Highlighting the Medico-economic Interest of an Adapted Physical Activity for Haemodialysis Patients

Study Overview
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Brief Summary
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Chronic hemodialysis is often associated with a reduction in the quality of life of patients and a reduction in physical activity, due to the repeated frequency of sessions. Various studies conducted in hemodialysis patients have shown the beneficial effects of physical exercise during hemodialysis sessions on reducing cardiovascular risk, the number of hospitalizations and improving quality of life. It also contributes to improved patient adherence to care. Finally, it has been shown that exercise during the hemodialysis session is safe for the patient and does not disrupt dialysis parameters. Nevertheless, there are no data on the medico-economic impact of such a program. Based on the investigators' experience, the investigators have developed a specific protocol linking the different types of physical activity that have provided evidence of their efficiency and used in standard practice in the investigators' institutions. From tests and questionnaires assessing the physical abilities of patients have already validated for this population in this pathology. The objective of this project is to show the medico-economic interest of an adapted physical activity program for hemodialysis patients.

Official Title
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Highlighting the Medico-economic Interest of an Adapted Physical Activity for Haemodialysis Patients

Conditions
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Chronic Renal Failure, Renal Insufficiency, Chronic

Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patient dependent on the CPAM Haute Garonne, Patient affiliated to or beneficiary of a French social security scheme, Haemodialysis patient for more than 12 months and in front of benefiting/benefiting from a physical activity program, Patient age ≥ at 18 years old, French speaking patient. Exclusion Criteria: Patient with cancer, hepatitis, stage 4 arterial disease, arteritis or amputation of a limb Pregnant or breastfeeding women according to article L.1121-5 of the CSP, Vulnerable persons according to article L.1121-6 of the CSP, Persons of full age under guardianship or curatorship or under safeguard of justice, Patient unable to personally give his or her consent, or age of majority protected by law, Opposition expressed to inclusion in the study.

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Variation in direct and indirect medical costs | Evaluation of medical costs between the 12 months prior to the start of the adapted physical activity program and the 12 months following the start of the adapted physical activity program. | through study completion, an average of 1 year | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| change in the quality of life score | Assessed by a The Short Form (36) (SF-36 scale) interpreted by an algorythm | baseline, at 6 months and at one year | 
| change in body mass index, weight and height will be combined to report BMI in kg/m^2 | obtained in start of hemodialysis session | every month, up to 12 months | 
| change in blood presure in mmHg | obtained in start of hemodialysis session | every month, up to 12 months | 
| change in rate of haemoglobin in g/dL | obtained in start of hemodialysis session | every month, up to 12 months | 
| change in percentage of hematocrit and saturation coefficient in % | obtained in start of hemodialysis session | every month, up to 12 months | 
| change in rate of ferritin in ug/L | obtained in start of hemodialysis session | every month, up to 12 months | 
| change in rate of urea, transferrin and blood sugar in g/L | obtained in start of hemodialysis session | every month, up to 12 months | 
| change in rate of potassium in mEq/L | obtained in start of hemodialysis session | every month, up to 12 months | 
| change in rate of bicarbonate in mmol/L | obtained in start of hemodialysis session | every month, up to 12 months | 
| change in rate of calcium, phosphore and C-reactiv protein in mg/L | obtained in start of hemodialysis session | every month, up to 12 months | 
| change in physical activity evaluation score, from 0 (better) to 20 (worse) | obtained thanks to Borg scale | baseline, at 6 months and at one year |