Physical activity is associated with nutritional biomarkers in hemodialysis patients: A <scp>cross‐sectional</scp> study

Almeida, Lucas S.; Ribeiro, Heitor Siqueira; Duarte, Marvery P.; Dourado, Gustavo Ítalo; Ferreira, Thalita Lauanna Gonçalves da Silva; Inda-Filho, Antônio; Lima, Ricardo Moreno; Ferreira, Aparecido Pimentel

doi:10.1111/1744-9987.13782

Cited by 3 publications

(1 citation statement)

References 44 publications

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“…Patients with kidney failure usually have a highly sedentary behaviour (Almeida et al, 2021; Nawab et al, 2021; Wilkinson et al, 2021), leading to impairments in musculoskeletal health and an increased prevalence of sarcopenia and frailty (Panaye et al, 2015; Zelle et al, 2017). Intradialytic exercise programmes (e.g., resistance/strength training) have been proposed as therapeutic interventions to mitigate these outcomes (Matsuzawa & Roshanravan, 2018; Noor et al, 2021; Wilkinson & Ribeiro, 2022).…”

Section: Introductionmentioning

confidence: 99%

Implementing a resistance training programme for patients on short daily haemodialysis: A feasibility study

Ribeiro

Cunha

Dourado

et al. 2022

Journal of Renal Care

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Background Kidney failure patients receiving haemodialysis experience protein‐energy wasting, muscle mass loss and physical function impairment. Intradialytic exercise interventions seem to modify these features, but they are often not implemented as a clinical routine. Objective To investigate the feasibility of implementing a supervised intradialytic resistance training programme as a clinical routine for patients receiving short daily haemodialysis. Design A prospective longitudinal study. Participants Eighteen patients in a supervised intradialytic resistance training programme for 8 months. Measurements It consisted of a warm‐up, lower‐ and upper‐limb resistance exercises and a cool‐down. Patients performed the resistance training during the first half of haemodialysis, twice a week, supervised by exercise physiologists and physiotherapists. The feasibility was assessed by the total and partial adherences, the reasons for refusing or for not exercising and the intradialytic complications. Results From a total of 953 potential exercise sessions, 759 were performed, with a 79.6% adherence rate. In the first 9 weeks, the adherence rate was 86.6% and the lowest rate was in the 19–27 weeks (73.5%). The main intradialytic complication during exercise sessions was hypotension (n = 31; 4.1%). The highest number of complications was reported during the first 9 weeks (n = 27; 9.1%). The main reasons for refusing or for not performing the intradialytic exercise sessions were clinical complications previous to exercise time (n = 63; 32.5%) and self‐reported indisposition (n = 62; 32.0%). Conclusions The intradialytic resistance training programme, supervised by exercise physiologists and physiotherapists, had very low complications, achieved a high long‐term adherence rate and showed to be feasible as a clinical routine for patients receiving short daily haemodialysis.

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Section: Introductionmentioning

confidence: 99%

Implementing a resistance training programme for patients on short daily haemodialysis: A feasibility study

Ribeiro

Cunha

Dourado

et al. 2022

Journal of Renal Care

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How is exercise being prescribed for patients on hemodialysis? A scoping review

et al. 2022

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Design and methodology of the SARCopenia trajectories and associations with adverse clinical outcomes in patients on HemoDialysis: the SARC-HD study

Duarte,

Pereira,

Baião

et al. 2023

BMC Nephrol

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Background Sarcopenia has been associated with adverse outcomes in patients with chronic kidney disease (CKD), particularly in those undergoing hemodialysis (HD). However, the trajectories across sarcopenia stages, their determinants, and associations with adverse clinical outcomes have yet to be comprehensively examined. Methods The SARC-HD is a multicenter, observational prospective cohort study designed to comprehensively investigate sarcopenia in patients on HD. Eligibility criteria include adult patients undergoing HD for ≥ 3 months. The primary objective is to investigate the trajectories of sarcopenia stages and their potential determinants. Secondary objectives include evaluating the association between sarcopenia and adverse clinical outcomes (i.e., falls, hospitalization, and mortality). Sarcopenia risk will be assessed by the SARC-F and SARC-CalF questionnaire. Sarcopenia traits (i.e., low muscle strength, low muscle mass, and low physical performance) will be defined according to the revised European Working Group on Sarcopenia in Older People and will be assessed at baseline and after 12 follow-up months. Patients will be followed-up at 3 monthly intervals for adverse clinical outcomes during 24 months. Discussion Collectively, we expect to provide relevant clinical findings for healthcare professionals from nephrology on the association between sarcopenia screening tools (i.e., SARC-F and SARC-CalF) with objective sarcopenia measurements, as well as to investigate predictors of trajectories across sarcopenia stages, and the impact of sarcopenia on adverse clinical outcomes. Hence, our ambition is that the data acquired from SARC-HD study will provide novel and valuable evidence to support an adequate screening and management of sarcopenia in patients on HD.

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Physical activity is associated with nutritional biomarkers in hemodialysis patients: A cross‐sectional study

Cited by 3 publications

References 44 publications

Implementing a resistance training programme for patients on short daily haemodialysis: A feasibility study

Implementing a resistance training programme for patients on short daily haemodialysis: A feasibility study

How is exercise being prescribed for patients on hemodialysis? A scoping review

Design and methodology of the SARCopenia trajectories and associations with adverse clinical outcomes in patients on HemoDialysis: the SARC-HD study

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