Recognizing the importance of physical activity on sarcopenia in chronic kidney disease

Wilkinson, Thomas J; Ribeiro, Heitor Siqueira

doi:10.1016/j.afos.2022.02.002

Cited by 2 publications

(2 citation statements)

References 10 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). Furthermore, a short daily dialysis regimen seems to positively impact self‐reported physical health and functioning (Hall et al, 2012; The FHN Trial Group, 2010).…”

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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“…We thank Dr TJ Wilkinson et al for their interest in our work and the detailed, informative remarks about the paper [ 1 , 2 ]. We want to thank the Editor, Osteoporosis and Sarcopenia, for the opportunity to respond to the issues raised.…”

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confidence: 99%