An International Survey of Peritoneal Dialysis Exercise Practices and Perceptions

Bennett, Paul N.; Bohm, Clara; Wang, Angela Yee-Moon; Kanjanabuch, Talerngsak; Figueiredo, Ana Elizabeth; Harasemiw, Oksana; Brown, Leanne; Gabrys, Iwona; Jegatheesan, Dev; Lambert, Kelly; Lightfoot, Courtney J; MacRae, Jennifer M; Scholes‐Robertson, Nicole; Stewart, Krista; Tarca, Brett; Verdin, Nancy; Warren, Madeleine; West, Mike; Zimmerman, Deborah; Finderup, Jeannette; Ford, Emilie; Ribeiro, Heitor Siqueira; Xu, Qunyan; Thompson, Stephanie

doi:10.1016/j.ekir.2023.04.024

Cited by 6 publications

(2 citation statements)

References 33 publications

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“…After all, there is currently little knowledge surrounding exercise in peritoneal dialysis patients. A recent international-wide survey showed that most clinical professionals agree that organized exercise programs benefit patients undergoing peritoneal dialysis treatment and that more exercise could be performed [ 54 ]. Second, a concern with wearable devices is whether individuals with CKD will adhere to them long-term.…”

Section: Discussionmentioning

confidence: 99%

Objectively measured daily steps as an outcome in a clinical trial of chronic kidney disease: a systematic review

Huang,

Wang,

Bai

et al. 2024

BMC Nephrol

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Background Physical inactivity is prevalent among individuals with chronic kidney disease (CKD) and is linked to unfavorable outcomes. In recent years, daily steps have emerged as a prominent target for interventions in clinical trials. The present study endeavors to scrutinize the effectiveness and/or efficacy of various interventions on daily steps in patients with full-spectrum CKD. Methods In December 2022, a systematic search was conducted across three databases, namely PubMed, Embase, and Web of Science, and subsequently updated in June 2023. The inclusion criteria included randomized controlled studies, quasi-experimental studies, and single-arm trials that assessed an intervention’s impact on objectively measured daily steps in patients with chronic kidney disease. The Risk Of Bias In Non-randomized Studies-of Interventions (ROBINS-I) tool was used to assess the risk of bias in non-randomized controlled trials (RCT), while the Cochrane revised tool (ROB-2) was utilized for RCTs. Results Seventeen studies were deemed eligible for inclusion in this review, with a focus on examining the efficacy and/or effectiveness of exercise training-based interventions (n = 10), daily step goal-oriented interventions (n = 4), mobile health (mHealth) interventions (n = 1), different dialysis modalities (n = 1), and a “Sit Less, Interact, Move More” intervention (n = 1). The studies exhibit variability in their characteristics and assessment tools, reflecting the findings’ heterogeneity. The results indicate that increasing physical activity levels remain challenging, as only a limited number of studies demonstrated significant improvements in participants’ daily step counts from baseline to endpoint. Conclusion Clinical trials with daily steps as an outcome are still lacking in the CKD population. Well-designed clinical trials that objectively assess the physical activity of CKD patients are needed.

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Section: Discussionmentioning

confidence: 99%

Objectively measured daily steps as an outcome in a clinical trial of chronic kidney disease: a systematic review

Huang,

Wang,

Bai

et al. 2024

BMC Nephrol

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“…Engaging in appropriate exercise can effectively enhance a patient's balance, muscle strength, and flexibility, consequently reducing the risk of falls. 69,70 For example, incorporating balance training exercises can improve patients' sense of balance and control. Examples of such exercises include standing on one foot, walking along a tracing line, and performing exercises with closed eyes.…”

Section: Convalescent Trainingmentioning

confidence: 99%

Involuntary Falls in Patients with Chronic Kidney Diseases on Nephrology Wards: Research Advances and Future Perspectives

Liao,

Wang,

Sui

et al. 2024

NRR

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Background: Nephrology nursing faces an inevitable challenge when it comes to falls. This study aims to review existing literature on falls in chronic kidney disease (CKD) patients and to discuss potential solutions. Methods: This review explores the characteristics and causes of falls in CKD patients, elucidate the underlying mechanisms, shares better nursing practices, and discusses both current prevention strategies as well as potential future interventions. Results: CKD patients often experience consciousness impairment and motor dysfunction due to factors such as muscle atrophy, nerve damage, malnutrition, anemia, fluid-electrolyte imbalances, hormonal disorders, and dialysis. Additionally, this study not only shares insights from nursing experience with these patients, but also reviews current evidence-based fall prevention strategies and proposes potential new interventions that could be tested in future research. Conclusion: CKD may increase the risk of involuntary falls in patients due to consciousness impairment and motor dysfunction. Advocating for a standardized expert consensus on fall risk assessment and comprehensive care for CKD patients would enhance the nursing framework in nephrology wards and help patients decrease their fall risk and elevate their quality of life.

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Increased extracellular water/body mass is associated with functional impairment in hemodialysis patients

Zhan,

Liu,

Yuan

et al. 2023

Renal Failure

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Background Functional impairment, malnutrition and fluid overload are prevalent in patients undergoing maintenance hemodialysis (MHD). The extracellular water/body cell mass ratio (ECW/BCM) is a new indicator reflecting fluid overload and malnutrition. A previous study has suggested that it performs better than other indices in assessing fluid status. This study investigates the relationship between pre-dialysis whole-body ECW/BCM and physical function in MHD patients. Methods We conducted a multicenter, cross-sectional study in Guizhou Province in Southwest China. The Karnofsky Performance Status (KPS) was used to evaluate patients’ functional status. Patients with KPS scores of ≤ 80 were considered to have a functional impairment. The body composition was measured using the body composition monitor (BCM), and the value of the ECW/BCM ratio was calculated. The subjects were classified into three groups according to ECW/BCM tertiles. Multiple logistic regression models and interactive analyses were conducted. Results The final analysis included 2818 subjects. Multivariate logistic regression analyses showed that compared with the lowest tertile (tertile 1), the adjusted odds ratio of functional impairment were 1.95 (95% CI: 1.21–3.13, p < 0.001) and 2.10 (95% CI: 1.31–3.37, p < 0.001) in the second and the third tertiles of ECW/BCM, respectively after adjusting for age, sex, current smoking status, history of stroke, heart failure, diabetes, and myocardial infarction. Subgroup analysis showed that the association existed stably across all subgroups stratified by age, gender, cognitive impairment (CI), history of stroke, heart failure, and diabetes (all p values for interaction >0.05). Conclusions Elevated ECW/BCM is independently linked to an increased risk of functional impairment in patients with MHD.

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An International Survey of Peritoneal Dialysis Exercise Practices and Perceptions

Cited by 6 publications

References 33 publications

Objectively measured daily steps as an outcome in a clinical trial of chronic kidney disease: a systematic review

Objectively measured daily steps as an outcome in a clinical trial of chronic kidney disease: a systematic review

Involuntary Falls in Patients with Chronic Kidney Diseases on Nephrology Wards: Research Advances and Future Perspectives

Increased extracellular water/body mass is associated with functional impairment in hemodialysis patients

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