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.

中文翻譯：

促進(jìn)血液透析患者健康生活方式的數(shù)字健康干預(yù)措施：一項(xiàng)介入性試點(diǎn)研究

低體力活動(dòng)與血液透析（HD）患者的不良預(yù)后相關(guān)。維持該人群健康生活方式的干預(yù)措施對(duì)于降低死亡率非常重要。本研究旨在評(píng)估數(shù)字健康干預(yù)措施 (DHI) 對(duì)于改善 HD 患者體力活動(dòng)和健康相關(guān)生活質(zhì)量 (HRQoL) 的有效性。這項(xiàng)為期 24 周的前瞻性研究招募了 31 名臨床穩(wěn)定的 HD 患者。所有參與者都被分配了家庭鍛煉并提供了可穿戴設(shè)備。飲食和運(yùn)動(dòng)信息上傳到健康管理平臺(tái)。提供了有關(guān)飲食和鍛煉的建議，并創(chuàng)建了一個(gè)社交媒體小組。在基線以及第 4、8、12、16 和 24 周期間進(jìn)行身體機(jī)能測(cè)試。評(píng)估 HRQoL 和營養(yǎng)狀況。共有 25 名參與者完成了這項(xiàng)研究。干預(yù)后，每日步數(shù)增加了 1658 步。 10次??重復(fù)的坐站測(cè)試減少了4.4 s，60 s內(nèi)的坐站轉(zhuǎn)換增加了12次，六分鐘步行測(cè)試（6MWT）的距離增加了55.4 m。腎臟疾病生活質(zhì)量調(diào)查的心理健康組成部分和腎臟疾病負(fù)擔(dān)以及主觀總體評(píng)估（SGA）得分均有所改善。根據(jù) Spearman 相關(guān)性，每月步數(shù)與 6MWT 和 SGA 呈正相關(guān)。 DHI 結(jié)合了可穿戴設(shè)備、健康管理平臺(tái)和社交媒體，可以加強(qiáng)體育活動(dòng)，改善維持性 HD 患者的 HRQoL 和營養(yǎng)。研究結(jié)果概述了一種促進(jìn) HD 患者健康生活方式行為的新模型。

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網(wǎng)址: Digital health interventions to promote healthy lifestyle in hemodialysis patients: an interventional pilot study,Scientific Reports http://m.u1s5d6.cn/newsview908688.html