Daily physical activity in patients on chronic haemodialysis and its relation with fatigue and depressive symptoms
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NEPHROLOGY - ORIGINAL PAPER
Daily physical activity in patients on chronic haemodialysis and its relation with fatigue and depressive symptoms Astrid D. H. Brys1,2,3 · Maurizio Bossola2,5 · Bert Lenaert3,4 · Filippo Biamonte2,7 · Giovanni Gambaro1,2,6 · Enrico Di Stasio2,7 Received: 7 April 2020 / Accepted: 16 July 2020 © Springer Nature B.V. 2020
Abstract Objective Fatigue and depressed mood are considered main impediments to physical activity in haemodialysis (HD) patients. A better understanding of their interrelationships is crucial to develop effective therapies. Moreover, measurement of daily physical activity (DPA) in HD patients is tricky, as it is usually assessed by subjective self-report questionnaires. Therefore, we aimed to objectively measure sponteanous DPA with motion sensors and to explore its relation with fatigue and depressive symptoms. Methods DPA was assessed for seven consecutive days in 37 HD patients based on their daily step count measured with the SenseWear™ Armband. The Fatigue Severity Scale (FSS) and Beck Depression Inventory-II (BDI-II) were administered to evaluate fatigue and depressed mood. Results Median DPA was 2424 steps/day, (IQR:892–4545). In 81% of subjects, DPA felt within a sedentary lifestyle classification, as they made
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