The Effect of Intradialytic Aerobic Exercise on Dialysis Efficacy in Hemodialysis Patients: A Randomized Controlled Trial

Mohseni, Raheleh; Zeydi, Amir Emami; Ilali, Ehteramosadat; Adib-Hajbaghery, Mohsen; Makhlough, Atieh

doi:10.5001/omj.2013.99

Cited by 64 publications

(91 citation statements)

References 17 publications

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“…From 1,706 potential studies, 24 RCTs [3,4,5,6,7,8,9,10,11,17,18,19,20,21,22,23,24,25,26,27,28,29,30,31,32] fulfilled the inclusion criteria. Kouidi et al published two duplicated studies in different magazines [3,17].…”

Section: Resultsmentioning

confidence: 99%

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Intradialytic Exercise in Hemodialysis Patients: A Systematic Review and Meta-Analysis

et al. 2014

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Background and Objective: Hemodialysis (HD) patients are more inactive, leading to poor functional capacity and quality of life; this may be reversed with intradialytic exercise training. To systematically evaluate the efficacy and safety of intradialytic exercise for HD patients, we conducted a meta-analysis of the published randomized controlled trials. Data Sources and Methods: Medline, Embase, and Cochrane Central Register of Controlled Trials were systematically searched up to February, 2014. The reference lists of eligible studies and relevant reviews were also checked. Results: 24 studies of 997 patients were included. Compared with control, intradialytic exercise significantly improve Kt/V (SMD = 0.27, 95% CI 0.01-0.53), peak oxygen consumption (VO_2peak) (SMD = 0.53, 95% CI 0.30-0.76), and physical performance of physical function of life (SMD = 0.30, 95% CI 0.04-0.55). However, no significant improvements were found in the mental function of life. There was no significant difference with respect to musculoskeletal and cardiovascular complications between the intradialytic exercise groups and control groups. Further subgroup analysis found that, when the trial duration was more than 6 months, the intervention had significant effects on VO_2peak (SMD = 0.89, 95% CI 0.56-1.22). However, when the trial duration was less than 6 months, the change of VO_2peak was not significant (SMD = 0.19, 95% CI -0.13 to 0.51). Conclusion: Intradialytic exercise can improve Kt/V, VO_2peak, and the physical quality of life, and intradialytic exercise is safe for HD patients. Therefore, we put forward the suggestion that clinical guideline be updated to inform clinicians on the benefits of intradialytic exercise on HD patients. i 2014 S. Karger AG, Basel

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Section: Resultsmentioning

confidence: 99%

“…Exercise has been shown to have benefits on the potential improvements on cardiovascular outcomes [3], dialysis efficacy [4], physical function [5], health-related quality of life [6,] and hs-CRP [7]. There are three alternatives for dialysis patients, including exercise during HD, on non-dialysis days and at home.…”

Section: Introductionmentioning

confidence: 99%

Intradialytic Exercise in Hemodialysis Patients: A Systematic Review and Meta-Analysis

et al. 2014

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“…Hemodialysis is the most common treatment for chronic renal failure (1,2). However, alongside with positive outcomes, it can cause different problems and complications (3,4).…”

Section: Introductionmentioning

confidence: 99%

The Effects of Comfort-Based Interventions (Back Massage and Patient and Family Education) on the Level of Comfort Among Hemodialysis Patients

2017

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Background: Providing patients with comfort is the basis of nursing care and a favorable outcome of nursing care measures. Comfort is of special importance to hemodialysis patients because they spend a large part of their lives in hemodialysis units and are constantly dealing with different physical and mental health problems. This study aimed to evaluate the effects of comfort-based interventions (back massage along with patient and family education) on the level of comfort among hemodialysis patients. Methods: As a randomized controlled trial, this study was undertaken in 2016 in the hemodialysis unit of Shahid Chamran hospital, Ferdows, Iran. A convenience sample of forty hemodialysis patients was recruited. Patients were alternately allocated to control or intervention groups based on their hemodialysis days. The hospice comfort questionnaire was completed for all participants at the beginning and at the end of the study. This questionnaire showed that the comfort needs of patients were related to muscle cramps, headache, back pain, nausea, lack of knowledge about arteriovenous fistula care, dietary and treatment regimens, itching, rest and sleep disorders, and impaired comfort. Patients in the intervention group received massage as well as patient and family education in six consecutive hemodialysis sessions, while their counterparts in the control group solely received the routine care services of the study setting. The SPSS software (v. 18.0) was used for data analysis through running the paired-and the independent-sample t tests. The significance level was set at less than 0.05. Results: The mean scores of comfort and its environmental and psychospiritual dimensions significantly increased in the intervention group (P < 0.001). Significant increases were also observed in the mean scores of comfort and its psychospiritual dimension in the control group (P < 0.05). Before the intervention, there were no significant differences between the groups respecting the mean values of comfort and its dimensions (P > 0.05). However, after the intervention, there were significant between-group differences in the mean scores of comfort and its environmental dimension as well as in the pretest-posttest mean difference for the environmental dimension of comfort.

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“…Though conducted on 50 patients only, a recent randomized controlled trial showed that aerobic exercise (15 minutes low-intensity exercise during the first 2 hours of dialysis for 2 months) improves dialysis efficacy [54]. Considering that the uremic milieu is a potent promoter of VC and CVD in CKD [55], increasing dialysis efficacy may protect against VC deposition.…”

Section: Pa and Markers Of Subclinical Atherosclerosis In Ckdmentioning

confidence: 99%

Physical Activity in Chronic Kidney Disease: a Plausible Approach to Vascular Calcification?

Basile

Lomonte²,

Lisi³

et al. 2014

Kidney Blood Press Res

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Vascular calcification (VC) is a prominent feature that affects up to 40 to 80% of Chronic Kidney Disease (CKD) patients depending on the degree of renal impairment. Though etiology and pathogenesis of the different types of VC are far from being elucidated, it is conceivable that an imbalance between promoters and inhibitors represents the condition that triggers VC deposition and progression. In addition to traditional cardiovascular risk factors, several lines of evidence suggest that specific factors may affect the arterial system and prognosis in CKD. Over the last decade, a few pharmacological strategies aimed at controlling different selected risk factors for VC have been investigated yielding conflicting results. In light of the complicated interplay between inhibitors and promoters as well as the fact that VC represents the result of cumulative and prolonged exposure to multiple risk factors, a more comprehensive risk modification approach such as lifestyle modification or physical activity (PA) may represent a valid strategy to attenuate VC deposition and progression.We herein aim at reviewing the rationale and current evidence on the potential for lifestyle modification with a specific focus on PA as a cost-effective strategy for VC treatment.

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The Effect of Intradialytic Aerobic Exercise on Dialysis Efficacy in Hemodialysis Patients: A Randomized Controlled Trial

Abstract: A simplified aerobic exercise program has increased the efficacy of dialysis and may be considered as a safe, complementary and effective modality for hemodialysis patients.

Cited by 64 publications

References 17 publications

Intradialytic Exercise in Hemodialysis Patients: A Systematic Review and Meta-Analysis

Intradialytic Exercise in Hemodialysis Patients: A Systematic Review and Meta-Analysis

The Effects of Comfort-Based Interventions (Back Massage and Patient and Family Education) on the Level of Comfort Among Hemodialysis Patients

Physical Activity in Chronic Kidney Disease: a Plausible Approach to Vascular Calcification?

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