DOI: https://doi.org/10.36347/sjmcr.2026.v14i02.022

Pages: 268-273

Introduction: Physical activity is most often impaired in patients with end-stage chronic renal failure undergoing haemodialysis. The aim of our study is to assess the level of physical activity in these patients and to identify the factors associated with reduced physical activity. Methodology: This was a single-centre descriptive analytical study of 36 chronic haemodialysis patients conducted in July 2025 at our haemodialysis centre at the Ibn Rochd University Hospital in Casablanca. We used the WHO GPAQ questionnaire to assess our patients' physical activity. This questionnaire assesses three parameters: work and home activity, travel and leisure activity. It also assesses the intensity of the activity by calculating metabolic equivalents (METs). Results and discussion: Our study included 36 chronic haemodialysis patients. The average age was 40.48±20.63 years [18 years – 75 years], with a sex ratio of 1.75. Concerning physical activity, 29 (80.5%) reported having no work activity and 7 patients (19.5%) reported having work activity. 60.6% of cases reported difficulties in performing significant physical exercise. 75% reported low daily activity, of which 60% lasted less than 30 minutes and 40% lasted between 30 and 150 minutes per day. 39.4% reported moderate weekly physical activity lasting between 30 and 150 minutes per week. The average metabolic equivalent (MET) in our patients was 1912.5 MET-min +/- 1685.35 MET-min per week. The factors associated with reduced physical activity are: advanced age (p=0.004), the presence of heart disease (p=0.026), predialysis uraemia greater than 1.5g/l (p=0.05) and anaemia (p=0.007). However, no significant correlation was found between reduced physical activity and gender, diabetes, BMI or length of time on haemodialysis. Conclusion: Our results highlighted a marked sedentary lifestyle among hemodialysis patients, with overall low levels of physical activity in most cases. This situation is influenced by several factors,