ArticleClinical journal of the American Society of Nephrology : CJASN2014
Associations of self-reported physical activity types and levels with quality of life, depression symptoms, and mortality in hemodialysis patients: the DOPPS.
Article in Clinical journal of the American Society of Nephrology : CJASN, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 71 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Trial of Statin Holiday in Patients Receiving Maintenance Dialysis
Physical Activity in Dialysis: Clinical and Biological Impact
Who cites it
71 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Association between physical activity and mortality in end-stage kidney disease: a systematic review of observational studies.BMC nephrology · 2021Pooled it
- Physical performance in patients treated with nocturnal hemodialysis - a systematic review of the evidence.BMC nephrology · 2019Pooled it
- Does Intradialytic Group Exercise Programme Influence Patient-Reported Outcomes, Laboratory Parameters, and Anthropometric Parameters in Maintenance Hemodialysis Patients? A Single-Group Repeated-Measures Trial.Patient preference and adherence · 2023Trial
- The effect of a 6-month intradialytic exercise program on hemodialysis adequacy and body composition: a randomized controlled trial.International urology and nephrology · 2022Trial
- Effect of hemodiafiltration on measured physical activity: primary results of the HDFIT randomized controlled trial.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2021Trial
- Impact of hemodialysis and post-dialysis period on granular activity levels.BMC nephrology · 2020Trial
- Physical activity promotion for patients transitioning to dialysis using the "Exercise is Medicine" framework: a multi-center randomized pragmatic trial (EIM-CKD trial) protocol.BMC nephrology · 2018Trial
- Effect of intradialytic exercise on daily physical activity and sleep quality in maintenance hemodialysis patients.International urology and nephrology · 2018Trial
- Trial
- Ten tips for the first hemodialysis sessions.Clinical kidney journal · 2026Review
- 67 national-level factors potentially related to the incidence of kidney replacement therapy across Europe.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2026Article
- Article
- Intradialytic exercise: a controlled nationwide effectiveness-implementation study.Clinical kidney journal · 2026Article
- Physical activity and cardiorenal health-from associations to interventional studies.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2025Review
- Dialysis-imposed, weekly and seasonal patterns of physical activity: a multi-center prospective study in patients using a wearable activity tracker.Clinical kidney journal · 2025Article
- Association of Physiological Reserve Obtained from Cardiopulmonary Exercise Testing and Frailty with All-Cause Mortality in Patients on Hemodialysis.Clinical journal of the American Society of Nephrology : CJASN · 2025Article
- Exercise limitation in chronic kidney disease: An experimental pilot study with leg and arm exercise.Physiological reports · 2025Article
- Association between physical activity and quality of life in haemodialysed and peritoneal dialyzed patients in Hungary.Renal failure · 2024Article
- Physical fitness is an independent predictor of chronic kidney disease development in apparently healthy individuals.Journal of nephrology · 2024Article
- Validity and reliability of Persian version of Low Physical Activity Questionnaire (LoPAQ).BMC nephrology · 2024Article
11 more citing papers are in PubMed but not listed here.
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Authors and funding
15 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND
objectivesPhysical activity has been associated with better health status in diverse populations, but the association in patients on maintenance hemodialysis is less established. Patient-reported physical activities and associations with mortality, health-related quality of life, and depression symptoms in patients on maintenance hemodialysis in 12 countries were examined. DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS: In total, 5763 patients enrolled in phase 4 of the Dialysis Outcomes and Practice Patterns Study (2009-2011) were classified into five aerobic physical activity categories (never/rarely active to very active) and by muscle strength/flexibility activity using the Rapid Assessment of Physical Activity questionnaire. The Kidney Disease Quality of Life scale was used for health-related quality of life. The Center for Epidemiologic Studies Depression scale was used for depression symptoms. Linear regression was used for associations of physical activity with health-related quality of life and depression symptoms scores. Cox regression was used for association of physical activity with mortality.
resultsThe median (interquartile range) of follow-up was 1.6 (0.9-2.5) years; 29% of patients were classified as never/rarely active, 20% of patients were classified as very active, and 20.5% of patients reported strength/flexibility activities. Percentages of very active patients were greater in clinics offering exercise programs. Aerobic activity, but not strength/flexibility activity, was associated positively with health-related quality of life and inversely with depression symptoms and mortality (adjusted hazard ratio of death for very active versus never/rarely active, 0.60; 95% confidence interval, 0.47 to 0.77). Similar associations with aerobic activity were observed in strata of age, sex, time on dialysis, and diabetes status.
conclusionsThe findings are consistent with the health benefits of aerobic physical activity for patients on maintenance hemodialysis. Greater physical activity was observed in facilities providing exercise programs, suggesting a possible opportunity for improving patient outcomes.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.