ArticleBMC nephrology2025
Effects of gamified versus pedometer-based walking intervention on physical activity, fatigue, and sleep quality among hemodialysis patients: a quasi-experimental study.
Article in BMC nephrology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05599646 (Effects of Gamified Versus Traditional Pedometer-Based Walking Intervention on Physical Activity, Fatigue and Sleep Quality Among Hemodialysis Patients), which is not on this map. Cited by 5 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.
Effects of Gamified Versus Traditional Pedometer-Based Walking Intervention on Physical Activity, Fatigue and Sleep Quality Among Hemodialysis Patients: A Quasi-Experimental Study
Who cites it
5 citing papers in PubMed.
- Technology-Based Interventions for Physical Activity and Sedentary Behaviour in Adults: A Scoping Review.Journal of functional morphology and kinesiology · 2026Review
- Balance Assessment Using Gamified Digital Technology in Community-Dwelling Older Adults: Mixed Methods Validation Study and Randomized Controlled Trial.JMIR serious games · 2026Article
- Meal timing disruption in maintenance dialysis patients: associations with sleep quality and fatigue.Frontiers in nutrition · 2026Article
- Personalized Exercise Prescription for Hemodialysis Patients: The Implications of Blood Flow Restriction.Clinical journal of the American Society of Nephrology : CJASN · 2025Article
- Distinct Sleep Quality Profiles and Their Varying Levels of Stigma Among Patients Undergoing Maintenance Hemodialysis: A Cross-Sectional Study.Journal of multidisciplinary healthcare · 2025Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesExercise is a promising approach for symptom management in hemodialysis patients who are typically very sedentary. This study evaluated the effects of gamified versus pedometer-based walking interventions on these patients' physical activity, physical function, fatigue, sleep quality, and hemodynamics.
methodsA quasi-experimental single-blind study was conducted in three groups (two intervention and one control groups). It was carried out at the hemodialysis department in Mansoura University Hospital, Egypt, from October 2022 to 2023. A total of 94 patients were divided randomly into gamified (n = 31), pedometer (n = 31), and control (n = 32) groups. Randomization was done by dialysis scheduled time (first shift: pedometer group, second shift: gamified group, and third shift control group) rather than at the individual level, and the allocation ratio was approximately 1:1:1. The gamified group received a twelve-week smartphone-based gamified walking intervention, while the pedometer group received a twelve-week pedometer-based walking intervention. The control group did not receive any intervention. Step count, fatigue, sleep quality, physical function, and hemodynamic parameters were evaluated at baseline and after 12 weeks of intervention.
resultPost-intervention results indicated that patients in the gamified group significantly improved their step count, fatigue, and sleep levels compared to both the pedometer and control groups (P < 0.001). However, the groups had no statistically significant differences in physical function or hemodynamics.
conclusionHemodialysis patients who participated in a short-term, smartphone-based gamified walking intervention experienced increased step counts, reduced fatigue, and improved sleep quality.
trial registrationProspectively registered with ClinicalTrials.gov on 28/10/2022; registration number NCT05599646.
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