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Use of pedometers to increase physical activity among children and adolescents with chronic kidney disease

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Abstract

Background

Children and adolescents with chronic kidney disease (CKD) are inactive relative to their peers.

Methods

Forty-four children and adolescents aged 7–20 years with CKD, end-stage renal disease (ESRD) on dialysis or a kidney transplant participated in a 12-week pedometer-based intervention to increase physical activity. Patients recorded daily step counts and reported them weekly. Pediatric Quality of Life Inventory (PedsQL) and 6-min walk (6 MW) were administered at baseline and after 12 weeks.

Results

Age was 15.1 ± 3.4 years; 27 % had CKD, 16 % were receiving dialysis, and 57 % had received a kidney transplant. Mean daily step count did not change significantly (+48, 95 % CI −48 to +145 steps/day per week). Transplant recipients and patients with CKD increased their activity by 100 steps/day (95 % CI −14 to 208) and 73 steps/day (95 % CI −115 to 262) each week, respectively, and patients on dialysis decreased by 133 steps/day (95 % CI −325 to 58; p value for interaction 0.03) in multivariable analysis. Change in physical activity was associated with change in 6 MW distance (r = 0.74, p < 0.001) and change in physical functioning (r = 0.53, p = 0.001).

Conclusions

Youths with CKD did not significantly increase their activity over 12 weeks of a pedometer-based intervention. However, changes in physical activity were associated with changes in physical functioning and performance.

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Acknowledgments

Dr. Akber was supported by the University of California, San Francisco, Nephrology Division T32 fellowship training grant. Dr. Johansen was supported by grant K24DK05153 from the National Institute of Diabetes and Digestive and Kidney Diseases. This project was also supported by National Institutes of Health/National Center for Research Resources University of California, San Francisco-Clinical & Translational Science Institute grant UL1 RR024131. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the National Institutes of Health.

Financial disclosure

Dr. Johansen serves on the National Nephrology Advisory Board of Amgen and as Deputy Editor for the Clinical Journal of the American Society of Nephrology. Dr. Portale receives research support from Genzyme Corp and Abbott Laboratories.

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Authors and Affiliations

  1. Department of Pediatrics, Division of Nephrology, Kaiser Oakland Medical Center, Oakland, CA, USA

    Aalia Akber

  2. Department of Pediatrics, Division of Nephrology, University of California, San Francisco, San Francisco, CA, USA

    Anthony A. Portale

  3. Department of Medicine, Division of Nephrology, UCSF and Nephrology Section, San Francisco VA Medical Center, San Francisco, CA, USA

    Kirsten L. Johansen

  4. Nephrology Section, 111J, San Francisco VA Medical Center, 4150 Clement Street, San Francisco, CA, 94121, USA

    Kirsten L. Johansen

Authors
  1. Aalia Akber
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  2. Anthony A. Portale
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  3. Kirsten L. Johansen
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Corresponding author

Correspondence to Kirsten L. Johansen.

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Akber, A., Portale, A.A. & Johansen, K.L. Use of pedometers to increase physical activity among children and adolescents with chronic kidney disease. Pediatr Nephrol 29, 1395–1402 (2014). https://doi.org/10.1007/s00467-014-2787-6

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  • DOI: https://doi.org/10.1007/s00467-014-2787-6

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