{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,6]],"date-time":"2026-01-06T06:39:06Z","timestamp":1767681546116,"version":"3.48.0"},"reference-count":32,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,1,6]],"date-time":"2026-01-06T00:00:00Z","timestamp":1767657600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Med."],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aims to explore the change trajectory of fluid load management ability in peritoneal dialysis (PD) patients and the correlation between different trajectories and physical activity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A total of 243 patients who underwent peritoneal dialysis were selected. A longitudinal investigation was carried out using the Peritoneal Dialysis Patient Volume Management Behavior Scale and the International Physical Activity Questionnaire-Long Form (IPAQ-LF).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Three trajectories of volume overload management behavioral ability were identified, namely C1 (low-level increasing group), C2 (medium-level increasing group), and C3 (low- to medium-level fluctuation group). There were significant differences between these categories in cultural-level trials (\n                      <jats:italic>\u03c7<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u202f=\u202f15.344,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u202f0.018), diabetic nephropathy (\n                      <jats:italic>\u03c7<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u202f=\u202f11.267,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u202f0.004), peritonitis during the study period (\n                      <jats:italic>\u03c7<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u202f=\u202f11.340,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u202f0.003), and hypoalbuminemia (\n                      <jats:italic>\u03c7<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u202f=\u202f7.700,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u202f0.021). During the first 6\u202fmonths of initial peritoneal dialysis (T1\u2013T4), each patient\u2019s physical activity score increased [C1: (\n                      <jats:italic>F<\/jats:italic>\n                      \u202f=\u202f107.250,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.001); C2: (\n                      <jats:italic>F<\/jats:italic>\n                      \u202f=\u202f45.383, p\u202f&amp;lt;\u202f0.001); C3: (\n                      <jats:italic>F<\/jats:italic>\n                      \u202f=\u202f30.194,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.001)]. At the T1 stage, the physical activity score of group C2 was significantly higher than those of groups C1 and C3 (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.01). At the T2 stage, the physical activity score of group C2 was significantly higher than that of group C3 (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.001), and the physical activity score of group C1 was significantly higher than that of group C3 (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.01). At the T3\u2013T4 stage, the score of group C1 was significantly higher than that of groups C2 and C3 (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.01), and the score of group C2 was significantly higher than that of group C3 (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Education level, diabetic nephropathy, concurrent peritonitis, and hypoproteinemia affect the change trajectory of volume load. Additionally, volume overload management at different stages influences the physical activity of patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fmed.2025.1677026","type":"journal-article","created":{"date-parts":[[2026,1,6]],"date-time":"2026-01-06T06:34:52Z","timestamp":1767681292000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Change trajectory of fluid load management behavior ability in peritoneal dialysis patients and its association with physical 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