Physical activity and quality of life in chronic kidney individuals

Abstract

INTRODUCTION: The changes imposed by kidney disease and its treatment negatively affect the quality of life of individuals with kidney disease. Physical activity is reported as a therapeutic alternative in this population, however, most patients undergoing hemodialysis have low levels of physical activity. OBJECTIVE: to verify the correlation between physical activity and quality of life in individuals with chronic kidney disease undergoing hemodialysis. METHODS: This study is observational, analytical, descriptive and quantitative developed in one of the Hemodialysis Units in the Northwest region of Rio Grande do Sul, Brazil, in tertiary clinical care, during the period from November 2018 to February 2019. Individuals over 18 years old and undergoing hemodialysis for chronic kidney disease for more than three months; belonging to the hemodialysis service. Data collection was performed by analyzing clinical and electronic medical records and semi-structured interviews. Evaluation using pedometers and the Kidney Disease and Quality of Life Short-Form-KDQOL-SFTM questionnaire was used. Regression modeling analyzes were performed to test the association between the number of steps / day and the evaluated outcomes. RESULTS: 40 (Forty) patients were included in the sample, of which 70% are men, with a mean age of 59.9 ± 13.0 years. In the correlation between physical activity and quality of life, the number of steps / day had a significant correlation with the dimensions symptoms and problems (r=0,523;p=0,003), effects of the disease (r=0,458; p=0,010), sexual function (r=0,361;p=0,050), sleep (r=0,357;p=0,049), physical function (r=0,617;p=<0,001), physical role (r=0,504;p=0,004), pain (r=0,496; p=0,005), emotional well-being (r=0,407; p=0,023), emotional role (r=0,435;p=0,014), social function (r=0,522;p=0,003), energy / fatigue (r=0,436;p=0,014) and physical composition (r=0,598;p=<0,001). The sample profile variables did not correlate with the number of steps / day. CONCLUSION: There was a positive correlation between physical activity and quality of life, that is, the higher the average number of steps / day, the better the quality of life of individuals undergoing hemodialysis.