{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T02:22:28Z","timestamp":1777947748102,"version":"3.51.4"},"reference-count":66,"publisher":"Wiley","issue":"1-2","license":[{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"vor","delay-in-days":90,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Seminars in Dialysis"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    Physical activity has been recommended as an effective strategy to prevent complications in patients receiving hemodialysis. Multiple guidelines for chronic kidney disease recommend at least 150\u2009min per week of moderate\u2010intensity physical activity. However, the prevalence of meeting recommended physical activity levels among hemodialysis patients remains unclear, and the factors influencing physical activity participation require further investigation. We systematically searched PubMed, Web of Science, MEDLINE, EMBASE, CINAHL, Scopus, PsycINFO, China National Knowledge Infrastructure, WanFang, Chinese Biomedical Literature Service System, and SPORTDiscus from inception to March 5, 2025. The Agency for Healthcare Research and Quality was used to evaluate the methodological quality of included studies. The pooled prevalence was calculated using a random\u2010effects model. Subgroup analysis was conducted to explore sources of heterogeneity. We screened 24,566 records, reviewed 252 full texts, and included 12 studies (\n                    <jats:italic>N<\/jats:italic>\n                    \u2009=\u20098938). The pooled prevalence of meeting recommended physical activity was 32% (95% CI, 20%\u201346%). Higher prevalence was observed in studies with shorter dialysis vintage, self\u2010administered PA instruments, smaller sample sizes, and those published before 2020. Factors underlying inactivity were multifactorial, spanning pathophysiological, psychological, and treatment\u2010related domains. This review indicates a low prevalence of meeting recommended physical activity levels among hemodialysis patients, which is influenced by multiple factors. It is recommended that future studies further explore intervention strategies targeting physical activity on dialysis and non\u2010dialysis days, based on factors that influence physical activity, to improve adherence.\n                  <\/jats:p>","DOI":"10.1111\/sdi.70019","type":"journal-article","created":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T10:45:01Z","timestamp":1775040301000},"page":"3-14","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Prevalence and Correlates of Physical Activity Among Hemodialysis Patients: A Systematic Review and Meta\u2010Analysis"],"prefix":"10.1111","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-7423-9641","authenticated-orcid":false,"given":"Lin","family":"Fan","sequence":"first","affiliation":[{"name":"School of Nursing China Medical University  Shenyang Liaoning Province China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2504-8898","authenticated-orcid":false,"given":"Hong\u2010li","family":"Li","sequence":"additional","affiliation":[{"name":"School of Nursing China Medical University  Shenyang Liaoning Province China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-9479-4533","authenticated-orcid":false,"given":"Jing\u2010tong","family":"Luo","sequence":"additional","affiliation":[{"name":"School of Nursing China Medical University  Shenyang Liaoning Province China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-3787-7879","authenticated-orcid":false,"given":"Tian\u2010ming","family":"Song","sequence":"additional","affiliation":[{"name":"School of Nursing China Medical University  Shenyang Liaoning Province China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,4,1]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/s2214\u2010109x(23)00570\u20103"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/nep.70055"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.semvascsurg.2021.02.010"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfac165"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2021.02.327"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2024.16338"},{"issue":"2","key":"e_1_2_10_8_1","first-page":"126","article-title":"Physical Activity, Exercise, and Physical Fitness: Definitions and Distinctions for Health\u2010Related Research","volume":"100","author":"Caspersen C. 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