Association between exercise training in haemodialysis patients and burden of their family caregivers: A cross‐sectional study

Garcia, Rodrigo Schinniger Assun; Pinheiro, Bruno Valle; Lucinda, Leda Marília Fonseca; Pimentel, André Luiz; Júnior, José M P; Paula, Rogério Baumgratz de; Reboredo, Maycon Moura

doi:10.1111/nep.13620

Cited by 6 publications

(3 citation statements)

References 22 publications

(83 reference statements)

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“…Limited studies focus on the caregivers doing exercise to relieve CB. One study focused on the effectiveness of the involvement of care recipients in intradialytic exercise and found that it successfully reduced CB [77].…”

Section: Consistency Between Studiesmentioning

confidence: 99%

Factors Associated with Burden in Caregivers of Patients with End-Stage Kidney Disease (A Systematic Review)

et al. 2021

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Background: Caring for a patient with end-stage kidney disease (ESKD) is highly stressful and can impact negatively on the physical and psychological well-being of caregivers. To accurately assess caregiver burden (CB), health care providers (HCPs) need to identify characteristics associated with an increase in CB. Aim: The aim of this review is to explore CB in caregivers of adult patients with ESKD and to identify characteristics associated with any increase in CB. Method: A comprehensive literature search was completed using five electronic databases. Medline, Embase, CINHAL, PsycINFO, and Scopus. The Joanna Briggs Institute checklist (JBI) was used to quality appraise full text papers included in the review. No time limit for the date of publication of studies was employed, to enable the inclusion of more extensive literature. Results: A total of 38 relevant studies from 18 countries were identified and included in the review. A variety of patient and caregiver factors can impact positively or negatively on CB, including socio-demographic factors of patients and caregivers, disease-related factors, situational and relational factors, environmental factors, and psychological factors. Conclusion: This review provides awareness to HCPs of the important factors associated with CB, when assessing or targeting interventions for caregivers experiencing burden.

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Section: Consistency Between Studiesmentioning

confidence: 99%

Factors Associated with Burden in Caregivers of Patients with End-Stage Kidney Disease (A Systematic Review)

et al. 2021

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“…Many of our interviewed care partners suggested that such a program may improve their quality of life whether indirectly (through improved patient functioning) 78 or through joint participation. However, it should be acknowledged that the barriers care partners reported motivating their patients to exercise (eg, health problems, competing priorities for time) could potentially apply to joint participation as well.…”

Section: Discussionmentioning

confidence: 99%

Barriers and Facilitators to Exercise in Older Adults Awaiting Kidney Transplantation and Their Care Partners

Sheshadri,

Elia,

Garcia

et al. 2024

Kidney Medicine

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“…However, surprisingly few studies have addressed the importance of caregivers to the success of exercise interventions in elderly populations. At least one study suggests that exercise training for dialysis patients may improve QoL for the caregivers of such patients [51]. To our knowledge, no study has elicited caregiver input on the burden of such interventions on the caregiver or how the caregiver could assist the patient to successfully participate.…”

Section: Discussion/conclusionmentioning

confidence: 99%

Association of Cognitive Function Screening Results with Adherence and Performance in a Pedometer-Based Intervention

et al. 2021

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Introduction: A randomized, controlled trial of a pedometer-based walking intervention with weekly activity goals led to increased walking among dialysis patients. We examined whether impairment per cognitive function screening is associated with adherence and performance in the intervention. Methods: Thirty dialysis patients were randomly assigned to a 3-month pedometer-based intervention with weekly goals. Participants were administered the Telephone Interview of Cognitive Status (TICS), a test of global mental status. We examined the association of levels of impairment on the TICS (≥33: unimpaired, 26–32: ambiguous impairment, 21–25: mild cognitive impairment [MCI]) with adherence, achieving weekly goals, and increasing steps, physical performance (Short Physical Performance Battery, SPPB), and self-reported physical function (PF) through multivariable linear mixed-model and logistic regression analyses adjusted for age, sex, BMI, dialysis modality, baseline steps, baseline SPPB, and stroke status. Results: One-third of participants were unimpaired, and 13% had MCI. Participants with worse results on cognitive function screening missed more calls and completed fewer weekly goals than participants with better results. During the intervention, a worse result on cognitive function screening was associated with smaller increases in steps compared to those without impairment: (ambiguous: −620 [95% CI −174, −1,415], MCI: −1,653 [95% CI −120, −3,187]); less improvement in SPPB (ambiguous: −0.22 points [95% CI −0.08, −0.44], MCI: −0.45 [95% CI −0.13, −0.77]); and less improvement in PF (ambiguous: −4.0 points [95% CI −12.2, 4.1], MCI: −14.0 [95% CI −24.9, −3.1]). During the postintervention period, a worse result on cognitive function screening was associated with smaller increases in SPPB (ambiguous: −0.54 [95% CI −1.27, 0.19], MCI: −0.97 [95% CI −0.37, −1.58]) and PF (ambiguous: −3.3 [95% CI −6.5, −0.04], MCI: −10.5 [95% CI −18.7, −2.3]). Discussion/Conclusion: Participants with worse results on cognitive function screening had worse adherence and derived less benefit from this pedometer-based intervention. Future exercise interventions should be developed incorporating methods to address cognitive impairment, for example, by including caregivers when planning such interventions.

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Association between exercise training in haemodialysis patients and burden of their family caregivers: A cross‐sectional study

Cited by 6 publications

References 22 publications

Factors Associated with Burden in Caregivers of Patients with End-Stage Kidney Disease (A Systematic Review)

Factors Associated with Burden in Caregivers of Patients with End-Stage Kidney Disease (A Systematic Review)

Barriers and Facilitators to Exercise in Older Adults Awaiting Kidney Transplantation and Their Care Partners

Association of Cognitive Function Screening Results with Adherence and Performance in a Pedometer-Based Intervention

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