Nutritional Wasting, Physical Inactivity
Conditions
Keywords
Hemodialysis, Wearable device, Health management platform
Brief summary
Aim: By application of wearable devices and health management platform to strengthen physical activity and improved life quality in hemodialysis patients.
Detailed description
Background: End stage renal disease (ESRD) is a global public health issue. The dialysis therapy brings huge economic burden to many countries. If patients are able to monitor their lifestyle, it not only promotes health, but also reduces the cost of health care. Aim: By application of wearable devices and health management platform to strengthen physical activity and improved life quality in hemodialysis patients. Material and Methods: The investigators plan to recruit 30 CKD patients as trial subjects for intervention. The intervention included wearable devices and health management platform for 24 weeks. Patients record their own diet diary by a smartphone application, and their exercise-related data are collected by wearable devices. Then, all the collected information will be upload to health management platform. The investigators compare physical and laboratory examinations before and after the intervention.
Interventions
BEHAVIORALHealth platform
Each participant was provided with a wearable device (a Heart Rate Smart Wristband, GSH405-B6, Golden Smart Home Technology Corporation). Each participant downloaded an app (WowGoHealth app) to connect with the health management platform (GSH AI health platform). Participants' exercise-related data, including number of steps walked, distance, consumed calories, and heart rate, were collected by the wearable devices. All participants were taught to record a dietary diary (taking photos of meals) using a smartphone application. All collected information was uploaded to the health management platform. For the intervention group, we encouraged exercise including an 18-minutes calisthenics made by the Health Promotion Administration, Ministry of Health and Welfare (https://www.youtube.com/watch?v=r3xJW-b2tZY).
BEHAVIORALSocial media
We built a LINE group to inspire the intervention group.
OTHERExercise training
exercise including walk and an 18-minutes calisthenics
Sponsors
National Taiwan University Hospital
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
intervention group and control group
Eligibility
Sex/Gender
ALL
Age
20 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
* age 20 years and older * diagnosis of ESRD receiving maintenance HD for more than 3 months
Exclusion criteria
* inability to use a smartphone * impaired walking capacity * having a psychiatric disorder * any hospitalization during the previous 3 months. * has been changing dialysis modality or receiving renal transplantation
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change of sit-to-stand-10 (STS-10) | baseline, week 4, week 8, week 12, week 16 and week 24 | time to complete 10 sit-to-stand cycles |
| Change of sit-to-stand-60 (STS-60) | baseline, week 4, week 8, week 12, week 16 and week 24 | the number of repetitions of sit-to-stand cycles achieved in 60 seconds |
| Change of 6-minute walking distance (6MWT) | baseline, week 4, week 8, week 12, week 16 and week 24 | the distance the participants walk as fast as they could for 6 minutes on a flat 30-meter track |
| Change of hand grip strength | baseline, week 4, week 8, week 12, week 16 and week 24 | the strength of hand drip measured by a dynamometer |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change of KDQOL-SF | baseline, week 4, week 8, week 12, week 16 and week 24 | Quality of life measured by the KDQOL-SF (dialysis version) |
| Change of subjective global assessment (SGA) | baseline, week 4, week 8, week 12, week 16 and week 24 | subjective global assessment for nutritional status |
Countries
Taiwan
Outcome results
None listed