Advanced SearchSearch Tips
The Levels of Physical Activity and Its Relationships with Depression, Health-related Quality of Life, Sleep Disturbance, and Physiological Indicators in Hemodialysis Patients
facebook(new window)  Pirnt(new window) E-mail(new window) Excel Download
  • Journal title : Korean Journal of Adult Nursing
  • Volume 27, Issue 6,  2015, pp.718-727
  • Publisher : Korean Society of Adult Nursing
  • DOI : 10.7475/kjan.2015.27.6.718
 Title & Authors
The Levels of Physical Activity and Its Relationships with Depression, Health-related Quality of Life, Sleep Disturbance, and Physiological Indicators in Hemodialysis Patients
Park, Youngjoo; Lee, Haejung;
  PDF(new window)
Purpose: The purpose of this study was to identify the levels of physical activity and its relationships with depression, health-related quality of life (QoL), sleep disturbance, and physiological indicators in hemodialysis patients. Methods: The participants in this study were 139 patients undergoing hemodialysis in the hospitals in Busan and Yangsan-si. Data were collected using hematologic tests and questionnaires that contained items about individual characteristics, International Physical Activity Questionnaires (IPAQ), Center For Epidemiological Studies Depression Scale (CES-D), a 12-item Short-Form Health Survey (SF-12), and Pittsburgh Sleep Quality Index (PSQI). Data were analyzed using descriptive statistics, one way ANOVA, and correlation. Results: Mean age of the participants was and mean physical activity levels were . Patients who performed higher physical activities during their daily activities reported lower levels of depression (F=4.16, p=.018) and higher levels of QOL (PCS: F=5.00, p=.008, MCS: F=8.66, p<.001) than those of the others who did not perform physical activities. Conclusion: This study showed that the levels of physical activity among hemodialysis patients was significantly associated with their depression and QOL. Developing strategies for enhancing physical activity is warranted to improve depression and QOL among hemodialysis patients.
Renal dialysis;Motor activity;Depression;Quality of life;Dyssomnias;
 Cited by
A study on Symptom Experience, Spiritual Well-Being, and Depression in Patients Undergoing Hemodialysis, Journal of the Korea Academia-Industrial cooperation Society, 2016, 17, 5, 660  crossref(new windwow)
Health Insurance Review & Assessment Service. 2012 Hemodialysis adequacy assessment (summary) [Internet]. Seoul: Health Insurance Review & Assessment Service; 2015 [cited 2015 February 28]. Available from:

Kurella S, Kimmel PL, Young BS, Chertow GM. Suicide in the United States end-stage renal disease program. Journal of the American Society of Nephrology. 2007;16:774-81. crossref(new window)

Park KS, Choi SH, Park MJ. Comparison of muscle strength and gait ability between hemodialysis patients and healthy adults. Journal of Korean Public Health Nursing. 2012;26(1):82-91. crossref(new window)

Fiaccadori E, Sabatino A, Schito F, Angella F, Malagoli M, Tuccic M, et al. Barriers to physical activity in chronic hemodialysis patients: a single-center pilot study in an Italian dialysis facility. Kidney Blood Press Research. 2014;39:169-75. crossref(new window)

Drayer RA, Piraino B, Reynolds CF, Houck PR, Mazumdar S, Bernardini J, et al. Characteristics of depression in hemodialysis patients: symptoms, quality of life and mortality risk. General Hospital Psychiatry. 2006;28:306-12. crossref(new window)

Keskin G, Engin E. The evaluation of depression, suicidal ideation and coping strategies in haemodialysis patients with renal failure. Journal of Clinical Nursing. 2011;20:2721-32. crossref(new window)

Abdelwhab S, Kamel M, Noshey M. Sleep disorders in hemodialysis patients. Kidney. 2010;19(4):175-81. crossref(new window)

Izawa KP, Watanabe S, Oka K, Hiraki K, Morio Y, Kasahara Y, et al. Physical activity in relation to exercise capacity in chronic heart failure patients. International Journal of Cardiology. 2011;152(1):152-3. crossref(new window)

Ouzouni S, Grekas D, Deligiannis A. Effects of intradialytic exercise training on health-related quality of life indices in haemodialysis patients. Clinical Rehabilitation. 2009;23:53-63. crossref(new window)

Afshar R, Emany A, Saremi A, Shavandi N, Sanavi S. Effects of intradialytic aerobic training on sleep quality in hemodialysis patients. Iranian Journal of Kidney Diseases. 2011;5(2):119-23.

