Impact of Exercise Counseling on Physical Function in Chronic Kidney Disease: An Observational Study
Background: Individuals with chronic kidney disease (CKD) have low levels of physical activity and physical function. Although guidelines endorse exercise counseling for individuals with CKD, it is not yet part of routine care. Objective: We investigated the effect of attending a real-life exercise...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2018-02-01
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| Series: | Canadian Journal of Kidney Health and Disease |
| Online Access: | https://doi.org/10.1177/2054358117753615 |
| _version_ | 1819111781014962176 |
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| author | Clara J. Bohm Leroy J. Storsley Brett M. Hiebert Serena Nelko Navdeep Tangri Lawrence J. Cheskin Mara A. McAdams-DeMarco Claudio Rigatto |
| author_facet | Clara J. Bohm Leroy J. Storsley Brett M. Hiebert Serena Nelko Navdeep Tangri Lawrence J. Cheskin Mara A. McAdams-DeMarco Claudio Rigatto |
| author_sort | Clara J. Bohm |
| collection | DOAJ |
| description | Background: Individuals with chronic kidney disease (CKD) have low levels of physical activity and physical function. Although guidelines endorse exercise counseling for individuals with CKD, it is not yet part of routine care. Objective: We investigated the effect of attending a real-life exercise counseling clinic (ECC) on physical function in individuals with CKD. Design: Retrospective analysis of prospectively collected observational data with quasi-experimental design. Setting and Participants: Patients with all stages of CKD registered in a large provincial renal program were eligible. The exposed cohort who attended the ECC between January 1, 2011, and March 15, 2014, included 214 individuals. The control cohort included 292 individuals enrolled in an observational study investigating longitudinal change in frailty during the same time period. Predictor/Factor: Attendance at an ECC. Outcomes and Measurements: Change in physical function as measured by Short Physical Performance Battery (SPPB) score, physical activity level (Human Activity Profile [HAP]/Physical Activity Scale for the Elderly [PASE]), and health-related quality of life (HRQOL; EQ5D/VAS) over 1 year. Results: Eighty-seven individuals in the ECC cohort and 125 participants in the control cohort completed 1-year follow-up. Baseline median SPPB score was 10 (interquartile range [IQR]: 9-12) and 9 (IQR: 7-11) in the ECC and control cohorts, respectively ( P < .01). At 1 year, SPPB scores were 10 (IQR: 8-12) and 9 (IQR: 6-11) in the ECC and control cohorts, respectively ( P = .04). Mean change in SPPB over 1 year was not significantly different between groups: −0.33 (95% confidence interval [CI]: −0.81 to 0.15) in ECC and −0.22 (95% CI: −0.61 to 0.17) in control ( P = .72). There was no significant difference in the proportion of individuals in each cohort with an increase/decrease in SPPB score over time. There was no significant change in physical activity or HRQOL over time between groups. Limitations: Quasi-experimental design, low rate of follow-up attendance. Conclusions: In this pragmatic study, exercise counseling had no significant effect on change in SPPB score, suggesting that a single exercise counseling session alone is inadequate to improve physical function in CKD. |
| first_indexed | 2024-12-22T04:03:04Z |
| format | Article |
| id | doaj.art-1a5541b88eef420dac9670b28be548ed |
| institution | Directory Open Access Journal |
| issn | 2054-3581 |
| language | English |
| last_indexed | 2024-12-22T04:03:04Z |
| publishDate | 2018-02-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Canadian Journal of Kidney Health and Disease |
