Effects of exercise therapy on the persistence of physical function, exercise habits, and self‐efficacy after cessation of exercise in patients undergoing hemodialysis: A nonrandomized control trial

Yamaguchi, Tomoya; Yabe, Hiroki; Mitake, Yuya; Chishiki, Aika; Katogi, Takehide; Fujii, Takayuki

doi:10.1111/1744-9987.13587

Cited by 9 publications

(15 citation statements)

References 39 publications

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“…A previous study found that the older the person, the longer the run completion time [ 16 ], which was consistent with our findings. In addition, our study included exercise habits as a variable and found that compared to those who did not have an exercise habit, participants who regularly exercised 4 to 6 times a week required substantially less time to complete the 1600-meter run, which was consistent with the result of another study [ 53 ].…”

Section: Discussionsupporting

confidence: 86%

Effect of the Nintendo Ring Fit Adventure Exergame on Running Completion Time and Psychological Factors Among University Students Engaging in Distance Learning During the COVID-19 Pandemic: Randomized Controlled Trial

Wu¹,

Wang²,

Chan³

et al. 2022

JMIR Serious Games

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Background The COVID-19 outbreak has not only changed the lifestyles of people globally but has also resulted in other challenges, such as the requirement of self-isolation and distance learning. Moreover, people are unable to venture out to exercise, leading to reduced movement, and therefore, the demand for exercise at home has increased. Objective We intended to investigate the relationships between a Nintendo Ring Fit Adventure (RFA) intervention and improvements in running time, cardiac force index (CFI), sleep quality (Chinese version of the Pittsburgh Sleep Quality Index score), and mood disorders (5-item Brief Symptom Rating Scale score). Methods This was a randomized prospective study and included 80 students who were required to complete a 1600-meter outdoor run before and after the intervention, the completion times of which were recorded in seconds. They were also required to fill out a lifestyle questionnaire. During the study, 40 participants (16 males and 24 females, with an average age of 23.75 years) were assigned to the RFA group and were required to exercise for 30 minutes 3 times per week (in the adventure mode) over 4 weeks. The exercise intensity was set according to the instructions given by the virtual coach during the first game. The remaining 40 participants (30 males and 10 females, with an average age of 22.65 years) were assigned to the control group and maintained their regular habits during the study period. Results The study was completed by 80 participants aged 20 to 36 years (mean 23.20, SD 2.96 years). The results showed that the running time in the RFA group was significantly reduced. After 4 weeks of physical training, it took females in the RFA group 19.79 seconds (P=.03) and males 22.56 seconds (P=.03) less than the baseline to complete the 1600-meter run. In contrast, there were no significant differences in the performance of the control group in the run before and after the fourth week of intervention. In terms of mood disorders, the average score of the RFA group increased from 1.81 to 3.31 for males (difference=1.50, P=.04) and from 3.17 to 4.54 for females (difference=1.38, P=.06). In addition, no significant differences between the RFA and control groups were observed for the CFI peak acceleration (CFIPA)_walk, CFIPA_run, or sleep quality. Conclusions RFA could either maintain or improve an individual’s physical fitness, thereby providing a good solution for people involved in distance learning or those who have not exercised for an extended period. Trial Registration ClinicalTrials.gov NCT05227040; https://clinicaltrials.gov/ct2/show/NCT05227040

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Section: Discussionsupporting

confidence: 86%

Effect of the Nintendo Ring Fit Adventure Exergame on Running Completion Time and Psychological Factors Among University Students Engaging in Distance Learning During the COVID-19 Pandemic: Randomized Controlled Trial

Wu¹,

Wang²,

Chan³

et al. 2022

JMIR Serious Games

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“…Exercise, providing positive responses and adaptations, might affect the circulatory levels of two neurotransmitters (serotonin and dopamine), upregulate the BDNF-Serotonin systems [ 38 ], and decrease anxiety and depression. Additionally, there were several plausible explanations of the beneficial effects of physical exercise include reductions in inflammatory and oxidant markers [ 14 , 39 ], which are activated during mental disorders, improvement of self-efficacy [ 40 ], as well as enhanced hope, the second finding in the study.…”

Section: Discussionmentioning

confidence: 99%

The Relationship between Exercise and Mental Health Outcomes during the COVID-19 Pandemic: From the Perspective of Hope

