The Renal Steps Project: Building engagement for improved health outcomes

Mr Brendan Zornig1

1Logan Hospital, Metro South Health, Meadowbrook, Australia


Participating in regular physical activity is known to improve outcomes relating to chronic disease. This poster will present a quality initiative aimed at encouraging home and in-centre dialysis patients to participate in regular physical activity to improve their health outcomes.


Over a two-month period, patients were provided with a pedometer and encouraged to participate in a series of walking challenges using the 10,000 Steps program. Patients set their own goals relating to physical activity and weight loss. Health measures including weight, blood pressure, and glycaemic control were measured pre- and post-intervention.


A total of 15 patients participated in the program. All patients lost weight, with an average weight loss of 1.6kg. A modest improvement in blood pressure was observed, with an average reduction of 3.9mmHg and 3.7mmHg for systolic and diastolic respectively. For diabetic patients, HbA1c was reduced by 1.0 on average. Four patients achieved more than 200,000 steps throughout the course of the program. These four patients lost an average of 2.4kg, had their systolic blood pressure reduced by 14.2mmHg, and experienced an average reduction in HbA1c of 2.0.


The universal improvement in the health outcomes measured indicate some potential tangible benefit in the uptake of regular physical activity in the dialysis patient population.  Moreover, this project has built engagement amongst this cohort of patients, increasing awareness and motivation to participate in physical activity.


Brendan Zornig is the clinical facilitator of the Renal Dialysis Unit of Logan Hospital, Queensland. Brendan’s practice involves patients on home-based peritoneal dialysis, as well as in-centre haemodialysis.


The ASM is hosted by Australian and New Zealand Society of Nephrology.

The aims of the Society are to promote and support the study of the kidney and urinary tract in health and disease, and to ensure the highest professional standards for the practice of nephrology in Australia and New Zealand.

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