Effect of Chair Stand Exercise on Activity of Daily Living: A Randomized Controlled Trial in Hemodialysis Patients

Matsufuji, Shota; Shoji, Tetsuo; Yano, Yoshiaki; Tsujimoto, Yoshihiro; Kishimoto, Hiroshi; Tabata, Tsutomu; Emoto, Masanori; Inaba, Masaaki

doi:10.1053/j.jrn.2014.06.010

Cited by 56 publications

(76 citation statements)

References 22 publications

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“…Of the total of 10,923 references that were initially screened, 7640 had no duplicates and 7306 were rejected at the title and abstract stage. We analyzed 334 studies that were identified for potential inclusion and full-text review, and 30 comparisons were entered into the analysis 16 , 17 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 ( Figure 1 ). Of the 30 comparisons, only 1 study targeted elderly people undergoing hemodialysis.…”

Section: Resultsmentioning

confidence: 99%

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Exercise Training in Elderly People Undergoing Hemodialysis: A Systematic Review and Meta-analysis

Matsuzawa

Hoshi

Yoneki

et al. 2017

Kidney International Reports

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IntroductionPrevious reviews have indicated the effectiveness of exercise in people undergoing hemodialysis. However, these analyses did not take into account whether the subjects were elderly. We performed a systematic review of the effects of exercise training in elderly people undergoing hemodialysis and updated the evidence of exercise for people undergoing hemodialysis by adding recent research data.MethodsWe searched 8 electronic databases up to June 2016. Inclusion criteria were as follows: randomized controlled trial, English publication, subjects aged 18 and older undergoing hemodialysis, evaluation of physical function as an outcome of exercise intervention. We defined elderly as age 60 years and older. The main outcomes were exercise tolerance (peak/maximum oxygen consumption) and walking ability (6-minute walk distance). Secondary outcomes were lower extremity muscle strength and quality of life.ResultsAfter screening of 10,923 references, 30 comparisons were entered into the analysis. However, because we found only 1 study in which elderly subjects were treated, we could not perform a meta-analysis for these people. For the general population undergoing hemodialysis, supervised exercise training was shown to significantly increase peak/maximum oxygen consumption (standard mean difference, 0.62; 95% confidence interval 0.38–0.87; P < 0.001), 6-minute walk distance (standard mean difference, 0.58; 95% confidence interval 0.24–0.93; P < 0.001), lower extremity muscle strength (standard mean difference, 0.94; 95% confidence interval 0.67–1.21; P < 0.001), and quality of life (standard mean difference, 0.53; 95% confidence interval 0.52–0.82; P < 0.001).DiscussionOur analysis on the effectiveness of exercise training in elderly people undergoing hemodialysis as compared with nonelderly people was somewhat inconclusive. Future studies should be carried out for elderly people to identify the most favorable exercise program for this population.

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Section: Resultsmentioning

confidence: 99%

“…Therefore effectiveness of exercise interventions on patient outcomes needs to be evaluated with patient age in mind, and conclusions regarding the effectiveness of exercise training must be updated with the latest data from new trials targeting elderly people undergoing hemodialysis. 16 , 17 …”

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confidence: 99%

Exercise Training in Elderly People Undergoing Hemodialysis: A Systematic Review and Meta-analysis

Matsuzawa

Hoshi

Yoneki

et al. 2017

Kidney International Reports

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“…Some earlier studies have reported the baseline FIM scores and FIM increase scores after rehabilitation in hemodialysis patients [10][11][12][13][14] . However, all the studies investigated outpatients, and the baseline characteristics of their patients varied greatly.…”

Section: Discussionmentioning

confidence: 99%

Rehabilitation improves prognosis and activities of daily living in hemodialysis patients with low activities of daily living

et al. 2017

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ABSTRACT. Background: Activities of daily living (ADL) in aged hemodialysis patients decrease by many factors as hemodialysis therapy, various disease-related complications and underlying disease for rehabilitation. But the correlation between low ADL and mortality remains unclear. We assessed the levels of ADL and effects of rehabilitation in hemodialysis patients with low ADL. Moreover, the association between the baseline functional independence measure (FIM) or rehabilitation treatment effects and all-cause mortality were investigated. Methods: This prospective cohort study included 182 inpatients on maintenance hemodialysis, who underwent rehabilitation for a decline in ADL. Before and after initiating rehabilitation, ADL were assessed using FIM. Results: The total baseline FIM was 65.1 26.9 (motor items: 39.5 18.7; cognitive items: 25.6 10.7). After rehabilitation, the total FIM increased to 77.1 33.1 (motor items: 50.9 24.4; cognitive items: 26.1 10.8). The baseline FIM, presence or absence of FIM increase, and albumin were significantly associated with mortality. Moreover, the mortality hazard ratio in patients with FIM ! 67 and no FIM increase was 20-fold significantly higher than that in patients with FIM " 68 and FIM increase. The cognitive items and albumin were significantly associated with the rehabilitation effects in multivariate analysis. Conclusions: Although the FIM decreased by half in hemodialysis patients, rehabilitation improved their FIM (particularly the motor items). The FIM was a novel predictive marker of 3-year mortality in these patients, and an increased FIM after rehabilitation resulted in better prognosis. Moreover, the effectiveness of rehabilitation may depend on maintaining cognitive functions.

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“…There is a relationship between “weakness” and low cardiorespiratory capacity, anaemia, muscle weakness and malnutrition in these patients (El‐Katab, Omichi, Srivareerat, & Davenport, ). A randomised controlled trial demonstrated that the implementation of an exercise routine for this population produced significant improvements in functional capacity, muscle strength, body composition and daily life activities (Matsufuji et al., ). Nurses should pay close attention and recognise “weakness” and its relationship with protection in these patients.…”

Section: Discussionmentioning

confidence: 99%

Clinical validation of the nursing diagnosis of ineffective protection in haemodialysis patients

Tinôco

Paiva

Frazão

et al. 2017

Journal of Clinical Nursing

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Results: The clinical indicator of "fatigue" had high sensitivity (p = .999) and specificity (p = 1.000) for the identification of "ineffective protection." Additionally, "maladaptive response to stress" (p = .711) and "coagulation change" (p = .653) were sensitive indicators. The main indicators that showed high specificity were "fever" (p = .987), "increased number of hospitalisations" (p = .911), "weakness" (p = .937), "infected vascular access" (p = .962) and "vascular access dysfunction" (p = .722).Conclusion: A set of nine clinical indicators of "ineffective protection" were accurate and statistically significant for haemodialysis patients. Three clinical indicators showed sensitivity, and six indicators showed specificity.Relevance to clinical practice: Accurate measures for nursing diagnoses can help nurses confirm or rule out the probability of the occurrence of "ineffective protection" in patients undergoing haemodialysis.

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Effect of Chair Stand Exercise on Activity of Daily Living: A Randomized Controlled Trial in Hemodialysis Patients

Cited by 56 publications

References 22 publications

Exercise Training in Elderly People Undergoing Hemodialysis: A Systematic Review and Meta-analysis

Exercise Training in Elderly People Undergoing Hemodialysis: A Systematic Review and Meta-analysis

Rehabilitation improves prognosis and activities of daily living in hemodialysis patients with low activities of daily living

Clinical validation of the nursing diagnosis of ineffective protection in haemodialysis patients

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