Physical Activity Dose for Hemodialysis Patients: Where to Begin

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Presentation transcript:

Physical Activity Dose for Hemodialysis Patients: Where to Begin Physical Activity Dose for Hemodialysis Patients: Where to Begin? Results from a Prospective Cohort Study Ryota Matsuzawa, PT, PhD, Baback Roshanravan, MD, MS, Takahiro Shimoda, PT, MS, Noritaka Mamorita, ME, PhD, Kei Yoneki, PT, MS, Manae Harada, PT, MS, Takaaki Watanabe, PT, MS, Atsushi Yoshida, MD, PhD, Yasuo Takeuchi, MD, PhD, Atsuhiko Matsunaga, PT, PhD Journal of Renal Nutrition Volume 28, Issue 1, Pages 45-53 (January 2018) DOI: 10.1053/j.jrn.2017.07.004 Copyright © 2017 National Kidney Foundation, Inc. Terms and Conditions

Figure 1 The cutoff of number of steps on nondialysis day detected by Youden index. Journal of Renal Nutrition 2018 28, 45-53DOI: (10.1053/j.jrn.2017.07.004) Copyright © 2017 National Kidney Foundation, Inc. Terms and Conditions

Figure 2 Kaplan–Meier analysis of survival for 282 patients undergoing hemodialysis. Patients with physical activity above the 4,000 steps per a nondialysis (thick dark line) at baseline had significantly better survival than those with lower values (dotted line; P < .001 by log-rank test). Journal of Renal Nutrition 2018 28, 45-53DOI: (10.1053/j.jrn.2017.07.004) Copyright © 2017 National Kidney Foundation, Inc. Terms and Conditions

Figure 3 Graphical visualization of the Cox proportional hazard model using the restricted cubic spline conversion. *Predicted hazard ratios were estimated from Cox proportional hazards regression analysis after adjustment for confounders, including age, sex, time on hemodialysis, body mass index, geriatric nutritional risk index, and comorbidity score. Four knots for the model were placed at the 5th, 35th, 65th, and 95th centiles, and a highest point of mortality risk was taken as the reference value. Journal of Renal Nutrition 2018 28, 45-53DOI: (10.1053/j.jrn.2017.07.004) Copyright © 2017 National Kidney Foundation, Inc. Terms and Conditions