Makhlough A, Mohseni E, Shahmohammadi S. Effect of intradialytic aerobic exercise on serum electrolytes levels in hemodialysis patients. Iranian Journal of Kidney Diseases. 2012;6(2):119-23.

Lima MC, Cicotoste CL, Cardoso KS, Junior LAF, Monteiro BM, Dias KS. Effect of exercise performed during hemodialysis: strength versus aerobic. Renal Failure. 2013;35(5):697-704. crossref(new window)

Lee HJ, Jin HK, Park JN, Chun KJ, Kim JH. Consistency in measuring physical activities and regular exercises and their relationship with exercise capacity and quality of life in patients with heart failure. Journal of Korean Biological Nursing Science. 2014;16(4):284-91. crossref(new window)

Johansen KL, Sakkas GK, Doyle J, Shubert T, Dudley RA. Exercise counseling practice among nephrologists caring for patients on dialysis. American Journal of Kidney Disease. 2003;41(1):171-8. crossref(new window)

Curtin RB, Klag MJ, Bultman DC, Schatell D. Renal rehabilitation and improved patient outcomes in Texas dialysis facilities. American Journal of Kidney Disease. 2002;40:331-8. crossref(new window)

Mohseni R, Zeydi AE, Ilali E, Adib-Hajbaghery M, Makhlough A. The effect of intradialytic aerobic exercise on dialysis efficacy in hemodialysis patients: a randomized controlled trial. Oman Medical Journal. 2013;28(5):345-9. crossref(new window)

Oh JY, Yang YJ, Kim BS, Kang JH. Validity and reliability of Korean version of International Physical Activity Questionnaire (IPAQ) short form. Journal of the Korean Academy on Family Medicine. 2007;28(7):532-41.

Radloff LS. The CES-D scale: a self-report depression scale for research in the general population. Applied Psychological Measurement. 1997;1(3):385-401.

Chon KK, Choi SC, Yang BC. Integrated adaptation of CES-D in Korea. Korean Journal of Health Psychology. 2001;6(1):59-76.

Ware JE Jr, Sherbourne CD. The MOS 36-item short-form health survey (SF-36): conceptual framework and item selection. Medical Care. 1992;30:473-83. crossref(new window)

Buysse DJ, Reynolds CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Research. 1989;28:193-213. crossref(new window)

Choi HJ, Kim SJ, Kim BJ, Kim IJ. Korean versions of self-reported sleep questionnaires for research and practice on sleep disturbance. Korean Academic Society of Rehabilitation Nursing. 2012;15(1):1-10. crossref(new window)

Lopes AA, Bragg J, Young B, Goodkin D, Mapes D, Combe C, et al. Depression as a predictor of mortality and hospitalization among hemodialysis patients in the United States and Europe. Kidney International. 2002;62:199-207. crossref(new window)

Lopes GB, Silva LF, Pinto GB, Catto LF, Martins MTS, Dutra MMD, et al. Patient's response to a simple question on recovery after hemodialysis session strongly associated with scores of comprehensive tools for quality of life and depression symptoms. Quality of Life Research. 2014;23:2247-56. crossref(new window)

Nabolsi MM, Wardam L, Al-Halabi JO. Quality of life, depression, adherence to treatment and illness perception of patients on haemodialysis. International Journal of Nursing Practice. 2013;21:1-10. crossref(new window)

Park JH, Lee JJ, Lee SB, Huh YS, Choi AE, Youn JC, et al. Prevalence of major depressive disorder and minor depressive disorder in an elderly Korean population: results from the Korean longitudinal study on health and aging (KLoSHA). Journal of Affective Disorders. 2010;125:234-40. crossref(new window)

Jo YJ, Shin YH. Depression, self care compliance and physiological indices of hemodialysis patients. Keomyung Journal of Nursing Science. 2011;15(1):115-22.

Windsor TD, Rodgers B, Butterworth P, Anstey KJ, Jorm AF. Measuring physical and mental health using the SF-12: implications for community surveys of mental health. Australian and New Zealand Journal of Psychiatry. 2006;40:797-803. crossref(new window)

Alshraifeen A, McCreaddie M, Evans JMM. Quality of life and well-being of people receiving haemodialysis treatment in Scotland: a cross-sectional survey. International Journal of Nursing Practice 2013;20:518-23. crossref(new window)

Chavoshi F, Einollahi E, Haghighi KS, Saraei M, Izadianmehr N. Prevalence and sleep related disorders of restless leg syndrome in hemodialysis patients. Nephro-Urology Monthly. 2015;7(2):1-5.