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Home-based tele-exercise training and physical activity during the COVID-19 pandemic in chronic kidney disease patients

  • Original Article
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Journal of Nephrology Aims and scope Submit manuscript

Abstract

Background

The coronavirus disease 2019 (COVID-19) pandemic and lockdown reduced physical activity levels in hemodialysis (HD) patients and kidney transplant recipients (KTRs). This study aimed to describe physical activity levels during lockdown and assess the effects of an online home-based exercise training program on physical activity levels in HD patients and KTRs.

Methods

Forty-five HD patients and thirty-five KTRs were divided into four groups: exercise groups 1 (ΕΧ-HD) and 2 (EX-KTR) followed a 4-month tele-exercise training program, while control groups received usual care. All participants at baseline and at the end of the study completed the International Physical Activity Questionnaire (IPAQ), while their daily physical activity levels were recorded via a step counting application.

Results

At the end of the study, the repeated measures analysis revealed a significant effect of time, group, and time-by-group interaction in the average steps per day, walking, and moderate activity for the exercise-HD group (p < 0.05). Similarly, the analysis revealed a notable effect of time, group, and time-by-group interaction in the exercise-KTR group in average daily steps, vigorous and walking activity (p < 0.05). Multiple regression analysis showed that the level of physical activity at the end of the study was related to the urban place of residence and the participation in the 4-month exercise program of both HD patients and KTRs.

Conclusions

Participation in a tele-exercise training program led to favorable effects on physical activity levels both in HD patients and KTRs during lockdown.

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Data availability

The data are not available to the public, as they are subject to ethical restrictions.

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Funding

This study received no funding.

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Authors and Affiliations

  1. Sports Medicine Laboratory, School of Physical Education and Sport Science, Aristotle University, 57001, Thessaloniki, Greece

    Vassiliki Michou, Maria Anifanti, Dimitra Mameletzi, Asterios Deligiannis & Evangelia Kouidi

  2. Transplant Surgery Clinic of Aristotle University of Thessaloniki, Hippokration General Hospital, 54642, Thessaloniki, Greece

    Maria Nikodimopoulou

  3. Division of Nephrology and Hypertension, 1st Department of Internal Medicine, Medical School, AHEPA Hospital, Aristotle University, 57001, Thessaloniki, Greece

    Vassilios Liakopoulos

  4. Laboratory of Hygiene, Department of Internal Medicine, Agios Dimitrios Hospital, Aristotle University, 57001, Thessaloniki, Greece

    Georgios Tsamos

  5. Division of Endocrinology and Metabolism and Diabetes Center, First Department of Internal Medicine, Medical School, Aristotle University of Thessaloniki, AHEPA University Hospital, Thessaloniki, Greece

    Dimitra Vasdeki

  6. S Laboratory of Exercise, Health and Human Performance, Applied Sport Science Postgraduate Program, Department of Life Sciences, School of Sciences, European University Cyprus, Nicosia, Cyprus

    George Panayiotou

Authors
  1. Vassiliki Michou
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  2. Maria Nikodimopoulou
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  3. Vassilios Liakopoulos
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  4. Maria Anifanti
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  5. Georgios Tsamos
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  7. George Panayiotou
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  8. Dimitra Mameletzi
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Correspondence to Vassiliki Michou.

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Ethical approval

The study was conducted in accordance with the Declaration of Helsinki, and approved by the Ethics Committee of the Aristotle University of Thessaloniki, Greece (Protocol number: 117461/2019).

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All participants provided informed consent before participation.

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Michou, V., Nikodimopoulou, M., Liakopoulos, V. et al. Home-based tele-exercise training and physical activity during the COVID-19 pandemic in chronic kidney disease patients. J Nephrol (2024). https://doi.org/10.1007/s40620-024-01976-x

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