Use of Pedometers to Measure and Increase Walking Among Patients With ESRD (PED)
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
California
-
San Francisco, California, United States, 94114
- University of California San Francisco
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- on hemodialysis for ≥ 3 months
- able to walk
- able to give informed consent and willing to participate
Exclusion Criteria:
- unable to walk
- unable to understand directions or give informed consent
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: pedometer
Patients will be given pedometers and instructions to increase physical activity based on pedometer output
|
pedometer-based physical activity recommendations
|
|
No Intervention: usual care
No intervention
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Physical Activity
Time Frame: Baseline and 12 weeks
|
change in steps per day from pedometer
|
Baseline and 12 weeks
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Physical Performance
Time Frame: Baseline and 12 weeks
|
change in score on the Short Physical Performance Battery (0-12), higher scores indicate greater physical performance
|
Baseline and 12 weeks
|
|
Self-reported Physical Functioning
Time Frame: Baseline and 12 weeks
|
Change in score on the Physical Function scale of the Short-Form 36 Health Survey (scale from 0-100, higher numbers indicate better physical functioning)
|
Baseline and 12 weeks
|
|
Change in Activities of Daily Living Score
Time Frame: Baseline and 12 weeks
|
Barthel's Index of Daily Activities (Index range 0-20, higher scores indicate greater functional independence)
|
Baseline and 12 weeks
|
|
Change in Symptom Burden on the Dialysis Symptoms Index
Time Frame: Baseline and 12 weeks
|
Dialysis symptom index (symptom burden ranges from 0 - 29 symptoms experienced)
|
Baseline and 12 weeks
|
|
Change in Total Body Muscle Mass (Adjusted by Height Squared)
Time Frame: Baseline and 12 weeks
|
(TBMM calculated from measurements of intracellular water from bioimpedance spectrometry)
|
Baseline and 12 weeks
|
|
Change in Endothelial Function
Time Frame: 12 weeks
|
Reactive hyperemia index (RHI) using peripheral arterial tonometry.
RHI is a non-invasive measure of endothelial function, measured using the EndoPAT 2000 (Itamar Medical).
The pulse amplitude in the middle fingers of both hands was recorded for five minutes.
A blood pressure cuff was then inflated in one arm (which did not have a vascular access in place) to at least 60 mmHg above systolic blood pressure to achieve full occlusion (minimum 200 mmHg, maximum 300 mmHg).
After occlusion for 5 minutes, the cuff was deflated, and the device recorded changes in pulse amplitude for an additional 5 minutes and calculated RHI as the ratio of the post to pre occlusion amplitude of the occluded arm relative to the post to pre occlusion amplitude of the control arm, corrected for baseline vascular tone.
|
12 weeks
|
|
Change in the Short From 36 Vitality Scale
Time Frame: Baseline and 12 weeks
|
Short Form 36 Vitality Scale (0-100, greater values indicate increased levels of energy/decreased levels of fatigue)
|
Baseline and 12 weeks
|
|
Change in SDNN (ms)
Time Frame: 12 weeks
|
Standard deviation of N-N intervals as recorded on electrocardiography waveform (ms)
|
12 weeks
|
|
Change in Symptom Severity on Dialysis Symptoms Index
Time Frame: Baseline and 12 weeks
|
Symptoms range from score of 0 (Not at all bothersome) to 5 (Very Bothersome) over 29 symptoms.
Score ranges from 0 - 145
|
Baseline and 12 weeks
|
Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
General Publications
- Bernier-Jean A, Beruni NA, Bondonno NP, Williams G, Teixeira-Pinto A, Craig JC, Wong G. Exercise training for adults undergoing maintenance dialysis. Cochrane Database Syst Rev. 2022 Jan 12;1(1):CD014653. doi: 10.1002/14651858.CD014653.
- Sheshadri A, Kittiskulnam P, Delgado C, Sudore RL, Lai JC, Johansen KL. Association of Cognitive Function Screening Results with Adherence and Performance in a Pedometer-Based Intervention. Am J Nephrol. 2021;52(5):420-428. doi: 10.1159/000516130. Epub 2021 May 12.
- Sheshadri A, Kittiskulnam P, Delgado C, Sudore R, Lai JC, Johansen KL. Association of motivations and barriers with participation and performance in a pedometer-based intervention. Nephrol Dial Transplant. 2020 Aug 1;35(8):1405-1411. doi: 10.1093/ndt/gfaa047.
- Sheshadri A, Kittiskulnam P, Lai JC, Johansen KL. Effect of a pedometer-based walking intervention on body composition in patients with ESRD: a randomized controlled trial. BMC Nephrol. 2020 Mar 16;21(1):100. doi: 10.1186/s12882-020-01753-5.
- Sheshadri A, Kittiskulnam P, Lazar AA, Johansen KL. A Walking Intervention to Increase Weekly Steps in Dialysis Patients: A Pilot Randomized Controlled Trial. Am J Kidney Dis. 2020 Apr;75(4):488-496. doi: 10.1053/j.ajkd.2019.07.026. Epub 2019 Nov 1.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 10-02719
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