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Habitual Physical Activity and Sleep in Adults with End-Stage Renal Disease

Joe Antoun, Anthony I. Shepherd, Melitta McNarry Orcid Logo, Kelly Mackintosh Orcid Logo, Jo Corbett, Nicholas C. Sangala, Robert J. Lewis, Zoe L. Saynor

Journal of Clinical Exercise Physiology, Volume: 11, Issue: 2, Pages: 38 - 43

Swansea University Authors: Melitta McNarry Orcid Logo, Kelly Mackintosh Orcid Logo

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Abstract

Background: Treatment of end-stage renal disease (ESRD) is necessary to maintain life. However, it can cause physiological, psychosocial, and cognitive impairments, which may impact physical activity (PA) and sleep, although there is insufficient device-based data to elucidate such impacts.Methods:...

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Published in: Journal of Clinical Exercise Physiology
ISSN: 2165-6193 2165-7629
Published: Clinical Exercise Physiology Association 2022
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URI: https://cronfa.swan.ac.uk/Record/cronfa62070
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spelling 2022-12-16T16:26:51.3261584 v2 62070 2022-11-28 Habitual Physical Activity and Sleep in Adults with End-Stage Renal Disease 062f5697ff59f004bc8c713955988398 0000-0003-0813-7477 Melitta McNarry Melitta McNarry true false bdb20e3f31bcccf95c7bc116070c4214 0000-0003-0355-6357 Kelly Mackintosh Kelly Mackintosh true false 2022-11-28 STSC Background: Treatment of end-stage renal disease (ESRD) is necessary to maintain life. However, it can cause physiological, psychosocial, and cognitive impairments, which may impact physical activity (PA) and sleep, although there is insufficient device-based data to elucidate such impacts.Methods: PA, sedentary time (SED), and sleep were measured over 7 consecutive days in 12 adults with ESRD (9 dialyzing at home, 3 dialyzing in center) using wrist-worn accelerometers. Validated raw acceleration thresholds were used to quantify time spent in each PA intensity domain and SED, and sleep duration and efficiency.Results: Adults with ESRD engaged in little moderate-to-vigorous PA (MVPA; 6.9 ± 9.7 min·d−1) and spent 770.0 ± 68.6 min·d−1 SED. People dialyzing at home engaged in more light-intensity PA than those attending in center (131.2 ± 28.1 versus 106.9 ± 5.4 min·d−1, respectively; P = 0.05); however, neither group met the recommended guidelines for daily MVPA. Individuals with ESRD slept for an average of 286.8 ± 79.3 min·night−1 with an efficiency of 68.4 ± 18.5%, although people dialyzing at home slept for longer and more efficiently (74.5% versus 50.0%, P = 0.07) than those attending in center.Conclusion: In this study, we suggest that adults with ESRD engage in less total PA than recommended guidelines and are characterized by poor sleep duration and efficiency. Moreover, results indicate that dialysis mode may influence PA, SED, and sleep, with those dialyzing at home engaging in greater LPA and achieving a greater sleep duration and efficiency. Journal Article Journal of Clinical Exercise Physiology 11 2 38 43 Clinical Exercise Physiology Association 2165-6193 2165-7629 Haemodialysis, accelerometry, physical activity, sleep quality 19 5 2022 2022-05-19 10.31189/2165-6193-11.2.38 COLLEGE NANME Sport and Exercise Sciences COLLEGE CODE STSC Swansea University 2022-12-16T16:26:51.3261584 2022-11-28T13:49:31.1029810 Faculty of Science and Engineering School of Aerospace, Civil, Electrical, General and Mechanical Engineering - Sport and Exercise Sciences Joe Antoun 1 Anthony I. Shepherd 2 Melitta McNarry 0000-0003-0813-7477 3 Kelly Mackintosh 0000-0003-0355-6357 4 Jo Corbett 5 Nicholas C. Sangala 6 Robert J. Lewis 7 Zoe L. Saynor 8
title Habitual Physical Activity and Sleep in Adults with End-Stage Renal Disease
spellingShingle Habitual Physical Activity and Sleep in Adults with End-Stage Renal Disease
Melitta McNarry
Kelly Mackintosh
title_short Habitual Physical Activity and Sleep in Adults with End-Stage Renal Disease
title_full Habitual Physical Activity and Sleep in Adults with End-Stage Renal Disease
title_fullStr Habitual Physical Activity and Sleep in Adults with End-Stage Renal Disease
title_full_unstemmed Habitual Physical Activity and Sleep in Adults with End-Stage Renal Disease
title_sort Habitual Physical Activity and Sleep in Adults with End-Stage Renal Disease
author_id_str_mv 062f5697ff59f004bc8c713955988398
bdb20e3f31bcccf95c7bc116070c4214
author_id_fullname_str_mv 062f5697ff59f004bc8c713955988398_***_Melitta McNarry
bdb20e3f31bcccf95c7bc116070c4214_***_Kelly Mackintosh
author Melitta McNarry
Kelly Mackintosh
author2 Joe Antoun
Anthony I. Shepherd
Melitta McNarry
Kelly Mackintosh
Jo Corbett
Nicholas C. Sangala
Robert J. Lewis
Zoe L. Saynor
format Journal article
container_title Journal of Clinical Exercise Physiology
container_volume 11
container_issue 2
container_start_page 38
publishDate 2022
institution Swansea University
issn 2165-6193
2165-7629
doi_str_mv 10.31189/2165-6193-11.2.38
publisher Clinical Exercise Physiology Association
college_str Faculty of Science and Engineering
hierarchytype
hierarchy_top_id facultyofscienceandengineering
hierarchy_top_title Faculty of Science and Engineering
hierarchy_parent_id facultyofscienceandengineering
hierarchy_parent_title Faculty of Science and Engineering
department_str School of Aerospace, Civil, Electrical, General and Mechanical Engineering - Sport and Exercise Sciences{{{_:::_}}}Faculty of Science and Engineering{{{_:::_}}}School of Aerospace, Civil, Electrical, General and Mechanical Engineering - Sport and Exercise Sciences
document_store_str 0
active_str 0
description Background: Treatment of end-stage renal disease (ESRD) is necessary to maintain life. However, it can cause physiological, psychosocial, and cognitive impairments, which may impact physical activity (PA) and sleep, although there is insufficient device-based data to elucidate such impacts.Methods: PA, sedentary time (SED), and sleep were measured over 7 consecutive days in 12 adults with ESRD (9 dialyzing at home, 3 dialyzing in center) using wrist-worn accelerometers. Validated raw acceleration thresholds were used to quantify time spent in each PA intensity domain and SED, and sleep duration and efficiency.Results: Adults with ESRD engaged in little moderate-to-vigorous PA (MVPA; 6.9 ± 9.7 min·d−1) and spent 770.0 ± 68.6 min·d−1 SED. People dialyzing at home engaged in more light-intensity PA than those attending in center (131.2 ± 28.1 versus 106.9 ± 5.4 min·d−1, respectively; P = 0.05); however, neither group met the recommended guidelines for daily MVPA. Individuals with ESRD slept for an average of 286.8 ± 79.3 min·night−1 with an efficiency of 68.4 ± 18.5%, although people dialyzing at home slept for longer and more efficiently (74.5% versus 50.0%, P = 0.07) than those attending in center.Conclusion: In this study, we suggest that adults with ESRD engage in less total PA than recommended guidelines and are characterized by poor sleep duration and efficiency. Moreover, results indicate that dialysis mode may influence PA, SED, and sleep, with those dialyzing at home engaging in greater LPA and achieving a greater sleep duration and efficiency.
published_date 2022-05-19T04:21:24Z
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