• Yoshiyuki Morishita, Kazuya Kubo, Atushi Miki, Kenichi Ishibashi, Eiji Kusano, and Daisuke Nagata.
• Department of Nephrology, Jichi Medical University, Tochigi, Japan, ymori@jichi.ac.jp.
• Int Urol Nephrol. 2014 Mar 1; 46 (3): 633-9.

PurposeTo determine whether vigorous and moderate physical activity volumes are associated with skeletal muscle loss and chronic kidney disease-mineral and bone disorder (CKD-MBD) in hemodialysis (HD) patients.MethodsSkeletal muscle index (SMI) was measured using a bioelectrical impedance plethysmograph, and grip strength using a hand dynamometer, in 32 HD patients and 16 healthy controls. In HD patients, bone density was measured using digital image processing, and serum bone metabolism markers were measured as surrogate markers for CKD-MBD. Vigorous and moderate physical activity volumes of HD patients were measured using an activity monitor for 1 week, and associations between vigorous and moderate physical activity volumes and SMI, grip strength, and surrogate markers for CKD-MBD were investigated.ResultsSMI of HD patients (4.60 ± 0.98 kg/m(2)) was significantly lower than that of controls (5.55 ± 0.80 kg/m(2), p < 0.01). Grip strength of HD patients (19.9 ± 7.74 kg) was also significantly lower than that of controls (33.0 ± 8.94 kg, p < 0.01). In HD patients, vigorous and moderate physical activity volumes were significantly positively associated with SMI (β = 0.309, p = 0.023) but not grip strength (β = 0.231, p = 0131) after adjustment for age, sex, and HD duration. They were not associated with bone density (β = 0.106, p = 0.470) or any markers of bone metabolism.ConclusionsVigorous and moderate physical activity volumes were positively associated with skeletal muscle mass but not skeletal muscle strength or surrogate markers for CKD-MBD.

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