Abstract: SA-PO290
Quantifying Physical Activity Behavior Among Adults Undergoing Hemodialysis Using a Gait Assistive Device: A Prospective Observational Study
Session Information
- Hemodialysis and Frequent Dialysis: Potpourri
November 05, 2022 | Location: Exhibit Hall, Orange County Convention Center‚ West Building
Abstract Time: 10:00 AM - 12:00 PM
Category: Dialysis
- 701 Dialysis: Hemodialysis and Frequent Dialysis
Authors
- Mishra, Ram kinker, 1 Interdisciplinary Consortium on Advanced Motion Performance (iCAMP), Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas, United States
- Al-Ali, Fadwa S., Hamad Medical Corporation, Doha, Ad Dawhah, Qatar
- Lee, Myeounggon, 1 Interdisciplinary Consortium on Advanced Motion Performance (iCAMP), Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas, United States
- Ibrahim, Rania Abdelaziz, Hamad Medical Corporation, Doha, Ad Dawhah, Qatar
- Mathew, Mincy, Hamad Medical Corporation, Doha, Ad Dawhah, Qatar
- Ateya, Heba Mohamed, Hamad Medical Corporation, Doha, Ad Dawhah, Qatar
- Najafi, Bijan, 1 Interdisciplinary Consortium on Advanced Motion Performance (iCAMP), Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas, United States
- Hamad, Abdullah Ibrahim, Hamad Medical Corporation, Doha, Ad Dawhah, Qatar
Background
People undergoing Hemodialysis (HD) have a higher burden of frailty and physical inactivity. This study aimed to quantify physical activity, strength, depression, and fall risk in people undergoing HD using gait assistive devices (GADs).
Methods
Participants undergoing routine HD were grouped based on the use of any GADs. Physical activity was measured over two consecutive days using a validated pendant sensor. Grip strength, concerns for falling and depression were assessed on FES-I and Center for Epidemiological Studies-Depression Scales.
Results
136 participants were grouped into those prescribed GADs (n = 39, age = 55.7 ± 1.3 years, female = 40.6%) and no NGAD (n = 97, age = 68.6 ± 1.4 years, female = 61.5%). The proportion with cognitive impairment (40% vs. 23%), depression (51% vs. 16%), and concern of falling (84% vs. 38%) were greater in the GAD vs. NGAD group. Furthermore, number of postural transitions was negatively correlated with FES-I (ρ = -0.33, p < 0.01) and CES-D (ρ = -0.22, p = 0.025) scores.
Conclusion
People undergoing routine HD and using GADs showed high fear of falling, depression, and cognitive decline. Furthermore, reduced postural transition was associated with heightened fear of falling and depression level.
Funding
- Government Support – Non-U.S.