eISSN: 2345-4202  
J Nephropharmacol. 2019;8(1):1-1.
doi:10.15171/npj.2019.01

Original

Rapid assessment of physical activity score in maintenance hemodialysis patients with nutritional assessment

Vinitha Varghese 1, Madhusudan Vijayan 2, Georgi Abraham 1,2 * , Sam Nishanth 2, Milly Mathew 1, Rajeevalochana Parthasarathy 2, Nevin Mancha 1

1 Pondicherry Institute of Medical Sciences, Pondicherry, India
2 Madras Medical Mission, Chennai, India
*Corresponding author: Georgi Abraham, Email: Email: abraham_georgi@yahoo.com

Abstract

Introduction: There is a paucity of data from India regarding the physical activity assessment of hemodialysis patients.

Objectives: The objective of this study was to determine the level of physical activity and nutritional status of Indian dialysis patients.

Patients and Methods: This cross-sectional multicenter study was conducted in two tertiary care centers. The physical activity of 116 patients was assessed by the Rapid Assessment of Physical Activity (RAPA) questionnaire and correlated with various biochemical parameters of nutrition.

Results: We divided the patients based on serum albumin level into group 1 (≤ 3.5 g/dL) and group 2 (>3.5 g/dL). The mean RAPA-1 scores of both groups were suboptimal; group 1 had a mean score of 2.514 ± 0.901 and group 2 had a mean score of 3.215 ± 1.257 (P=0.003). The mean handgrip strength of group 1 was 35.222 ± 13.568 kg and that of group 2 was 41.472 ± 17.874 kg (P=0.062).

Conclusion: These results should alert physicians taking care of maintenance hemodialysis patients to improve nutritional status and thereby physical activity to ensure better outcomes.

Implication for health policy/practice/research/medical education:

To determine the level of physical activity and nutritional status of Indian dialysis patients, we conducted a study on 116 hemodialysis patients by the Rapid Assessment of Physical Activity questionnaire and correlated with various biochemical parameters of nutrition. This study showed that hemodialysis patients in India have low levels of physical activity, handgrip strength and suboptimal levels of biochemical parameters of nutrition.

Please cite this paper as: Varghese V, Vijayan M, Abraham G, Nishanth S, Mathew M, Parthasarathy R, Mancha N. Rapid assessment of physical activity score in maintenance hemodialysis patients with nutritional assessment J Nephropharmacol. 2019;8(1):e01. DOI: 10.15171/npj.2019.01


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Submitted: 20 Jul 2018

Accepted: 15 Nov 2018
First published online: 05 Dec 2018
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