Exercise program to enhance physical performance and quality of life of older hemodialysis patients: a feasibility study

Nonoyama, Mika; Brooks, Dina; Ponikvar, Alexandra; Jassal, S. Vanita; Kontos, Pia; Devins, Gerald M.; Spanjevic, Lily; Heck, Carol; Laprade, Judi; Naglie, Gary

doi:10.1007/s11255-010-9718-7

Cited by 42 publications

(43 citation statements)

References 23 publications

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“…Although the DASI questionnaire has been used in renal disease populations (12,27,28), reliability and validity studies are lacking in CKD patients. The aim of this study was to assess the reliability and validity of the DASI questionnaire as a predictor of EC in patients with CKD.…”

Section: Introductionmentioning

confidence: 99%

The Duke Activity Status Index in Patients with Chronic Kidney Disease

Ravani¹,

Kilb²,

Bedi

et al. 2012

Clinical Journal of the American Society of Nephrology

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SummaryBackground and objectives Exercise capacity is impaired at a younger age in CKD patients than in the general population. This study examined the reliability of the Duke Activity Status Index (DASI) questionnaire as a measure of exercise capacity in medically stable adults with stage 3-4 CKD (estimated GFR [eGFR], 15-59 ml/min per 1.73 m 2 ).Design, setting, participants, & measurements Peak oxygen uptake ( _ VO 2 peak), estimated from DASI responses and cardiopulmonary exercise test measurements, was obtained at baseline and 6 months in a derivation sample (n=23) and once in a validation sample (n=20). Bland-Altman analysis and linear mixed models were used to estimate bias, concordance correlation coefficients, and intraclass correlation coefficients as the proportion of the variance due to participant (intertest reliability) and method (test-retest reliability).Results The two samples were homogeneous with respect to age (mean 60614 years), eGFR (35.5615 ml/min per 1.73 m 2 ), male sex (53%), and diabetes (56%). Mean measured _ VO 2 peak was 16.564 ml/kg per min. The DASI questionnaire overestimated _ VO 2 peak by 4.3 ml/kg per min. Intertest reliability was 53% when eGFR was $35 ml/min per 1.73 m 2 (median) and 60% when eGFR was ,35 ml/min per 1.73 m 2 (P,0.01). Test-retest reliability was 81% when eGFR was ,35 ml/min per 1.73 m 2 and 71% when eGFR was $35 ml/min per 1.73 m 2 (P,0.01).Conclusions The DASI questionnaire may be a reliable measure of exercise capacity in CKD patients, especially when eGFR is ,35 ml/min per 1.73 m 2 . Larger prospective studies are needed to determine its prognostic value.

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Section: Introductionmentioning

confidence: 99%

The Duke Activity Status Index in Patients with Chronic Kidney Disease

Ravani¹,

Kilb²,

Bedi

et al. 2012

Clinical Journal of the American Society of Nephrology

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“…Nonoyama (34) proposed the implementation of an exercise program to be followed during hospital and home hemodialysis. The author found that adherence was higher during hospital sessions -under direct supervision and using appropriate equipmentwhen compared to the same program developed at the patients' home.…”

Section: Discussionmentioning

confidence: 99%

“…In addition to direct professional supervision and higher levels of individual attention, other positive factors to be considered when analyzing patients´ high adherence to the program developed at hospital may be the fact that patients were actively involved in selecting the best exercise modality and the types of exercises to be performed during hemodialysis, which did not require any additional time beyond that already needed for hemodialysis. Reasons identified for low adherence to home exercise were lack of motivation and lack of time (34).…”

Section: Discussionmentioning

confidence: 99%

Educational approaches focusing on the quality of life of people with chronic kidney disease receiving hemodialysis: an integrative review

et al. 2017

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Introduction: The impact of chronic kidney disease (CKD) on the quality of life of patients receiving hemodialysis is widely studied. Despite the vast amount of literature on the topic, it is still important to investigate the educational approaches related to this population's quality of life, evolution, and treatment. Objective: To systematically review the literature on educational approaches focusing on people with CKD receiving hemodialysis. Methods: An integrative systematic review of studies published between 2010 and 2015 was conducted using the PubMed, LILACS, PROQUEST, SCIENCEDIRECT, and SciELO databases using the keywords "quality of life and hemodialysis and adults", with their translation equivalents in Portuguese and Spanish. Results: The studies included in this review investigated biological conditions, treatment adherence, psychosocial conditions, and even spiritual influence. These studies unanimously recognized the validity of educational approaches, be it for treatment adherence, actor´s empowerment, or self-knowledge, as well as the importance of addressing a wider patient view and participatory therapy planning. Conclusion: The quality of life of people with CKD is a widely and differently studied topic, but the number of educational approaches focusing on this group of patients is modest and poorly represented in the existing literature. The few studies that address this topic are in complete agreement about the importance and relevance of educational approaches for people

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“…However, in home-based exercise programs the participation was lower compared the other forms of exercise training programs due to the lack of motivation. Specifically, Nomoyama et al [49] applied for 12 weeks an exercise program, which compared home-based and intradialytic exercise training. The results showed that the participation in the intradialytic exercise program was higher (89%) compared to home-based program (56%) while the differences were attributed to the fact that in intradialytic exercise training program, the patients were more aware of the benefits of exercise because the exercise was taking place during their usual therapy [49].…”

Section: Effects Of Home-based Exercise Training Programsmentioning

confidence: 99%