Relationships between Neighborhood Walkability and Objectively Measured Physical Activity Levels in Hemodialysis Patients

Background/Aims: Neighborhood walkability is associated with indicators of health in the general population. We explored the association between neighborhood walkability and daily steps in hemodialysis (HD) patients. Methods: We measured daily steps over 5 weeks using Fitbit Flex (Fitbit, San Franci...

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Veröffentlicht in:Blood purification 2018-01, Vol.45 (1-3), p.236-244
Hauptverfasser: Han, Maggie, Ye, Xiaoling, Preciado, Priscila, Williams, Schantel, Campos, Israel, Bonner, Marcee, Young, Candace, Marsh, Daniel, Larkin, John W., Usvyat, Len A., Maddux, Franklin W., Pecoits-Filho, Roberto, Kotanko, Peter
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container_end_page 244
container_issue 1-3
container_start_page 236
container_title Blood purification
container_volume 45
creator Han, Maggie
Ye, Xiaoling
Preciado, Priscila
Williams, Schantel
Campos, Israel
Bonner, Marcee
Young, Candace
Marsh, Daniel
Larkin, John W.
Usvyat, Len A.
Maddux, Franklin W.
Pecoits-Filho, Roberto
Kotanko, Peter
description Background/Aims: Neighborhood walkability is associated with indicators of health in the general population. We explored the association between neighborhood walkability and daily steps in hemodialysis (HD) patients. Methods: We measured daily steps over 5 weeks using Fitbit Flex (Fitbit, San Francisco, CA, USA) and retrieved Walk Score® (WS) data by patient’s home ZIP code (www.walkscore.com; 0 = poorest walkability; 100 = greatest walkability). Results: HD patients took a mean of 6,393 ± 3,550 steps/day (n = 46). Median WS of the neighborhood where they resided was 28. Patients in an above-median WS (n = 27) neighborhood took significantly more daily steps compared to those (n = 19) in a below-median WS neighborhood (7,514 ± 3,900 vs. 4,800 ± 2,228 steps/day; p < 0.001, t test). Daily steps and WS were directly correlated (R = 0.425; p = 0.0032, parametric test; R = 0.359, p = 0.0143, non-parametric test). Conclusion: This is the first study conducted among HD patients to indicate a direct relationship between neighborhood walkability and the actual steps taken. These results should be considered when designing initiatives to increase and improvise exercise routines in HD populations.
doi_str_mv 10.1159/000485161
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source Karger Journals; MEDLINE
subjects Adult
Aged
Female
Humans
Male
Middle Aged
Original Paper – Advances in CKD 2018
Renal Dialysis
Retrospective Studies
Walking
title Relationships between Neighborhood Walkability and Objectively Measured Physical Activity Levels in Hemodialysis Patients
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