Digital health interventions to promote healthy lifestyle in hemodialysis patients: an interventional pilot study

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 physi...

Full description

Saved in:
Bibliographic Details
Published in:Scientific reports 2024-02, Vol.14 (1), p.2849-2849, Article 2849
Main Authors: Li, Wen-Yi, Yeh, Jiang-Chou, Cheng, Cheng-Chih, Huang, Su-Hua, Yeh, Hui-Chin, Cheng, Bor-Wen, Lin, Jou-Wei, Yang, Feng-Jung
Format: Article
Language:English
Subjects:
692/4022/272
692/700/228/491
692/700/784
Digital Health
Exercise
Health behavior
Health promotion
Healthy Lifestyle
Hemodialysis
Humanities and Social Sciences
Humans
Kidney Diseases
Kidneys
Lifestyles
multidisciplinary
Nutritional status
Physical activity
Physical fitness
Physical training
Pilot Projects
Prospective Studies
Quality of Life
Renal Dialysis - methods
Science
Science (multidisciplinary)
Social networks
Wearable computers
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary: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.
ISSN:2045-2322
2045-2322
DOI:10.1038/s41598-024-53259-x