Resistance training improves strength and functional measures in patients with end-stage renal disease

Headley, Samuel; Germain, Michael J.; Mailloux, Patrick; Mulhern, Jeffrey G.; Ashworth, Brian; Burris, J L.; Brewer, Britton W.; Nindl, Bradley C.; Coughlin, Mary Ann; Welles, Robert; Jones, Margaret

doi:10.1053/ajkd.2002.34520

Cited by 166 publications

(189 citation statements)

References 24 publications

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“…This test is widely used in patients with cardiac and lung diseases, but its application in HD patients in clinical research has been limited until now. The average distance achieved in the 6MWT in the pre-training phase was comparable to that achieved in other studies evaluating HD patients [31,32]. After endurance–resistance training, the distance covered in the 6MWT increased significantly, indicating considerable improvement in physical endurance.…”

Section: Discussionsupporting

confidence: 82%

Effects of listening to Holy Qur’an recitation and physical training on dialysis efficacy, functional capacity, and psychosocial outcomes in elderly patients undergoing haemodialysis

Frih

Mkacher

Bouzguenda

et al. 2017

Libyan Journal of Medicine

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The purpose of this study was to determine whether listening to Holy Qur’an recitation would augment the beneficial effects of physical exercise on physiological and psychological measures in elderly patients undergoing haemodialysis. Fifty-three male haemodialysis patients were randomly assigned to an intervention group (listening to Holy Qur’an recitation in combination with endurance–resistance training, n = 28) or a control group (endurance–resistance training only, n = 25). Functional capacity was assessed using the Timed Up and Go test (TUG) and the Six-Minute Walk Test (6MWT). Psychosocial outcomes were assessed using the Medical Outcomes Study 36-item Short-Form Health Survey (SF-36) and Hospital Anxiety and Depression Scale (HADS). Dialysis adequacy (Kt/V) was calculated for all patients. After intervention, a significant Group × Period interaction effect was observed for all measured parameters (p < 0.05), except for 6MWT performance (p > 0.05). All measured parameters were significantly improved over baseline in both groups, except for Kt/V in the control group (p > 0.05). Moreover, final measurements were significantly higher in the intervention group than in the control group for all measured parameters, except for 6MWT performance and the physical component summary of the SF-36 (p > 0.05). In conclusion, the present study showed that listening to a recitation of the Holy Qur’an in combination with interdialytic endurance–resistance training induced an improvement in physical condition and quality of life and a large reduction in anxiety among patients undergoing haemodialysis.

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Section: Discussionsupporting

confidence: 82%

Effects of listening to Holy Qur’an recitation and physical training on dialysis efficacy, functional capacity, and psychosocial outcomes in elderly patients undergoing haemodialysis

Frih

Mkacher

Bouzguenda

et al. 2017

Libyan Journal of Medicine

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“…The muscle endurance in the patients receiving hemodialysis was 42% of the value in the controls, and 6-week training increased the value to 163% of the value before the training. This beneficial effect of local physical training on the muscle function in the present study is consistent with the findings after local or systemic physical training in previous studies (Kouidi et al 1998;DePaul et al 2002;Headley et al 2002;Konstantinidou et al 2002;Oh-Park et al 2002;Rus et al 2003).…”

Section: Muscle Functionsupporting

confidence: 93%

“…In addition, the age or underlying disease of patients may be important factors in the improvement of vascular function after physical training. The type of physical training, i.e., isotonic or isometric, and local or systemic, and its severity and duration may also be important factors in improving the vascular function in patients (Headley et al 2002;Konstantinidou et al 2002).…”

Section: Vascular Functionmentioning

confidence: 99%

Does Handgrip Exercise Training Increase Forearm Ischemic Vasodilator Responses in Patients Receiving Hemodialysis?

Kuge

Suzuki²,

Isoyama

2005

Tohoku J. Exp. Med.

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In patients receiving hemodialysis, exercise capacity is extremely limited. Although vasodilation is one of the key phenomena for blood perfusion into working skeletal muscles during exercise, it is not clear whether the vasodilator capacity is increased after physical training in this population. We attempted to clarify whether handgrip exercise training increases forearm vasodilator responses to arterial occlusion, and to determine the relationship between muscle contraction function and the vasodilator responses in patients receiving hemodialysis. Eight patients and 7 age-matched healthy controls were tested. The patients participated in handgrip training four times a week for 6 weeks. Before and after the training the maximum muscle strength and endurance were measured with a handgrip dynamometer, and the forearm vasodilator responses to 3-minute arterial occlusion were measured by the near infrared spectroscopy technique. Maximum strength and endurance were significantly lower in the patients than in the controls. Maximum strength (from 183 ± 84 to 228 ± 92 Newtons, p < 0.05) and endurance (from 19 ± 6 to 31 ± 8 sec, p < 0.05) were both increased after the training in the patients. Vasodilator responses estimated by the ratio of the maximum value of oxyhemoglobin after relief of arterial occlusion to its minimum value before the relief were significantly smaller in the patients compared with those in the controls (132 ± 20 vs 161 ± 27%, p < 0.05). In contrast to the findings in muscle function, the decreased vasodilator responses were not improved after the training (141 ± 17%). Additionally, no improvement in the vasodilator responses was observed in the parameters estimated by oxygen saturation. These data suggest that exercise capacity increased by physical training is produced by the functional improvement of skeletal muscles per se, but not by alterations in blood perfusion for oxygenation of the muscles in patients receiving hemodialysis. renal disease; physical training; skeletal muscle; reactive hyperemia near infrared spectroscopy

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“…similar results. A resistance training program in dialysis patients, which included upper-body exercises, produced increases in lower extremity strength, walking speed, and STS time but no change in grip strength (32). Similarly, nandrolone administration increased dialysis patients' lean body mass and improved walking and stair climbing times but not grip strength (20).…”

Section: Discussionmentioning

confidence: 98%

Effects of Oral Sodium Bicarbonate in Patients with CKD

Abramowitz

Melamed

Bauer³

et al. 2013

Clinical Journal of the American Society of Nephrology

119

104

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SummaryBackground and objectives Metabolic acidosis contributes to muscle breakdown in patients with CKD, but whether its treatment improves functional outcomes is unknown. The choice of dose and tolerability of high doses remain unclear. In CKD patients with mild acidosis, this study evaluated the dose-response relationship of alkali with serum bicarbonate, its side effect profile, and its effect on muscle strength. Conclusions NaHCO 3 supplementation produces a dose-dependent increase in serum bicarbonate and improves lower extremity muscle strength after a short-term intervention in CKD patients with mild acidosis. Long-term studies are needed to determine if this finding translates into improved functional status.

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Resistance training improves strength and functional measures in patients with end-stage renal disease

Cited by 166 publications

References 24 publications

Effects of listening to Holy Qur’an recitation and physical training on dialysis efficacy, functional capacity, and psychosocial outcomes in elderly patients undergoing haemodialysis

Effects of listening to Holy Qur’an recitation and physical training on dialysis efficacy, functional capacity, and psychosocial outcomes in elderly patients undergoing haemodialysis

Does Handgrip Exercise Training Increase Forearm Ischemic Vasodilator Responses in Patients Receiving Hemodialysis?

Effects of Oral Sodium Bicarbonate in Patients with CKD

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