Physical Activity Levels and Quality of Life in Patients on the Kidney Transplant Waiting List and Recipients

Ronald Camilo Gomez-Arteaga, Karim Martina Alvis-Gomez, Diana Katerine Matiz-Alonso
Purpose:

To determine the correlation between Physical Activity levels and HRQoL in CKD patients at a High Complexity Hospital, during the period from June 1, 2023, to August 15, 2023, using accelerometry.

Methods:

A cross-sectional, descriptive, and correlational study was conducted. A non-probabilistic convenience sampling was employed. PA levels were determined using ActiGraph GT3X+ accelerometers over a period of seven days, while HRQoL was assessed using the KDQOL-36 questionnaire. Statistical analysis was performed using SPSS for univariate descriptive statistics and Spearman's correlation coefficients.



Results:

A total of 36 subjects (18 on the waiting list and 18 recipients), with a mean age of 41 years. The average time on the waiting list was 26.61 months, and the average time post-transplant was 41.06 months. The waiting list group exhibited 84.09% of their day as sedentary, compared to 66.89% for the recipients. The waiting list group averaged 6,539 steps, while the recipients averaged 6,688 steps. In terms of HRQoL, recipients scored higher in the dimensions of Kidney Disease Effects (KDE) and Kidney Disease Burden (KDB). Negative correlations were identified between sedentary time and KDE (-0.460), KDB (-0.634), and a positive association between light PA time and the physical component (0.453) and symptoms related to CKD (0.508).




Conclusion(s):

CKD patients on the waiting list and recipients are notably sedentary, dedicating 80% and 67% of their day to sedentary activities, respectively. Specifically, waiting list patients accumulate an average of 19 hours a day in sedentary activity, followed by light activity, which is considerably below the recommended PA levels

Implications:

Clinical implications include the implementation of physical activity programs for CKD patients. It is necessary to develop well-being strategies aimed at improving HRQoL for these patients. Additionally, conducting PA analyses with reliable instruments allows for more accurate measurement, enhancing the validity of results and significantly contributing to a better understanding of the relationship between PA and health.


Funding acknowledgements:
This study was supported by the Universidad Nacional de Colombia
Keywords:
Accelerometry,
Physical Activity
Chronic Kidney Disease
Primary topic:
Non-communicable diseases (NCDs) and risk factors
Second topic:
Critical care
Third topic:
Non-communicable diseases (NCDs) and risk factors
Did this work require ethics approval?:
Yes
Name the institution and ethics committee that approved your work:
Ethical Approval: ● Institution: Cardiovascular Hospital of Cundinamarca, Colombia ● Committee: Research Committee of the Cardiovascular Hospital of Cundinamarca
Provide the ethics approval number:
Ethics Number: 0001/2023
Has any of this material been/due to be published or presented at another national or international conference prior to the World Physiotherapy Congress 2025?:
No

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