scholarly journals Accelerometry Correlates in Body Composition, Physical Fitness, and Disease Symptom Burden: A Pilot Study in End-Stage Renal Disease

2021 ◽  
Vol 12 ◽  
Author(s):  
Vedrana Sember ◽  
Špela Bogataj ◽  
Jose Carlos Ribeiro ◽  
Armin Paravlić ◽  
Maja Pajek ◽  
...  

There is strong evidence that hemodialysis (HD) patients with a sedentary lifestyle have a higher risk of death compared to peers who engage in regular physical activity. Therefore, monitoring physical activity is of utmost importance. However, there is a lack of data on objectively measured physical activity behaviors in HD patients. Therefore, this study aimed to objectively measure physical activity in HD patients throughout the week, with particular attention to dialysis and non-dialysis days. We also examined how objectively measured physical activity correlated with physical fitness, body composition, and disease burden. Daily physical activity, body composition, serum parameters, comorbidity index, sit-to-stand, and hand-grip strength tests were measured in 14 HD patients. Daily physical activity was measured using the Actigraph GT9X accelerometer. The Dialysis Symptom Index questionnaire was also used. We found significant differences in anthropometric variables (weight, body mass index, overhydration, lean tissue index, and fat tissue index, all p < 0.05) and phase angle (p < 0.01) between HD patients reaching and patients not reaching physical activity guidelines for patients with chronic diseases. HD patients showed to be less active during dialysis days compared to non-dialysis days as indicated in sedentary time (–11.7%; p = 0.001), light (–47.3%; p = 0.003), moderate (–51.5%; p = 0.001), moderate to vigorous (–49.3%; p = 0.001), and vigorous (–34.3%; p = 0.067) physical activity. No significant correlations were found among serum parameters, symptom burden, and comorbidity burden, but a very large and positive correlation was found between phase angle and total moderate to vigorous physical activity (p < 0.01). Our findings support the need to implement physical activity on dialysis days in HD units to mitigate the effects of sedentary behavior. Prospective, long-term studies evaluating the use of accelerometers in HD patients and their effects on physical activity are needed.

BMJ Open ◽  
2020 ◽  
Vol 10 (10) ◽  
pp. e036991
Author(s):  
Nils Abel Aars ◽  
Sigurd Beldo ◽  
Bjarne Koster Jacobsen ◽  
Alexander Horsch ◽  
Bente Morseth ◽  
...  

ObjectivesPhysical activity may be important in deterring the obesity epidemic. This study aimed to determine whether objectively measured physical activity in first year of upper secondary high school predicted changes in body composition over 2 years of follow-up in a cohort of Norwegian adolescents (n=431).DesignA longitudinal study of adolescents (mean age of 16 (SD 0.4) at baseline, 60.3% girls) participating in the Fit Futures studies 1 (2010–2011) and 2 (2012–2013).SettingAll eight upper secondary high schools in two municipalities in Northern Norway.ParticipantsStudents participating in both studies and under the age of 18 at baseline and with valid measurement of physical activity at baseline and body composition in both surveys.Primary and secondary outcomesChange in objectively measured body mass index and waist circumference and change in dual-energy X-ray absorptiometry measured fat mass index, lean mass index (LMI) and appendicular LMI (aLMI) between baseline and follow-up.ResultsAt baseline, boys had significantly higher physical activity volume (p=0.01) and spent on average of 6.4 (95% CI 2.1 to 10.6) more minutes in moderate-to-vigorous physical activity (MVPA) than girls (p<0.01). In girls, multivariate regression analyses showed that more sedentary time was negatively associated with changes in LMI (p<0.01) and aLMI (p<0.05), whereas more light activity had opposite effects on these measures (p<0.01 and p<0.05, respectively). No significant associations between measures of baseline physical activity and changes in body composition parameters were observed in boys.ConclusionsIn this cohort of Norwegian adolescents, sedentary and light physical activity was associated with changes in LMI and aLMI in girls, but not boys. Minutes spent in MVPA in first year of upper secondary high school was not associated with changes in measures of body composition in neither sex after 2 years.


