Physical functioning and health-related quality-of-life changes with exercise training in hemodialysis patients

Painter, Patricia; Carlson, Luke; Carey, Susan; Paul, Steven M.; Myll, J

doi:10.1016/s0272-6386(00)70202-2

Cited by 313 publications

(334 citation statements)

References 21 publications

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“…This fact has been confirmed in other articles which used physical exercise as intervention in patients with different examples of chronic diseases and who also demonstrated QOL improvement 25,26 . It must be highlighted that our study may be considered pioneering in the assessment of the QOL of hypertensive subjects exclusive treated with physical exercise, compared with the sedentary hypertensive subjects submitted to a pharmacological treatment.…”

Section: Discussionsupporting

confidence: 58%

Exercício físico controla pressão arterial e melhora qualidade de vida

Bündchen

Schenkel

Santos

et al. 2013

Rev Bras Med Esporte

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Introduction: In order to correctly treat hypertension, it is plausible to hypothesize that in the face of regular exercise, these patients would not need anti-hypertensive drugs. Objective: To evaluate the effect of treatment exclusive with exercise on blood pressure (BP) and quality of life (QOL) of hypertensive subjects. Methods: Clinical trial of 32 sedentary hypertensive subjects, 55 ± 9 years, who were under pharmacological treatment (PT) randomly allocated to Exercise Group (EG) and Control Group (CG). At EG, 18 subjects (50% women) at least 10 days after the cessation of PT started the exercise program of 10 weeks, 3x/week, 30 minutes of aerobic exercise followed by resistance exercises, while 14 CG (57% women) remained under PT. Systolic (SBP) and diastolic blood pressure (DBP) was evaluated by auscultation at the beginning and end and QOL were evaluated using the MINICHAL questionnaire.

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Section: Discussionsupporting

confidence: 58%

Exercício físico controla pressão arterial e melhora qualidade de vida

Bündchen

Schenkel

Santos

et al. 2013

Rev Bras Med Esporte

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“…By using the EXIT25 in addition to the MMSE, we were able to capture executive dysfunction, a facet of cognition associated with the ability to independently perform instrumental activities of daily living (26). The high rate of completion of the SPPB, a test of physical performance that has been shown to be predictive of mortality and nursing home placement (27), stands in contrast to prior studies utilizing alternative physical performance measures, which had substantially higher rates of incomplete assessments (28,29).…”

Section: Discussionmentioning

confidence: 99%

Relationship between Conditions Addressed by Hemodialysis Guidelines and Non-ESRD-Specific Conditions Affecting Quality of Life

Leinau

Murphy

Bradley

et al. 2009

Clinical Journal of the American Society of Nephrology

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Background and objectives: Persons with ESRD identify non-disease-specific conditions as negatively affecting their quality of life. It is unknown how these non-ESRD-specific conditions correlate with each other and with ESRD-specific conditions such as anemia, renal osteodystrophy, dialysis access, and dialysis adequacy. The objectives of this study were to determine the prevalence and inter-relatedness of selected conditions among persons receiving hemodialysis and to analyze the relationship between non-ESRD-specific and ESRD-specific conditions. Design, setting, participants, & measurements: This was an observational cohort study of persons with ESRD that included standardized assessments for pain, fatigue, depression, cognitive impairment, and impaired physical performance. The study was conducted at three dialysis clinics in one urban geographic area. Of the 134 persons who met exclusion criteria, 25 declined participation, yielding a sample size of 109.Results: Pain was present in >81% of participants, fatigue and impaired physical performance in >60% participants, and cognitive impairment and depression in >25% of participants. Pain, fatigue, and depression were highly correlated, but had no correlation with use of a catheter for access, hemoglobin (Hgb), intact parathyroid hormone (iPTH), phosphorous, or Kt/V values outside of the range of guidelines. There was a modest correlation between cognitive function and both Hgb and iPTH.Conclusions: Non-ESRD-specific conditions such as fatigue, pain, and depression are as prevalent as ESRD-specific conditions, and the magnitude of the correlations between the non-ESRD-specific conditions is greater than the correlations between non-ESRD-specific and ESRD-specific conditions. Current guidelines may be failing to address a substantial component of the disease burden for persons with ESRD.

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“…However, diabetic patients receiving dialysis demonstrated a reduction in physical health, with limitations in daily activities such as climbing stairs, walking, bathing and dressing and reduced role functioning at work or at home as a result of physical health problems. It has previously been shown that physical exercise results in an increased physical function in dialysis patients with low PCS scores [44] and in patients with higher baseline PCS scores [45,46]. Intensified focus on physical training for diabetic patients in dialysis therefore seems relevant.…”

Section: Diabetic Complications and Cardiovascular Diseasesmentioning

confidence: 99%

Diabetic patients treated with dialysis: complications and quality of life

et al. 2007

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Aims/hypothesis The aim of this study was to describe the prevalence of complications, health-related quality of life (HRQOL) and the influence of beliefs about control over health in diabetic dialysis patients. Methods Of 53 eligible diabetic patients on chronic dialysis during January 2004 in our clinic, 38 (76%) completed a kidney-specific (Kidney Disease Quality of Life) and a generic (SF-36) questionnaire and were characterised in terms of cardiovascular diseases and diabetic complications. Matched groups of non-diabetic dialysis patients (n= 40) and diabetic patients with a long duration of diabetes and normal kidney function (n=38) served as controls. Generic HRQOL was compared with matched data from a survey on the Danish general population (n=2248).

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Physical functioning and health-related quality-of-life changes with exercise training in hemodialysis patients

Cited by 313 publications

References 21 publications

Exercício físico controla pressão arterial e melhora qualidade de vida

Exercício físico controla pressão arterial e melhora qualidade de vida

Relationship between Conditions Addressed by Hemodialysis Guidelines and Non-ESRD-Specific Conditions Affecting Quality of Life

Diabetic patients treated with dialysis: complications and quality of life

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