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Effect of Statewide Lockdown in Response to COVID-19 Pandemic on Physical Activity Levels of Hemodialysis Patients.
Han, Maggie; Preciado, Priscila; Thwin, Ohnmar; Tao, Xia; Tapia-Silva, Leticia M; Fuentes, Lemuel Rivera; Hakim, Mohamad; Patel, Amrish; Tisdale, Lela; Zhang, Hanjie; Kotanko, Peter.
  • Han M; Research Department, Renal Research Institute, New York City, New York, USA.
  • Preciado P; Research Department, Renal Research Institute, New York City, New York, USA.
  • Thwin O; Research Department, Renal Research Institute, New York City, New York, USA.
  • Tao X; Research Department, Renal Research Institute, New York City, New York, USA.
  • Tapia-Silva LM; Research Department, Renal Research Institute, New York City, New York, USA.
  • Fuentes LR; Research Department, Renal Research Institute, New York City, New York, USA.
  • Hakim M; Research Department, Renal Research Institute, New York City, New York, USA.
  • Patel A; Research Department, Renal Research Institute, New York City, New York, USA.
  • Tisdale L; Research Department, Renal Research Institute, New York City, New York, USA.
  • Zhang H; Research Department, Renal Research Institute, New York City, New York, USA.
  • Kotanko P; Research Department, Renal Research Institute, New York City, New York, USA.
Blood Purif ; 50(4-5): 602-609, 2021.
Article in English | MEDLINE | ID: covidwho-1166624
ABSTRACT
BACKGROUND/

OBJECTIVES:

On March 22, 2020, a statewide stay-at-home order for nonessential tasks was implemented in New York State. We aimed to determine the impact of the lockdown on physical activity levels (PAL) in hemodialysis patients.

METHODS:

Starting in May 2018, we are conducting an observational study with a 1-year follow-up on PAL in patients from 4 hemodialysis clinics in New York City. Patients active in the study as of March 22, 2020, were included. PAL was defined by steps taken per day measured by a wrist-based monitoring device (Fitbit Charge 2). Average steps/day were calculated for January 1 to February 13, 2020, and then weekly from February 14 to June 30.

RESULTS:

42 patients were included. Their mean age was 55 years, 79% were males, and 69% were African Americans. Between January 1 and February 13, 2020, patients took on average 5,963 (95% CI 4,909-7,017) steps/day. In the week prior to the mandated lockdown, when a national emergency was declared, and in the week of the shutdown, the average number of daily steps had decreased by 868 steps/day (95% CI 213-1,722) and 1,222 steps/day (95% CI 668-2300), respectively. Six patients were diagnosed with COVID-19 during the study period. Five of them exhibited significantly higher PAL in the 2 weeks prior to showing COVID-19 symptoms compared to COVID-19 negative patients.

CONCLUSION:

Lockdown measures were associated with a significant decrease in PAL in hemodialysis patients. Patients who contracted COVID-19 had higher PAL during the incubation period. Methods to increase PAL while allowing for social distancing should be explored and implemented.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Exercise / Quarantine / Renal Dialysis / Pandemics / SARS-CoV-2 / COVID-19 Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study Limits: Aged / Female / Humans / Male / Middle aged Country/Region as subject: North America Language: English Journal: Blood Purif Year: 2021 Document Type: Article Affiliation country: 000514935

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Exercise / Quarantine / Renal Dialysis / Pandemics / SARS-CoV-2 / COVID-19 Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study Limits: Aged / Female / Humans / Male / Middle aged Country/Region as subject: North America Language: English Journal: Blood Purif Year: 2021 Document Type: Article Affiliation country: 000514935