Effects of Progressive Resistance Training on Body Composition, Physical Fitness and Quality of Life of Patients on Hemodialysis

Song, Woo Jung; Sohng, Kyeong-Yae

doi:10.4040/jkan.2012.42.7.947

Cited by 93 publications

(134 citation statements)

References 15 publications

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“…From 1,706 potential studies, 24 RCTs [3,4,5,6,7,8,9,10,11,17,18,19,20,21,22,23,24,25,26,27,28,29,30,31,32] fulfilled the inclusion criteria. Kouidi et al published two duplicated studies in different magazines [3,17].…”

Section: Resultsmentioning

confidence: 99%

“…Seven studies [6,11,19,21,23,24,27] assessed the change in the physical component dimensions of the SF-36 (PCS), with a total of 256 patients; among them 135 patients were assigned to the exercise groups and 121 patients were assigned to the control groups. The heterogeneity was not significant (I 2 = 39.5%, p = 0.13).…”

Section: Resultsmentioning

confidence: 99%

“…Exercise has been shown to have benefits on the potential improvements on cardiovascular outcomes [3], dialysis efficacy [4], physical function [5], health-related quality of life [6,] and hs-CRP [7]. There are three alternatives for dialysis patients, including exercise during HD, on non-dialysis days and at home.…”

Section: Introductionmentioning

confidence: 99%

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Intradialytic Exercise in Hemodialysis Patients: A Systematic Review and Meta-Analysis

et al. 2014

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Background and Objective: Hemodialysis (HD) patients are more inactive, leading to poor functional capacity and quality of life; this may be reversed with intradialytic exercise training. To systematically evaluate the efficacy and safety of intradialytic exercise for HD patients, we conducted a meta-analysis of the published randomized controlled trials. Data Sources and Methods: Medline, Embase, and Cochrane Central Register of Controlled Trials were systematically searched up to February, 2014. The reference lists of eligible studies and relevant reviews were also checked. Results: 24 studies of 997 patients were included. Compared with control, intradialytic exercise significantly improve Kt/V (SMD = 0.27, 95% CI 0.01-0.53), peak oxygen consumption (VO_2peak) (SMD = 0.53, 95% CI 0.30-0.76), and physical performance of physical function of life (SMD = 0.30, 95% CI 0.04-0.55). However, no significant improvements were found in the mental function of life. There was no significant difference with respect to musculoskeletal and cardiovascular complications between the intradialytic exercise groups and control groups. Further subgroup analysis found that, when the trial duration was more than 6 months, the intervention had significant effects on VO_2peak (SMD = 0.89, 95% CI 0.56-1.22). However, when the trial duration was less than 6 months, the change of VO_2peak was not significant (SMD = 0.19, 95% CI -0.13 to 0.51). Conclusion: Intradialytic exercise can improve Kt/V, VO_2peak, and the physical quality of life, and intradialytic exercise is safe for HD patients. Therefore, we put forward the suggestion that clinical guideline be updated to inform clinicians on the benefits of intradialytic exercise on HD patients. i 2014 S. Karger AG, Basel

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Intradialytic Exercise in Hemodialysis Patients: A Systematic Review and Meta-Analysis

et al. 2014

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“…Serum transferrin levels are affected by nutritional factors (in the same way as serum albumin levels during a stress response) and also by iron metabolism (29). The shorter half-life of transferrin gives it a theoretical advantage over albumin as a nutrition marker, though both serum transferrin and albumin levels correlate with the risk of morbidity and mortality in haemodialysis patients (30).…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Nutritional Biochemical Parameters in Haemodialysis Patients Over a Ten-Year Period

Castillo

et al. 2015

West Indian Med J

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INTRODUCTION Protein-energy malnutrition affects a high percentage of patients with chronic kidney failure and is associated with increased morbidity and mortality rates. Factors that directly contribute to malnutrition in these patients are mainly alterations in protein-energy metabolism, hormonal derangements, infections, and a reduction in food ingestion because of anorexia, nausea and vomiting produced by uraemic toxicity. After beginning renal replacement therapy, patients usually find that most of the evident symptoms of uraemia abate or disappear altogether. As a result, their appetite improves and they begin to feel better. However, various studies show that the prevalence of protein-energy malnutrition in haemodialysis patients still remains high. In fact, 23−76% of patients undergoing haemodialysis generally suffer from malnutrition (1−3). In recent years, research on haemodialysis patients has pinpointed an association between signs of malnutrition, particularly a decrease in plasma albumin and an increase in morbidity and mortality (4, 5). Moreover, predictors of the low survival of these patients include atherosclerosis (aggravated by high blood pressure and smoking), oxidative stress, inflammation and malnutrition (6, 7), combined with a low body mass index (BMI), altered lipoprotein profiles and high lowdensity lipoprotein (LDL) levels (8−11).The objective of this research study was to assess the nutritional state of the patients at a haemodialysis unit by evaluating biochemical parameters (total proteins, albumin, cholesterol and plasma transferrin) and anthropometric parameters of weight, height and BMI. The patients were monitored over a period of ten years in order to determine whether they suffered disorders that could be caused by a state of malnutrition directly related to the length of the haemodialysis treatment.

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“…Moreover, the cardiovascular benefits of both resistance and aerobic exercise training were reflected in improvements in lipid profile [57,66], in echogardiography indices [37], in cardiac autonomic function [58], in arterial stiffness [67], in vessels diameters [68] and size [69] and in blood pressure [68]. The cardiovascular response to exercise training induces changes and accordingly increases heart rate and stroke volume but also reduces the peripheral vascular resistance.…”

Section: Effects Of Exercise Training On Non-dialysis Daymentioning

confidence: 99%

Intra-Renal Hemodynamic Changes After Habitual Physical Activity in Patients with Chronic Kidney Disease

Καλτσάτου¹,

Karatzaferi²,

Mitrou³

et al. 2016

CPD

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Effects of Progressive Resistance Training on Body Composition, Physical Fitness and Quality of Life of Patients on Hemodialysis

Cited by 93 publications

References 15 publications

Intradialytic Exercise in Hemodialysis Patients: A Systematic Review and Meta-Analysis

Intradialytic Exercise in Hemodialysis Patients: A Systematic Review and Meta-Analysis

Evaluation of Nutritional Biochemical Parameters in Haemodialysis Patients Over a Ten-Year Period

Intra-Renal Hemodynamic Changes After Habitual Physical Activity in Patients with Chronic Kidney Disease

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