Effects of a 12-week program of Tai Chi exercise on the kidney disease quality of life and physical functioning of patients with end-stage renal disease on hemodialysis

Chang, Jo-Han; Koo, Malcolm; Wu, Sheng-Wen; Chen, Chiu-Yuan

doi:10.1016/j.ctim.2016.12.002

Cited by 31 publications

(45 citation statements)

References 25 publications

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“…Physical exercise can offer improvement in functional capacity, muscle strength and increases the effectiveness of HT. Patients that performed isotonic exercises during the hemodialysis session showed an improvement in the urea clearance index (Kt/V) [4,[20][21][22][23][24][25].…”

Section: Discussionmentioning

confidence: 99%

Investigation of minor psychiatric symptoms in patients with chronic kidney disease on hemodialysis treatment

Silva

Cítero

Coqueiro

et al. 2018

Sci Med

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AIMS: To identify the sociodemographic characteristics and the presence of minor symptoms of anxiety and depression in patients on hemodialysis.METHODS: Cross-sectional study, carried out in the hemodialysis units of the Santas Casas de Misericórdia in Marília and Tupã, São Paulo state, Brazil, with 65 hemodialytic patients, ranging from 20 to 86 years. Initially, the mental state of the participants was evaluated in order to ensure they had conditions to understand the research objectives and to respond to the evaluation instruments. Following, the subjects answered to the socio-demographic and clinical questionnaire and the Hospital Anxiety and Depression Scale. The data were organized using relative and absolute frequencies for the categorical variables, and measures of central tendency and dispersion for the quantitative variables. In order to compare the mean scores according to the studied variables, unpaired Student's t test and Analysis of Variance were used in addition to Mann Whitney U-Test and Kruskal-Wallis test when the distribution did not present normality. The adopted level of significance was 5% (p<0.05).RESULTS: The Hospital Anxiety and Depression Scale for minor symptoms identified 42 patients with anxiety and 45 with depression. The anxiety mean scores were statistically higher in the female (10.23±4.51) than in the male (8.32±3.68) patients (p=0.034). Patients aged 31 to 41 years and 42 to 52 years had higher depression scores (12.20±1.48 and 11.16±2.50 respectively) when compared to patients aged over 52 years (9.23±3.63) and aged 20 to 30 years (5.50±2.12) (p=0.017). Patients who underwent psychotherapeutic treatment had lower scores of anxiety (1.00±1.41) compared to those who had already undergone psychotherapeutic treatment and those had never been under treatment (9.27±3.92 and 12.75±3.40 respectively) (p=0.020).CONCLUSIONS: According to the Hospital Anxiety and Depression Scale, women had higher anxiety mean scores than men. The lowest scores for anxiety and depression were present in the younger and older age groups of women, and those who underwent psychotherapy presented even lower scores. Clinical management in psychotherapy can be a positive contribution to ease the symptoms of anxiety and depression, improving the patients' ability to cope with hemodialysis.

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Section: Discussionmentioning

confidence: 99%

Investigation of minor psychiatric symptoms in patients with chronic kidney disease on hemodialysis treatment

Silva

Cítero

Coqueiro

et al. 2018

Sci Med

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“…Another advantage is that they can be performed at home without the need for supervision. At least four non-randomized studies have examined tai chi specifically [49][50][51][52] and demonstrated improvements in various domains of physical performance, including sit-to-stand (STS), 49 MWD, 49,50 gait speed, 49 up-and-go testing, 52 , and sit-reach testing. 52 In addition, HRQOL improved significantly following a tai chi exercise program.…”

Section: Other Modalitiesmentioning

confidence: 99%

Are dialysis patients too frail to exercise?

Wang

Johansen

2019

Seminars in Dialysis

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Clinical manifestations of functional and morphological muscular abnormalities in dialysis patients are muscle weakness and low exercise capacity, possibly leading to a sedentary life style with low physical activity. Low cardiorespiratory fitness and muscle atrophy and weakness contribute to the development of frailty and affect patients’ ability to physically navigate their environment. While many dialysis patients may appear too frail to participate in moderate‐to‐vigorous aerobic exercise training, those who can complete such programs appear to derive substantial benefit. Less vigorous aerobic exercise, resistance training, and alternative forms of exercise can also be beneficial. Most patients on dialysis are not too frail to perform resistance exercise of adequate intensity to achieve increases in muscle size and strength, therefore, frailty should not be considered a contraindication to exercise.

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“…There is also significant evidence that intra-dialysis exercise may raise quality of life and reduces anemia in dialysis patients [10]. The wellbeing of a person with CKD which include emotional and psychological wellbeing can be affected by several factors.…”

Section: Introductionmentioning

confidence: 99%

“…The wellbeing of a person with CKD which include emotional and psychological wellbeing can be affected by several factors. These include the nature of response, acceptance and adjustment to diagnosis, progression of the disease, treatment or non-treatment choices, and co-morbidities [10].…”

Section: Introductionmentioning

confidence: 99%

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Impact of Intradialytic Rehabilitation Program on General Health of Chronic Kidney Disease Patients

Elbaky¹,

Zaki²,

Amin³

et al. 2018

AJNR

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Background: CKD patients received intradialytic rehabilitation program developed improvement in their general health. Exercise also improve solute removal which increase the HD efficiency. Aim: to evaluate the impact of intradialytic rehabilitation program on general health of CKD patients. Design: Quasi experimental. Setting: The study conducted at hemodialysis unit of Minia urology hospital. Sampling: 60 patients divided in two groups 30 for each. Results: more than half of both groups were female. More than half of both group were diabetic and hypertensive. Mean age of both groups were (39.73 ± 8.17) & (40.00 ± 8.27). The 6 MWT was lower in the control group (325.3 ±24.1, 310.6 ±18.3 & 308 ±17.8) at the three observations than the study (352.3 ±46.8, 393.8 ±78.4 & 448 ±26.9). Small percentage of the rehabilitation group experienced dyspnea (16.6 % and 26 %). The study group showed improvement in mean serum creatinine (4.85± 0.54 & 4.58±0.54) than the control group (5.58± 0.68 & 5.58± 0.68). After rehabilitation program half of the study had low depression and only (13.3%) of them had high depression level. Conclusion: Intradialytic rehabilitation program for CKD patients enhance their activities of daily living abilities which improves their psychological health status.

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Effects of a 12-week program of Tai Chi exercise on the kidney disease quality of life and physical functioning of patients with end-stage renal disease on hemodialysis

Cited by 31 publications

References 25 publications

Investigation of minor psychiatric symptoms in patients with chronic kidney disease on hemodialysis treatment

Investigation of minor psychiatric symptoms in patients with chronic kidney disease on hemodialysis treatment

Are dialysis patients too frail to exercise?

Impact of Intradialytic Rehabilitation Program on General Health of Chronic Kidney Disease Patients

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