Chronic kidney disease across all stages of disease progression including: patients who do not require renal replacement therapy, patients who undergo a form of dialysis treatment and patients who have received a renal transplant. Urological and Genital Diseases Chronic kidney disease
Conditions
Interventions
This is an observational study. Participants are approached whilst attending their routine nephrology appointment or dialysis session and invited to fill in the physical activity survey. Participants
Sponsors
University Hospitals Leicester NHS Trust (UK)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: All chronic kidney disease patients will be eligible for the study. For those with a kidney transplant, all patients who received their new kidney more than 12 weeks earlier will be eligible.
Exclusion criteria
Exclusion criteria: Part 1: Transplant patients who have received a new kidney within the previous 12 weeks will be excluded, as post-operative factors are likely to affect physical activity and confound the results. Part 2 & 3: Patients with major contraindication to exercise: 1. Unstable angina or myocardial infarction during the past 6 weeks 2. Severe heart failure (NYHA IIIIV) 3. Severe COPD 4. Severe lower limb orthopaedic problems 5. Severe lower limb neuromuscular disease
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Part 1: The five validated questionnaires comprising the Leicester Kidney Patient - Physical Activity Questionnaire Survey (LKP-PAQ survey) are all short, consisting of a few questions each: 1. Duke Activity Status Index (DASI) : a widely-used measure of physical capability 2. GP Activity Questionnaire (GPPAQ): developed by the DoH to provide a simple, 4-level Physical Activity Index (PAI) reflecting an individual's current physical activity. This was chosen over other recognised physical activity questionnaires because of its brevity (most are lengthy and some require an interview) and its applicability over a wide age and health status range 3. Leisure Time Exercise Questionnaire (LTEQ): for those respondents who participate in exercise, assesses the amount of exercise undertaken (from which a metabolic equivalent [METS] estimation can be calculated) and also identifies preferred activities 4. Stage of Change Questionnaire: identifies the respondents’ state of readiness to adopt a more active lifestyle according to the Transtheoretical Model of Change 4. Self-Efficacy Questionnaire: identifies the respondents’ confidence in their ability to adopt a more active lifestyle, which is a major determinant in the success of changing behaviour. For Parts 2 and 3 the outcomes are qualitative information acquired from semi-structured interviews and focus groups. Each participant takes part on one occasion. | — |
Secondary
| Measure | Time frame |
|---|---|
| Part 1: Free text section at end of survey form - we have provided space for the respondent to elaborate on their thoughts and feelings around exercise and how they would prefer rehabilitation to be delivered. Relevant information required for analysis extracted from medical notes. 1. Age 2. Gender 3. Ethnicity 4. Co-morbidities 5. Blood/urine test results 6. Drugs Parts 2 and 3 do not have secondary outcomes. | — |
Countries
England, United Kingdom
Outcome results
None listed