Abstract
Patients with chronic kidney disease (CKD) undergoing hemodialysis face significant challenges in engaging in physical activity. Yet, the ability to perform daily activities is essential for improving quality of life. This study aimed to assess the relationship between quality of life and physical activity levels among CKD patients on hemodialysis. This cross-sectional study was conducted on 85 CKD patients receiving hemodialysis treatment. Quality of life was assessed using the Kidney Disease Quality of Life (KD-QoL), while physical activity was assessed using the International Physical Activity Questionnaire (IPAQ). The statistical descriptive, followed by the assessment of association using the Spearman Correlation, was then conducted. The study found that a higher proportion of CKD patients were men, married, unemployed and with comorbidities. The physical activity was mostly conducted in ‘home-based/domestic’ domains. Low KDQoL scores were observed in areas involving ‘work’, ‘emotional’, and ‘physical health’. Occupational activity correlated with symptoms, social interaction, support, and staff encouragement (r=0.414-0.871). Domestic activity strongly correlated with ‘kidney disease effects’, ‘work status’, sleep, ‘physical functioning’, pain, ‘general health’, emotional well-being, and SF-12 scores (r=0.674-0.917). Leisure activity correlated with ‘cognitive and sexual function’, ‘general health’, and ‘emotional well-being’ (r=0.669-0.930). Transport activity correlated with symptoms, ‘kidney disease effects’, ‘cognitive and sexual function’, sleep, pain, and ‘social function; (r=0.302-0.999). Total physical activity was also associated with various quality-of-life components (r=0.611-0.985). These findings suggest the importance of supportive environments to improve physical activity and the quality of life of CKD patients on hemodialysis. Keywords: chronic kidney disease, hemodialysis, physical activity, sports medicine, quality of life
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