PAR-Q & YOU Questionnaire and cardiovascular history of elderly patients on dialysis engaged in physical activity
Abstract
Introduction: During the last few years, physical activity has become a therapeutic tool and a protective mechanism for the elderly; it reduces cardiovascular risk in patients undergoing different types of dialysis and receiving palliative care. Objective: The aim of this study was to establish the inclusion criteria for a therapeutic physical activity program through the use of the PAR-Q & YOU Questionnaire with elderly patients treated with different types of hemodialysis, and to relate it with cardiovascular risk factors. Methods: Pearson's chi-squared test was used to determine the possible association among variables, considering the medical history and discomfort caused by physical activity against the results of PAR-Q & YOU. Binary logistic regression was used with the variables in the chi-squared test. Conclusions: Through logistic regression, we found that cardiovascular history was 10.44 times more significant to establish the relevance of the PAR-Q & YOU as a basic assessment instrument for the inclusion in a physical activity program which is part of a physiotherapy-led renal rehabilitation.
References
Ohtake T, Kobayashi S. Impact of vascular calcification on cardiovascular mortality in hemodialysis patients: clinical significance, mechanisms and possible strategies for treatment. Renal Replace Ther. 2017;3(1):13.
Jansen FM, Prins RG, Etman A, Van Der Ploeg HP, de Vries SI, Van Lenthe FJ, et al. Physical activity in non-frail and frail older adults. PLoS One. 2015;10(4):e0123168.
Bolaños L, Mesa L, Vázquez C, Lavilla J, Errasti P. Ejercicio físico e insuficiencia renal crónica. Rev Med Univ Navarra. 1993;38(1):38-41.
Ryckeley JB, Randolph SA. Improving cardiovascular health through physical activity. Workplace Health Saf. 2012;60(7):328.
Hoehner CM, Soares J, Parra Perez D, Ribeiro IC, Joshu CE, Pratt M, et al. Physical activity interventions in Latin America: a systematic review. Am J Prev Med. 2008;34(3):224-233.
Kontos P, Alibhai SMH, Miller KL, Brooks D, Colobong R, Parsons T, et al. A prospective 2-site parallel intervention trial of a research-based film to increase exercise amongst older hemodialysis patients. BMC Nephrol. 2017;18:37.
Nelson ME, Rejeski WJ, Blair SN, Duncan PW, Judge JO, King AC, et al. Physical activity and public health in older adults. Recommendation from the American College of Sports Medicine and the American Heart Association. Circulation. 2007;116(9):1094-105.
Maranhao Neto GA, Luz LG, Farinatti PT. Diagnostic accuracy of pre-exercise screening questionnaire: emphasis on educational level and cognitive status. Arch Gerontol Geriatr. 2013;57(2):211-4.
Goodman JM, Thomas SG, Burr J. Evidence-based risk assessment and recommendations for exercise testing and physical activity clearance in apparently healthy individuals. Appl Physiol Nutr Metab. 2011;36 Suppl 1:S14-32.
Warburton DE, Jamnik VK, Bredin SS, Burr J, Charlesworth S, Chilibeck F, et al. Executive summary: the 2011 Physical Activity Readiness Questionnaire for Everyone (PAR-Q+) and the Electronic Physical Activity Readiness Medical Examination (ePARmed-X+). Health Fitness J Canada 2011;4(2):24-5.
Pereira-Rodríguez J, Boada-Morales L, Peñaranda-Florez DG, Torrado-Navarro Y. Diálisis y hemodiálisis. Una revisión actual según la evidencia. Nefrol Argent. 2017;15(2):[19 p.].
American College of Sports Medicine Position Stand. The recommended quantity and quality of exercise for developing and maintaining cardiorespiratory and muscular fitness, and flexibility in healthy adults. Med Sci Sports Exerc. 1998;30(6):975-91.
Leppaluoto J, Ahola R, Herzig KH, Korpelainen R, Keinanen-Kiukaanniemi S, Jamsa T. Objective measurement of physical activity in adults. Duodecim. 2012;128(1):72-9.
Tao X, Chow SKY, Wong FK. The effects of a nursesupervised home exercise programme on improving patients' perceptions of the benefits and barriers to exercise: A randomised controlled trial. JJ Clin Nurs. 2017;26(17-18):2765-75.
Cardinal BJ. Assessing the physical activity readiness of inactive older adults. Adapt Phys Activ Q. 1997;41(1):65-73.
Hallal PC, Machado PT, Del Duca GF, Silva IC, Amorim TC, Borges TT, et al. Physical activity advice: short report from a population-based study in Brazil. J Phys Act Health 2010;7(3):352-4.
Gómez LF, Duperly J, Lucumí DI, Gámez R, Venegas AS. Nivel de actividad física global en la población adulta de Bogotá (Colombia). Prevalencia y factores asociados. Gac Sanit. 2005;19(3):206-13.
Rogers CE, Cordeiro M, Perryman E. Maintenance of physical function in frail older adults. Nurs Clin North Am. 2014;49(2):147-56.
Stessman J, Hammerman-Rozenberg R, Cohen A, Ein-Mor E, Jacobs JM. Physical activity, function, and longevity among the very old. Arch Intern Med. 2009;169(16):1476-83.
Sedlacek J, Sebera M, Michalek J. Selected somatic parameters by socio-cultural characteristics of czech adult population. J Human Sport Exerc. 2014;9(1):S311-S318.
Thompson PD, Buchner D, Pina IL, Balady GJ, Williams MA, Marcus BH, et al. Exercise and physical activity in the prevention and treatment of atherosclerotic cardiovascular disease: a statement from the Council on Clinical Cardiology (Subcommittee on Exercise, Rehabilitation, and Prevention) and the Council on Nutrition, Physical Activity, and Metabolism (Subcommittee on Physical Activity). Circulation. 2003;107(24):3109-16.
Zhang L, Luo H, Kang G, Wang W, Hu Y. The association between physical activity and mortality among patients undergoing maintenance hemodialysis. Int J Nurs Pract. 2017; 23(1): e12505.
Pianta TF. The role of physical therapy in improving physical functioning of renal patients. Adv Ren Replace Ther. 1999;6(2):149-58.
