Low physical activity has been associated with poor prognosis in hemodialysis (HD) patients. Interventions to maintain healthy lifestyle in this population are important to reduce mortality. This study aimed to evaluate the effectiveness of digital health interventions (DHIs) for improving the physical activity and health-related quality of life (HRQoL) in HD patients. The 24-week prospective study enrolled 31 clinically stable HD patients. All participants were assigned home exercises and provided with wearable devices. Dietary and exercise information was uploaded to a health management platform. Suggestions about diet and exercise were provided, and a social media group was created. Physical performance testing was performed at baseline and during weeks 4, 8, 12, 16 and 24. HRQoL and nutritional status were evaluated. A total of 25 participants completed the study. After the interventions, the daily step count increased 1658 steps. The 10-time-repeated sit-to-stand test reduced by 4.4 s, the sit-to-stand transfers in 60 s increased 12 repetitions, the distance of six-minute walk test (6MWT) increased by 55.4 m. The mental health components and burden of kidney disease of the Kidney Disease Quality of Life survey, and subjective global assessment (SGA) scores improved. By Spearman correlation, the monthly step count correlated positively with 6MWT and SGA. DHIs that combined wearable devices, a health management platform, and social media could strengthen physical activity and improve the HRQoL and nutrition of maintenance HD patients. The results outline a new model to promote healthy lifestyle behaviors in HD patients.
中文翻译:
促进血液透析患者健康生活方式的数字健康干预措施:一项介入性试点研究
低体力活动与血液透析(HD)患者的不良预后相关。维持该人群健康生活方式的干预措施对于降低死亡率非常重要。本研究旨在评估数字健康干预措施 (DHI) 对于改善 HD 患者体力活动和健康相关生活质量 (HRQoL) 的有效性。这项为期 24 周的前瞻性研究招募了 31 名临床稳定的 HD 患者。所有参与者都被分配了家庭锻炼并提供了可穿戴设备。饮食和运动信息上传到健康管理平台。提供了有关饮食和锻炼的建议,并创建了一个社交媒体小组。在基线以及第 4、8、12、16 和 24 周期间进行身体机能测试。评估 HRQoL 和营养状况。共有 25 名参与者完成了这项研究。干预后,每日步数增加了 1658 步。 10次重复的坐站测试减少了4.4 s,60 s内的坐站转换增加了12次,六分钟步行测试(6MWT)的距离增加了55.4 m。肾脏疾病生活质量调查的心理健康组成部分和肾脏疾病负担以及主观总体评估(SGA)得分均有所改善。根据 Spearman 相关性,每月步数与 6MWT 和 SGA 呈正相关。 DHI 结合了可穿戴设备、健康管理平台和社交媒体,可以加强体育活动,改善维持性 HD 患者的 HRQoL 和营养。研究结果概述了一种促进 HD 患者健康生活方式行为的新模型。
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网址: Digital health interventions to promote healthy lifestyle in hemodialysis patients: an interventional pilot study,Scientific Reports https://m.trfsz.com/newsview908688.html