1. Use of pedometers to increase physical activity among children and adolescents with chronic kidney disease
- Author
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Akber, Aalia, Portale, Anthony A, and Johansen, Kirsten L
- Subjects
Biomedical and Clinical Sciences ,Clinical Sciences ,Transplantation ,Kidney Disease ,Pediatric ,Clinical Research ,Renal and urogenital ,Oral and gastrointestinal ,Adolescent ,Child ,Exercise Therapy ,Female ,Follow-Up Studies ,Humans ,Kidney Failure ,Chronic ,Kidney Transplantation ,Male ,Motor Activity ,Quality of Life ,Renal Dialysis ,Renal Insufficiency ,Chronic ,Walking ,Young Adult ,Physical activity ,Children ,Adolescents ,Health-related quality of life ,Physical performance ,Paediatrics and Reproductive Medicine ,Urology & Nephrology ,Clinical sciences ,Paediatrics - Abstract
BackgroundChildren and adolescents with chronic kidney disease (CKD) are inactive relative to their peers.MethodsForty-four children and adolescents aged 7-20 years with CKD, end-stage renal disease (ESRD) on dialysis or a kidney transplant participated in a 12-week pedometer-based intervention to increase physical activity. Patients recorded daily step counts and reported them weekly. Pediatric Quality of Life Inventory (PedsQL) and 6-min walk (6 MW) were administered at baseline and after 12 weeks.ResultsAge was 15.1 ± 3.4 years; 27 % had CKD, 16 % were receiving dialysis, and 57 % had received a kidney transplant. Mean daily step count did not change significantly (+48, 95 % CI -48 to +145 steps/day per week). Transplant recipients and patients with CKD increased their activity by 100 steps/day (95 % CI -14 to 208) and 73 steps/day (95 % CI -115 to 262) each week, respectively, and patients on dialysis decreased by 133 steps/day (95 % CI -325 to 58; p value for interaction 0.03) in multivariable analysis. Change in physical activity was associated with change in 6 MW distance (r = 0.74, p
- Published
- 2014