackgroundHemodialysis patients (HDP) often suffer from kidney failure with comorbidities, such as depression, anxiety and stress. Physical activity (PA) has apositive influence on these comorbidities.ObjectiveThe purpose was to determine the current level of PA and identify potential correlates influencing PA in HDP to deduce prevention approaches.Material and methodsData were collected in 13dialysis centers in Bavaria. Astandardized questionnaire was used to analyze PA (EHIS-PAQ) and influencing factors in 240 HDP. Gender differences were calculated using the t-test and the Mann-Whitney U-test (significance level p<0.05). For correlation analyses with PA, Spearman's correlation coefficient r(s) and multivariate logistic regression analysis were used.ResultsThe results showed that HDP were on average moderately active for 76.31min per week (standard deviation, SD 124.02min). Male HDP were less active and showed significantly more depressive symptoms than female HDP (p<0.05). The HDP who were more active assessed their subjective health condition on ahigher level than HDP who were not active. Depression, stress, and age showed anegative association and sport-specific self-efficacy apositive association with PA (p<0.05). Multivariate logistic regression revealed that sport-specific self-efficacy increased the chance of becoming physically active while depression reduced the chance of achieving 150min PA.ConclusionThe majority of HDP were barely active. The results reveal the necessity to further promote PA in patients with chronic renal failure. Physicians should be aware of patients' self-efficacy as well as depressive symptoms and develop concepts that strengthen the self-efficacy and promote the positive effects of PA on health.

• Dokumententyp: Zeitschriftenartikel
• Fakultät: Medizin
• Themengebiete: 600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin und Gesundheit
• ISSN: 1861-6755
• Sprache: Deutsch