Association between physical activity and quality of life in haemodialysed and peritoneal dialyzed patients in Hungary

Ren Fail. 2024 Dec;46(1):2324079. doi: 10.1080/0886022X.2024.2324079. Epub 2024 Feb 29.


Background: Patients with end-stage kidney disease (ESKD) receiving peritoneal dialysis (PD) or haemodyalisis (PD) appear to be less physically active than healthy persons, a situation that could lead to reductions in quality of life. The aim of the present study was to assess and compare physical activity and health-related quality of life in renal patients on HD and PD programs.

Methods: In May 2020, 130 patients (106 HD and 24 PD) were enrolled in a study of chronic dialysis programs. All participants received a questionnaire containing information on demographics, treatment, and co-morbidities. Physical activity was assessed using the International Physical Activity Questionnaire (IPAQ) short form, and quality of life was measured using the Kidney Disease Quality of Life-Short Form 12 (KDQOL-SF-12) questionnaire comprising mental (MCS) and physical components (PCS). Non-parametric statistical tests were executed with 0.05 as the level of significance.

Results: The physical activity of patients treated in both HD and PD programs could be considered as low, without a statistically significant difference between the two modalities. For the quality of life measures, we found a significant (p = .004) difference regarding Physical Component Summary (PCS) scores, with higher PCS scores in patients treated in the PD programme compared to HD. Furthermore, higher physical activity levels were associated with better quality of life parameters in both groups.

Conclusion: This study confirms the importance of physical activity among dialysis patients with ESKD, suggesting that greater activity could be associated with a better quality of life.

Keywords: Physical activity; chronic kidney disease; quality of life.

MeSH terms

  • Exercise
  • Humans
  • Hungary
  • Kidney Failure, Chronic* / etiology
  • Kidney Failure, Chronic* / therapy
  • Quality of Life*
  • Renal Dialysis / adverse effects

Grants and funding

The author(s) reported there is no funding associated with the work featured in this article.