Utility of the low physical activity questionnaire for hemodialysis patients with frailty: a cross-sectional study
Abstract Background The low physical activity questionnaire (LoPAQ), which has been developed to assess the low levels of physical activity in patients on dialysis, is so far available only in English. Moreover, no study has examined whether the LoPAQ can be used to screen for frailty in patients on...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-12-01
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| Series: | Renal Replacement Therapy |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s41100-023-00514-y |
| _version_ | 1797376781234208768 |
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| author | Sachi Yamabe Shohei Yamamoto Manae Harada Yuta Suzuki Keigo Imamura Shun Yoshikoshi Shiwori Osada Atsuhiko Matsunaga |
| author_facet | Sachi Yamabe Shohei Yamamoto Manae Harada Yuta Suzuki Keigo Imamura Shun Yoshikoshi Shiwori Osada Atsuhiko Matsunaga |
| author_sort | Sachi Yamabe |
| collection | DOAJ |
| description | Abstract Background The low physical activity questionnaire (LoPAQ), which has been developed to assess the low levels of physical activity in patients on dialysis, is so far available only in English. Moreover, no study has examined whether the LoPAQ can be used to screen for frailty in patients on hemodialysis. The purpose of this study was to translate the original LoPAQ into Japanese and evaluate its utility in screening for frailty among patients on hemodialysis. Methods For this cross-sectional study, we enrolled patients from two hemodialysis facilities in Japan between April 2018 and June 2019. We used the LoPAQ to calculate physical activity for one week, with pedometer steps (steps/week) as the standard reference. We used Spearman’s rank test and two multiple linear regression models to assess the relationship between the Japanese LoPAQ results and pedometer step counts. Finally, we examined whether the LoPAQ had the ability to screen for frailty (Fried scale ≥ 3) using area under the curves. Results In total, 220 patients on hemodialysis completed the LoPAQ and wore a pedometer for one week. Their mean age was 67.8 ± 11.6 years, and 59.1% were men. The LoPAQ showed a total physical activity of 825.0 kilocalories/week and walking activity of 315.0 kilocalories/week. The LoPAQ total physical activity and walking activity were significantly correlated with pedometer step counts (r = 0.37–0.53, P < 0.01). Furthermore, LoPAQ total physical activity and walking activity were associated with pedometer step counts despite adjusting for covariates (β: 3.33–5.45, P < 0.001, β: 8.63–16.80, P < 0.001, respectively). In addition, the LoPAQ total physical activity and walking activity showed good values in the area under the curves to identify frailty (0.72 and 0.73, respectively). Conclusions Physical activity assessed using the LoPAQ significantly correlated with pedometer step counts in Japanese patients on hemodialysis. Furthermore, the LoPAQ total physical activity and walking activity had a moderate screening ability for frailty. The results indicate that the LoPAQ questionnaire is useful as a physical activity assessment tool and as a screening tool for frailty in patients on hemodialysis. |
| first_indexed | 2024-03-08T19:43:33Z |
| format | Article |
| id | doaj.art-8bb28319d9c049309d40b5b4b04b4a8d |
| institution | Directory Open Access Journal |
| issn | 2059-1381 |
| language | English |
| last_indexed | 2024-03-08T19:43:33Z |
| publishDate | 2023-12-01 |
| publisher | BMC |
| record_format | Article |
| series | Renal Replacement Therapy |
