Abstract

Afaf Abouzoubair*, Loubna Benamar, Tarik Bouattar, Naima Ouzeddoune and Rabia Bayahia

ABSTRACT

Introduction: Chronic hemodialysis patients often exhibit excessive asthenia, osteo- articular complications and muscle loss, leading to a significant limitation of their physical activity. It has been shown in this population, in numerous studies, that the risk of morbidity and mortality increases with sedentary lifestyle. The aim of our work is to evaluate physical activity in our chronic hemodialysis patients and to determine the risk factors associated with the absence of this activity. Material and method: We performed a multicenter cross-sectional study in November 2016, including 65 chronic hemodialysis patients from the Ibn Sina University Hospital Center and the Moulay Youssef Hospital that are both located in Rabat. To assess the physical activity of our patients, we used the Baecke questionnaire with three indices: work activity index, sport activity index and leisure activity index. In addition, we have gathered demographic, clinical and biological data parameters from patients' medical records in order to study the factors influencing this physical activity. Results: Our study included 65 chronic hemodialysis patients. The average age of our patients is 49.06 ± 11.81 years. We noticed a male predominance with a sex ratio of 35M /30F. More than half of our patients report no physical activity (58.5%). Concerning the professional activity, 75.4% of the patients have no professional activity. Only 29.2% of patients practice regular sports. All these three indices correspond to a very limited physical activity in the three aspects of our patients’ daily life. The absence of physical activity is significantly correlated with the elderly, women and the age of dialysis. Conclusion: The integration of physical activity into the management of chronic hemodialysis patients has become paramount. All modalities will be effective, in group or individual, during or outside hemodialysis sessions. Physical activity in chronic hemodialysis patients is so low that the slightest increase is necessarily beneficial.