ArticleBMC nephrology2017
Changes in physical activity and risk of all-cause mortality in patients on maintence hemodialysis: a retrospective cohort study.
Article in BMC nephrology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04898608 (The Effect of Intradialytic Exercise on Dialysis Patients' Survival), which is not on this map. Cited by 25 papers.
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.
The Effect of Intradialytic Exercise on Dialysis Patients' Survival: A Randomized Controlled Trial
Who cites it
25 citing papers in PubMed, 64 citations in OpenAlex.
- Intradialytic Exercise: Effects on Arterial Stiffness and Gait Speed in Patients Undergoing Hemodialysis.Medical science monitor : international medical journal of experimental and clinical research · 2025Trial
- The effect of intradialytic exercise on dialysis patient survival: a randomized controlled trial.BMC nephrology · 2023Trial
- 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
- Investigation of Hemodialysis Patients' Views on Thirst: A Mixed-Methods Study.Healthcare (Basel, Switzerland) · 2025Article
- Physical activity levels and mortality in peritoneal dialysis patients.BMC nephrology · 2025Article
- Interaction between anxiety, depression, and low resilience predicts poor prognosis in patients with chronic kidney disease.World journal of psychiatry · 2025Article
- Digital health interventions to promote healthy lifestyle in hemodialysis patients: an interventional pilot study.Scientific reports · 2024Article
- Article
- Physical activity and its trajectory over time and clinical outcomes in hemodialysis patients.International urology and nephrology · 2022Article
- Determining factors of functioning in hemodialysis patients using the international classification of functioning, disability and health.BMC nephrology · 2022Article
- Physical Activity and Health-Related Quality of Life of Patients on Hemodialysis with Comorbidities: A Cross-Sectional Study.International journal of environmental research and public health · 2022Article
- The Role of Physical Activity and Mortality in Hemodialysis Patients: A Review.Frontiers in public health · 2022Review
- Effect of clinical factors on trajectory of functional performance in patients undergoing hemodialysis.Renal failure · 2021Observational
- Exercise training in dialysis patients: impact on cardiovascular and skeletal muscle health.Clinical kidney journal · 2021Article
- Hemodialysis patients perceived exercise benefits and barriers: the association with health-related quality of life.BMC nephrology · 2021Article
- The Impact of Frailty on Prognosis in Elderly Hemodialysis Patients: A Prospective Cohort Study.Clinical interventions in aging · 2021Observational
- Perceived difficulty in activities of daily living and survival in patients receiving maintenance hemodialysis.International urology and nephrology · 2021Article
- Ultrasonography of Quadriceps Femoris Muscle and Subcutaneous Fat Tissue and Body Composition by BIVA in Chronic Dialysis Patients.Nutrients · 2020Observational
- Differences in Physical Activity between Patients with Peripheral Artery Disease and Healthy Subjects.Journal of aging research · 2020Article
Corrections and comments
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Authors and funding
9 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundA previous cohort study indicated a significant association of lower baseline level of physical activity in hemodialysis patients with elevated risks of mortality. However, there have been no reports regarding the association between changes in physical activity over time and mortality in hemodialysis patients. This study was performed to examine the prognostic significance of physical activity changes in hemodialysis patients.
methodsThis retrospective cohort study was performed in 192 hemodialysis patients with a 7-year follow-up. The average number of steps taken per non-dialysis day was used as a measure of physical activity. Forty (20.8%) patients had died during the follow-up period. The percentage change in physical activity between baseline and 12 months was determined, and patients were divided into three categories according to changes in physical activity. A decrease or increase in physical activity > 30% was defined as becoming less or more active, respectively, while decrease or increase in physical activity < 30% were classified as stable.
resultsForty seven (24.5%), 51 (26.6%), and 94 (49.0%) patients were classified as becoming less active, becoming more active, and stable, respectively. The hazard ratio on multivariate analysis in patients with decreased physical activity was 3.68 (95% confidence interval, 1.55-8.78; P < 0.01) compared to those with increased physical activity.
conclusionsReductions in physical activity were significantly associated with poor prognosis independent of not only patient characteristics but also baseline physical activity. Therefore, improved prognosis in hemodialysis patients requires means of preventing a decline in physical activity over time.
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