| spelling | doaj.art-8bb28319d9c049309d40b5b4b04b4a8d2023-12-24T12:29:40ZengBMCRenal Replacement Therapy2059-13812023-12-01911810.1186/s41100-023-00514-yUtility of the low physical activity questionnaire for hemodialysis patients with frailty: a cross-sectional studySachi Yamabe0Shohei Yamamoto1Manae Harada2Yuta Suzuki3Keigo Imamura4Shun Yoshikoshi5Shiwori Osada6Atsuhiko Matsunaga7Department of Rehabilitation Sciences, Kitasato University Graduate School of Medical SciencesDepartment of Epidemiology and Prevention, Center for Clinical Sciences, National Center for Global Health and MedicineDepartment of Rehabilitation, Sagami Circulatory Organ ClinicCenter for Outcomes Research and Economic Evaluation for Health, National Institute of Public HealthTokyo Metropolitan Institute for Geriatrics and GerontologyDepartment of Rehabilitation Sciences, Kitasato University Graduate School of Medical SciencesDepartment of Nephrology, Tokyo Ayase Kidney CenterDepartment of Rehabilitation Sciences, Kitasato University Graduate School of Medical SciencesAbstract Background The low physical activity questionnaire (LoPAQ), which has been developed to assess the low levels of physical activity in patients on dialysis, is so far available only in English. Moreover, no study has examined whether the LoPAQ can be used to screen for frailty in patients on hemodialysis. The purpose of this study was to translate the original LoPAQ into Japanese and evaluate its utility in screening for frailty among patients on hemodialysis. Methods For this cross-sectional study, we enrolled patients from two hemodialysis facilities in Japan between April 2018 and June 2019. We used the LoPAQ to calculate physical activity for one week, with pedometer steps (steps/week) as the standard reference. We used Spearman’s rank test and two multiple linear regression models to assess the relationship between the Japanese LoPAQ results and pedometer step counts. Finally, we examined whether the LoPAQ had the ability to screen for frailty (Fried scale ≥ 3) using area under the curves. Results In total, 220 patients on hemodialysis completed the LoPAQ and wore a pedometer for one week. Their mean age was 67.8 ± 11.6 years, and 59.1% were men. The LoPAQ showed a total physical activity of 825.0 kilocalories/week and walking activity of 315.0 kilocalories/week. The LoPAQ total physical activity and walking activity were significantly correlated with pedometer step counts (r = 0.37–0.53, P < 0.01). Furthermore, LoPAQ total physical activity and walking activity were associated with pedometer step counts despite adjusting for covariates (β: 3.33–5.45, P < 0.001, β: 8.63–16.80, P < 0.001, respectively). In addition, the LoPAQ total physical activity and walking activity showed good values in the area under the curves to identify frailty (0.72 and 0.73, respectively). Conclusions Physical activity assessed using the LoPAQ significantly correlated with pedometer step counts in Japanese patients on hemodialysis. Furthermore, the LoPAQ total physical activity and walking activity had a moderate screening ability for frailty. The results indicate that the LoPAQ questionnaire is useful as a physical activity assessment tool and as a screening tool for frailty in patients on hemodialysis.https://doi.org/10.1186/s41100-023-00514-yHemodialysisPhysical activityQuestionnaireFrailtyLoPAQ |
| spellingShingle | Sachi Yamabe Shohei Yamamoto Manae Harada Yuta Suzuki Keigo Imamura Shun Yoshikoshi Shiwori Osada Atsuhiko Matsunaga Utility of the low physical activity questionnaire for hemodialysis patients with frailty: a cross-sectional study Renal Replacement Therapy Hemodialysis Physical activity Questionnaire Frailty LoPAQ |
| title | Utility of the low physical activity questionnaire for hemodialysis patients with frailty: a cross-sectional study |
| title_full | Utility of the low physical activity questionnaire for hemodialysis patients with frailty: a cross-sectional study |
| title_fullStr | Utility of the low physical activity questionnaire for hemodialysis patients with frailty: a cross-sectional study |
| title_full_unstemmed | Utility of the low physical activity questionnaire for hemodialysis patients with frailty: a cross-sectional study |
| title_short | Utility of the low physical activity questionnaire for hemodialysis patients with frailty: a cross-sectional study |
| title_sort | utility of the low physical activity questionnaire for hemodialysis patients with frailty a cross sectional study |
| topic | Hemodialysis Physical activity Questionnaire Frailty LoPAQ |
| url | https://doi.org/10.1186/s41100-023-00514-y |
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