Fear of falling and physical activity in hemodialysis patients: a pilot study

Abstract Background Hemodialysis (HD) patients are at a high risk of falls and fractures. The amount of physical activity (PA) they perform may be limited by psychosomatic factors associated with fear of falling, leading to frailty progression. This study aimed to clarify the relationship between fe...

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Autores principales: Nobuyuki Shirai, Suguru Yamamoto, Yutaka Osawa, Atsuhiro Tsubaki, Shinichiro Morishita, Sumiyo Nitami, Ichiei Narita
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Publicado: BMC 2021
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spelling oai:doaj.org-article:5ac750d902bd49d6bdc74f79429e506f2021-11-21T12:40:12ZFear of falling and physical activity in hemodialysis patients: a pilot study10.1186/s41100-021-00383-32059-1381https://doaj.org/article/5ac750d902bd49d6bdc74f79429e506f2021-11-01T00:00:00Zhttps://doi.org/10.1186/s41100-021-00383-3https://doaj.org/toc/2059-1381Abstract Background Hemodialysis (HD) patients are at a high risk of falls and fractures. The amount of physical activity (PA) they perform may be limited by psychosomatic factors associated with fear of falling, leading to frailty progression. This study aimed to clarify the relationship between fear of falling and PA in patients undergoing HD. Methods This cross-sectional study included 46 HD patients. Fear of falling was evaluated using the Modified Falls Efficacy Scale (MFES). A 3-axis accelerometer was used to measure PA, including number of steps; 1 to 1.9 METs = static PA, 2 to 2.9 = light PA, and 3 or more = moderate to vigorous PA (MVPA). We examined correlation of MFES with each type of PA. Factors affecting fear of falling were determined using multiple regression analysis. Results The median MFES was 9.2 (7.4, 10.0). MFES was associated with the number of steps (r = 0.608, p < 0.001), light PA (r = 0.421, p = 0.004), and MVPA (r = 0.546, p < 0.001). Eighteen participants (39.1%) experienced at least one fall in a year and had lower MFES than the non-fall group (fall group: 7.4 [5.1, 9.0] vs. non-fall group: 9.7 [8.5, 10.0], p < 0.001). Multiple regression analysis showed that MFES was independently associated with the number of steps (B = 279.7, 95% confidence interval [CI] = 90.5–469.0, p = 0.005) and MVPA (B = 3.52, 95% CI = 1.14–5.90, p = 0.005), respectively. Conclusions Fear of falling was associated with amount of PA among patients undergoing HD. Interventions that target the fear of falling may be effective in reducing HD patients’ fall risk by enhancing PA.Nobuyuki ShiraiSuguru YamamotoYutaka OsawaAtsuhiro TsubakiShinichiro MorishitaSumiyo NitamiIchiei NaritaBMCarticleHemodialysisFear of fallingPhysical activityTriaxial accelerometerFallDiseases of the genitourinary system. UrologyRC870-923ENRenal Replacement Therapy, Vol 7, Iss 1, Pp 1-7 (2021)
institution DOAJ
collection DOAJ
language EN
topic Hemodialysis
Fear of falling
Physical activity
Triaxial accelerometer
Fall
Diseases of the genitourinary system. Urology
RC870-923
spellingShingle Hemodialysis
Fear of falling
Physical activity
Triaxial accelerometer
Fall
Diseases of the genitourinary system. Urology
RC870-923
Nobuyuki Shirai
Suguru Yamamoto
Yutaka Osawa
Atsuhiro Tsubaki
Shinichiro Morishita
Sumiyo Nitami
Ichiei Narita
Fear of falling and physical activity in hemodialysis patients: a pilot study
description Abstract Background Hemodialysis (HD) patients are at a high risk of falls and fractures. The amount of physical activity (PA) they perform may be limited by psychosomatic factors associated with fear of falling, leading to frailty progression. This study aimed to clarify the relationship between fear of falling and PA in patients undergoing HD. Methods This cross-sectional study included 46 HD patients. Fear of falling was evaluated using the Modified Falls Efficacy Scale (MFES). A 3-axis accelerometer was used to measure PA, including number of steps; 1 to 1.9 METs = static PA, 2 to 2.9 = light PA, and 3 or more = moderate to vigorous PA (MVPA). We examined correlation of MFES with each type of PA. Factors affecting fear of falling were determined using multiple regression analysis. Results The median MFES was 9.2 (7.4, 10.0). MFES was associated with the number of steps (r = 0.608, p < 0.001), light PA (r = 0.421, p = 0.004), and MVPA (r = 0.546, p < 0.001). Eighteen participants (39.1%) experienced at least one fall in a year and had lower MFES than the non-fall group (fall group: 7.4 [5.1, 9.0] vs. non-fall group: 9.7 [8.5, 10.0], p < 0.001). Multiple regression analysis showed that MFES was independently associated with the number of steps (B = 279.7, 95% confidence interval [CI] = 90.5–469.0, p = 0.005) and MVPA (B = 3.52, 95% CI = 1.14–5.90, p = 0.005), respectively. Conclusions Fear of falling was associated with amount of PA among patients undergoing HD. Interventions that target the fear of falling may be effective in reducing HD patients’ fall risk by enhancing PA.
format article
author Nobuyuki Shirai
Suguru Yamamoto
Yutaka Osawa
Atsuhiro Tsubaki
Shinichiro Morishita
Sumiyo Nitami
Ichiei Narita
author_facet Nobuyuki Shirai
Suguru Yamamoto
Yutaka Osawa
Atsuhiro Tsubaki
Shinichiro Morishita
Sumiyo Nitami
Ichiei Narita
author_sort Nobuyuki Shirai
title Fear of falling and physical activity in hemodialysis patients: a pilot study
title_short Fear of falling and physical activity in hemodialysis patients: a pilot study
title_full Fear of falling and physical activity in hemodialysis patients: a pilot study
title_fullStr Fear of falling and physical activity in hemodialysis patients: a pilot study
title_full_unstemmed Fear of falling and physical activity in hemodialysis patients: a pilot study
title_sort fear of falling and physical activity in hemodialysis patients: a pilot study
publisher BMC
publishDate 2021
url https://doaj.org/article/5ac750d902bd49d6bdc74f79429e506f
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AT atsuhirotsubaki fearoffallingandphysicalactivityinhemodialysispatientsapilotstudy
AT shinichiromorishita fearoffallingandphysicalactivityinhemodialysispatientsapilotstudy
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