The effectiveness of intradialytic exercise in ameliorating fatigue symptoms in patients with chronic kidney failure undergoing hemodialysis: A systematic literature review and meta-analysis

Acute effect of intradialytic aerobic exercise on hemodynamic response, dialysis-related side effects and proteome in patients with kidney failure: a pilot study.

“…This is not surprising considering that fatigue is a construct that can be measured with multiple variables (e.g., sense of weakness, lack of energy, tiredness) and located on a continuum, with weakness, lack of energy, and tiredness on one end, and energy and vitality at the opposite (Jhamb et al, 2008;Lee et al, 1991). Finally, a recent meta-analysis (Wahida et al, 2023) reported that intradialytic training significantly decreased fatigue symptoms in adults undergoing HD, which makes us believe that our result could be transposed to the long term. Since we know that postdialysis fatigue is associated with sedentary behaviors (Gordon et al, 2011) and that these are known to be risk factors for chronic diseases and all-cause mortality, feeling less tired after treatment could benefit this population at high risk of comorbidities.…”

Effect of Lavender Aromatherapy on Anxiety and Fatigue in Hemodialysis Patients: A Systematic Review and Meta-Analysis

“…A meta-analysis study examining the effects of different essential oils on the fatigue of HD patients reported a significant effect of lavender, decreasing fatigue by 1.14 in the intervention group compared to the control group ( 38 ). This research included six articles with a RCT design, using essential oils such as lavender and orange.…”

Effect of exercise on fatigue in patients receiving maintenance hemodialysis treatment: A systematic review and network meta-analysis

“…14 To date, clinical trials have demonstrated that Baduanjin, Pilates, yoga, aerobic exercise, muscle relaxation exercise, resistance exercise, and aerobic-resistance combined exercise could improve the symptoms of fatigue in MHD patients, [15][16][17][18][19] and increase dialysis adequacy and urea clearance, 20 but are limited by sample size, lack of a control group, or short intervention duration, and the optimal exercise type and format for MHD patients remains uncertain. Several systematic reviews and meta-analyses have shown that exercise intervention could alleviate fatigue symptoms in MHD patients, [21][22][23][24] but only one specific type and time of exercise (intradialytic or interdialytic) are discussed; in addition, traditional meta-analysis cannot rank for different interventions. Meanwhile, network meta-analysis (NMA), also known as mixed treatment comparison or multiple treatments comparison meta-analysis, is a statistical method to directly and indirectly compare the effects of two or more treatments and allows the ranking of different treatments.…”