Yao

Chen

Dong

et al. 2022

IJERPH

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The unexpected outbreak of COVID-19 triggered fear and anxiety in the general population. Exercise was one of the most widely promoted methods to improve body function when socially restricted. This study aims to examine the role of exercise in relieving stressful mental health outcomes (anxiety and depressive symptoms) during the COVID-19 pandemic and explore the underlying mechanism from the perspective of hope, using a combination of goal-directed planning (pathways) and motivation (agency). A cross-sectional online survey recruiting 2390 Chinese participants was conducted during the COVID-19 pandemic in China. A series of questions and scales, including the self-designed exercise questionnaire, the Adult Dispositional Hope Scale, the Generalized Anxiety Disorder Scale-7 and the Patient Health Questionnaire-9, were used to measure exercise, hope, anxiety symptoms and depressive symptoms, respectively. A structural equation model was constructed to test the hypothesis that exercise benefits mental health outcomes through the mediating role of hope. Our results showed that exercise relieved stressful mental health outcomes via three paths: one direct path (β = −0.077, 95% CI = (−0.138, −0.017), p < 0.01), one indirect path through hope of pathways thinking (β = −0.046, 95% CI = (−0.064, −0.027), p < 0.001) and another indirect path through hope of agency thinking (β = −0.060, 95% CI = (−0.081, −0.039), p < 0.001). Our results showed that exercise could alleviate stressful mental health outcomes by promoting both hope of pathway thinking and agency thinking. It provided practical insights into psychological prevention and intervention by means of exercise during the COVID-19 pandemic.

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“…Some studies of older patients undergoing hemodialysis showed a significant effect of exercise on LES [33,34], whereas others did not [35,36]. Exercise tolerance was also significantly affected in some studies [33,37], but not in others [35], Yamaguchi et al [38] showed, in a non-RCT, that a 6-month intradialytic exercise program for patients (mean age, 69.1 ± 7.6 years) with low physical function (SPPB score <9 points) significantly improved their SPPB scores. Chen et al [34] showed the effect of exercise on the SPPB score but not on the 10-m walking speed in an RCT of a 4-month intradialytic resistance exercise program for advanced-age patients (mean age, 71.1 ± 12.6 years).…”

Section: Plos Onementioning

confidence: 95%

Effects of intradialytic exercise for advanced-age patients undergoing hemodialysis: A randomized controlled trial

et al. 2021

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Previous reports have shown the benefits of intradialytic exercise to patients undergoing hemodialysis. However, most of those studies assessed the effects of exercise in middle-aged patients and little is known about advanced-age patients undergoing hemodialysis. Therefore, the present randomized controlled trial was performed to determine the effectiveness of exercise therapy in advanced-age patients undergoing hemodialysis. This non-blinded, randomized controlled parallel trial enrolled a total of 101 patients who were randomly assigned to intradialytic exercise (n = 51) or usual care (n = 50) groups. The training program included both resistance and aerobic exercises and was performed three times per week for 6 months. The aerobic exercise intensity was adjusted to a target Borg score of 13 for 20 minutes. Four types of resistance exercises were performed using elastic tubing, with three sets of 10 exercises performed at moderate intensity (13/20 on the Borg scale). The usual care group received standard care. Lower extremity muscle strength, Short Physical Performance Battery score, and 10-m walking speed were the outcomes and were evaluated before the hemodialysis session and after 6 months of training. There were statistically significant improvements in Short Physical Performance Battery score (effect size, 0.57; 95% confidence interval, 0.15‒1.95) in the exercise group relative to the control group. There were no statistically significant differences in lower extremity muscle strength or in the 10-m walking speed between the two groups. These findings suggest that 6 months of intradialytic training could improve physical function in older patients undergoing hemodialysis.

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Effects of exercise therapy on the persistence of physical function, exercise habits, and self‐efficacy after cessation of exercise in patients undergoing hemodialysis: A nonrandomized control trial

Cited by 9 publications

References 39 publications

Effect of the Nintendo Ring Fit Adventure Exergame on Running Completion Time and Psychological Factors Among University Students Engaging in Distance Learning During the COVID-19 Pandemic: Randomized Controlled Trial

Effect of the Nintendo Ring Fit Adventure Exergame on Running Completion Time and Psychological Factors Among University Students Engaging in Distance Learning During the COVID-19 Pandemic: Randomized Controlled Trial

The Relationship between Exercise and Mental Health Outcomes during the COVID-19 Pandemic: From the Perspective of Hope

Effects of intradialytic exercise for advanced-age patients undergoing hemodialysis: A randomized controlled trial

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