Assessment of Physical Activity in Chronic Kidney Disease

Cassianne Robinson-Cohen, Alyson J. Littman, Glen E. Duncan, Baback Roshanravan, T. Alp Ikizler, Jonathan Himmelfarb, Bryan R. Kestenbaum

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

Background: Physical inactivity plays an important role in the development of kidney disease and its complications; however, the validity of standard tools for measuring physical activity (PA) is not well understood. Study Design: We investigated the performance of several readily available and widely used PA and physical function questionnaires, individually and in combination, against accelerometry among a cohort of chronic kidney disease (CKD) participants. Setting and Participants: Forty-six participants from the Seattle Kidney Study, an observational cohort study of persons with CKD, completed the Physical Activity Scale for the Elderly, Human Activity Profile (HAP), Medical Outcomes Study SF-36 questionnaire, and the Four-week Physical Activity History questionnaires. We simultaneously measured PA using an Actigraph GT3X accelerometer during a 14-day period. We estimated the validity of each instrument by testing its associations with log-transformed accelerometry counts. We used the Akaike information criterion to investigate the performance of combinations of questionnaires. Results: All questionnaire scores were significantly associated with log-transformed accelerometry counts. The HAP correlated best with accelerometry counts (r2 = 0.32) followed by SF-36 (r2 = 0.23). Forty-three percent of the variability in accelerometry counts data was explained by a model that combined the HAP, SF-36, and Four-week Physical Activity History questionnaires. Conclusion: A combination of measurement tools can account for a modest component of PA in patients with CKD; however, a substantial proportion of PA is not captured by standard assessments.

Original languageEnglish (US)
Pages (from-to)123-131
Number of pages9
JournalJournal of Renal Nutrition
Volume23
Issue number2
DOIs
StatePublished - Mar 1 2013
Externally publishedYes

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Chronic Renal Insufficiency
Accelerometry
Exercise
Human Activities
Kidney Diseases
Observational Studies
Surveys and Questionnaires
Cohort Studies
Outcome Assessment (Health Care)
Kidney

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Nutrition and Dietetics
  • Nephrology

Cite this

Robinson-Cohen, C., Littman, A. J., Duncan, G. E., Roshanravan, B., Ikizler, T. A., Himmelfarb, J., & Kestenbaum, B. R. (2013). Assessment of Physical Activity in Chronic Kidney Disease. Journal of Renal Nutrition, 23(2), 123-131. https://doi.org/10.1053/j.jrn.2012.04.008

Assessment of Physical Activity in Chronic Kidney Disease. / Robinson-Cohen, Cassianne; Littman, Alyson J.; Duncan, Glen E.; Roshanravan, Baback; Ikizler, T. Alp; Himmelfarb, Jonathan; Kestenbaum, Bryan R.

In: Journal of Renal Nutrition, Vol. 23, No. 2, 01.03.2013, p. 123-131.

Research output: Contribution to journalArticle

Robinson-Cohen, C, Littman, AJ, Duncan, GE, Roshanravan, B, Ikizler, TA, Himmelfarb, J & Kestenbaum, BR 2013, 'Assessment of Physical Activity in Chronic Kidney Disease', Journal of Renal Nutrition, vol. 23, no. 2, pp. 123-131. https://doi.org/10.1053/j.jrn.2012.04.008
Robinson-Cohen C, Littman AJ, Duncan GE, Roshanravan B, Ikizler TA, Himmelfarb J et al. Assessment of Physical Activity in Chronic Kidney Disease. Journal of Renal Nutrition. 2013 Mar 1;23(2):123-131. https://doi.org/10.1053/j.jrn.2012.04.008
Robinson-Cohen, Cassianne ; Littman, Alyson J. ; Duncan, Glen E. ; Roshanravan, Baback ; Ikizler, T. Alp ; Himmelfarb, Jonathan ; Kestenbaum, Bryan R. / Assessment of Physical Activity in Chronic Kidney Disease. In: Journal of Renal Nutrition. 2013 ; Vol. 23, No. 2. pp. 123-131.
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