| spelling | doaj.art-1a5541b88eef420dac9670b28be548ed2022-12-21T18:39:42ZengSAGE PublishingCanadian Journal of Kidney Health and Disease2054-35812018-02-01510.1177/2054358117753615Impact of Exercise Counseling on Physical Function in Chronic Kidney Disease: An Observational StudyClara J. Bohm0Leroy J. Storsley1Brett M. Hiebert2Serena Nelko3Navdeep Tangri4Lawrence J. Cheskin5Mara A. McAdams-DeMarco6Claudio Rigatto7Department of Internal Medicine, Max Rady College of Medicine, University of Manitoba, Winnipeg, CanadaDepartment of Internal Medicine, Max Rady College of Medicine, University of Manitoba, Winnipeg, CanadaCardiac Sciences Program, Winnipeg Regional Health Authority, Manitoba, CanadaMax Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, CanadaDepartment of Community Health Sciences, University of Manitoba, Winnipeg, CanadaDepartment of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USADepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USADepartment of Internal Medicine, Max Rady College of Medicine, University of Manitoba, Winnipeg, CanadaBackground: Individuals with chronic kidney disease (CKD) have low levels of physical activity and physical function. Although guidelines endorse exercise counseling for individuals with CKD, it is not yet part of routine care. Objective: We investigated the effect of attending a real-life exercise counseling clinic (ECC) on physical function in individuals with CKD. Design: Retrospective analysis of prospectively collected observational data with quasi-experimental design. Setting and Participants: Patients with all stages of CKD registered in a large provincial renal program were eligible. The exposed cohort who attended the ECC between January 1, 2011, and March 15, 2014, included 214 individuals. The control cohort included 292 individuals enrolled in an observational study investigating longitudinal change in frailty during the same time period. Predictor/Factor: Attendance at an ECC. Outcomes and Measurements: Change in physical function as measured by Short Physical Performance Battery (SPPB) score, physical activity level (Human Activity Profile [HAP]/Physical Activity Scale for the Elderly [PASE]), and health-related quality of life (HRQOL; EQ5D/VAS) over 1 year. Results: Eighty-seven individuals in the ECC cohort and 125 participants in the control cohort completed 1-year follow-up. Baseline median SPPB score was 10 (interquartile range [IQR]: 9-12) and 9 (IQR: 7-11) in the ECC and control cohorts, respectively ( P < .01). At 1 year, SPPB scores were 10 (IQR: 8-12) and 9 (IQR: 6-11) in the ECC and control cohorts, respectively ( P = .04). Mean change in SPPB over 1 year was not significantly different between groups: −0.33 (95% confidence interval [CI]: −0.81 to 0.15) in ECC and −0.22 (95% CI: −0.61 to 0.17) in control ( P = .72). There was no significant difference in the proportion of individuals in each cohort with an increase/decrease in SPPB score over time. There was no significant change in physical activity or HRQOL over time between groups. Limitations: Quasi-experimental design, low rate of follow-up attendance. Conclusions: In this pragmatic study, exercise counseling had no significant effect on change in SPPB score, suggesting that a single exercise counseling session alone is inadequate to improve physical function in CKD.https://doi.org/10.1177/2054358117753615 |
| spellingShingle | Clara J. Bohm Leroy J. Storsley Brett M. Hiebert Serena Nelko Navdeep Tangri Lawrence J. Cheskin Mara A. McAdams-DeMarco Claudio Rigatto Impact of Exercise Counseling on Physical Function in Chronic Kidney Disease: An Observational Study Canadian Journal of Kidney Health and Disease |
| title | Impact of Exercise Counseling on Physical Function in Chronic Kidney Disease: An Observational Study |
| title_full | Impact of Exercise Counseling on Physical Function in Chronic Kidney Disease: An Observational Study |
| title_fullStr | Impact of Exercise Counseling on Physical Function in Chronic Kidney Disease: An Observational Study |
| title_full_unstemmed | Impact of Exercise Counseling on Physical Function in Chronic Kidney Disease: An Observational Study |
| title_short | Impact of Exercise Counseling on Physical Function in Chronic Kidney Disease: An Observational Study |
| title_sort | impact of exercise counseling on physical function in chronic kidney disease an observational study |
| url | https://doi.org/10.1177/2054358117753615 |
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