2007 ◽  
Vol 39 (Supplement) ◽  
pp. S380
Author(s):  
Barbara S. McClanahan ◽  
Michelle B. Stockton ◽  
Jennifer Q. Lanctot ◽  
Deborah L. Slawson ◽  
Robert C. Klesges ◽  
...  

2012 ◽  
Vol 17 (6) ◽  
pp. 573-584 ◽  
Author(s):  
Felipe Reicherte ◽  
Ana Menezes ◽  
Pedro Hallal ◽  
Ulf Ekelund ◽  
Jonathan Wells

Author(s):  
Edita Maciulevičienė ◽  
Rita Sadzevičienė ◽  
Renata Rutkauskaitė

Research background and hypothesis. The objective methods of measuring physical activity (PA) are used more and more widely in various types of research. However, in Lithuania there is a lack of such studies with adolescents. Thus, we conducted a pilot study to objectively measure boys’ PA and to develop a more accurate PA assessment methodology in Lithuania. The purpose of this study was to analyse the objectively measured adolescent boys’ weekly physical activity and its relation to their body composition and physical fitness.Research  methods.  The  participants  of  this  study  were  104  healthy  adolescent  boys.  Physical  activity  of schoolboys was measured using actigraphs (Tri-axis ActiTrainer Activity Monitors). The level of the intensity of physical activity was determined by calculating energy consumption in MET’s. Low PA (LPA) equals up to 3 MET’s, moderate PA (MPA) – 3–6 MET’s, and vigorous PA (VPA) – 8 or more METs. Based on the frequency of VPA and MPA per week, the participants of this study were divided into physical activity groups. For health-related physical fitness  assessment  the  following  tests  were  used:  body  composition  (using TANITA  Body Analyser, TBF-300); flexibility (sit and reach test, Eurofitas, 2002), power (vertical jump was measured using a jump parameter gauge (SBM-1), muscular strength and endurance (modified push-up test (Suni et al., 1994)). Research results. All of the schoolboys demonstrated LPA on each day of the assessment. MPA on each day was experienced by 59.6% of the boys. No participants achieved VPA . The most frequent MPA and VPA were observed 5–7 and 1–3 days per week, respectively. Results of body composition indicated that boys experiencing VPA had lower body fat mass compared to those who experienced only MPA and LPA (p < 0.05). Analysis of physical fitness results indicated that boys who experienced VPA were better muscular in strength and endurance test (p < 0.05), but results of high jump and sit and reach test were not significantly different. Discussion and conclusion. Boys who experienced VPA at least for 3 days/week demonstrated better muscular strength and endurance results and had lower body fat content (%) (p < 0.05). For boys who did not experience MPA at least for 6 days/week, the total amount of weekly physical activity decreased and they could not produce better results in strength and endurance test (p < 0.05). Better results of boys’ muscular strength and endurance were  significantly related to their body lower BMI (r = 0.279; p < 0.05) and fat mass (r = 0.387; p < 0.01). Objectively Measured Weekly Physical  Activity among Adolescent Boys and its  Relation to Health-Related Physical FitnessKeywords: physical activity, MET’s, actigraphs.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 791-791
Author(s):  
Sari Stenholm ◽  
Anna Pulakka ◽  
Tuija Leskinen ◽  
Jaana Pentti ◽  
Olli Heinonen ◽  
...  

Abstract This study aimed to identify accelerometer measured daily physical activity patterns and to examine how they associate with health-related physical fitness among 258 participants (mean age 62.4 years, SD 1.0) from the Finnish Retirement and Aging Study. Wrist-worn ActiGraph accelerometer was used and health-related physical fitness measures included body composition, cardiorespiratory fitness and muscular fitness. Based on latent class trajectory analysis, six different patterns of daily physical activity was identified on workdays and two on days off. Having low activity throughout the workday was associated with poorest health-related physical fitness, whereas a combination of low or moderate activity during working hours and increase of activity level in the evening was associated with most favorable body composition and better physical fitness compared to the other trajectories. In conclusion, a large variation in the workday physical activity patterns and health-related physical fitness was observed among aging workers.


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