Uptake of and adherence to exercise during hospital haemodialysis

Torkington, M. S.; MacRae, M. Elizabeth; Isles, Chris

doi:10.1016/j.physio.2005.08.004

Cited by 16 publications

(11 citation statements)

References 16 publications

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“…These findings are in alignment with what has been reported in the literature [ 52 , 53 ]. However, adherence and uptake of these exercises is limited [ 54 ]. Hence, it is important to identify people on HD with deteriorating GS or self-reported physical function.…”

Section: Discussionmentioning

confidence: 99%

The Impact of Hemodialysis on Spatio-Temporal Characteristics of Gait and Role of Exercise: A Systematic Review

Sawant

Overend

2017

Healthcare

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Background: People with end-stage kidney disease (ESKD) on hemodialysis (HD) commonly have functional impairments. The purpose of this systematic review was to evaluate the effect of HD on spatio-temporal characteristics of gait, and effect of exercise on these parameters. Methods: Electronic databases were searched to identify relevant citations. Extracted data was computed using a random effects model for means (Hedges’ and 95% confidence interval (CI). Results: 27 studies met inclusion criteria. Mean values: gait speed (GS)—1.0 m/s (CI: 0.9–1.1 m/s; 16 studies), fast walking speed (FWS)—1.5 m/s (CI: 1.3–1.6 m/s; 7 studies), timed get-up & go test (TUG) —6.8 s (CI: 6.1–7.5 s; 2 studies), walk tests (WT) 193.0 s (CI: 116.0–270.0; 5 studies), 6 min-walk-test (6MWT)—386.6 m (CI: 243.2–530.0 m; 11 studies). 4 studies compared participants on HD with normal controls and 10 studies evaluated the effect of nutrition/exercise. Conclusions: Compared to age-matched populations, people with ESKD/HD had significantly slower GS and reduced walk distances; with intervention, the change in the distance walked was significant. Further research is required to evaluate the effect of HD on gait parameters, and the type of exercise/nutrition that will lead to meaningful changes.

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Section: Discussionmentioning

confidence: 99%

The Impact of Hemodialysis on Spatio-Temporal Characteristics of Gait and Role of Exercise: A Systematic Review

Sawant

Overend

2017

Healthcare

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“…Clinicians who led exercise programs were either exercise physiologists (62,66,85,100,113,129,132,152,157) or physiotherapists (physical therapists) (49,66,119,146,152,157,159). These exercise professionals were often a part of an exercise facility who partnered the dialysis unit (129,139,152,160).…”

Section: A Sustainable Program Requires Exercise Professionalsmentioning

confidence: 99%

“…Dialysis exercise programs have been shown to improve cardiovascular risk (5,23–33), quality of life (34–51), physical function (6,34,46,47,49,52–82), muscle condition (83–92), dialysis efficacy (35,36,61,76,93–101) and can decrease indicators of depression (41,102–107), inflammatory markers (56,85,108,109), and mortality (110,111) in this population. Although the benefits of exercise have been frequently reported, there are challenges for dialysis providers to incorporate exercise in their routine treatment (112–125) with many well‐designed exercise interventions, showing great efficacy, but with limited documented economic value in real world settings (126).…”

Section: Introductionmentioning

confidence: 99%

Sustaining a Hemodialysis Exercise Program: A Review

Bennett

Breugelmans

Barnard

et al. 2010

Seminars in Dialysis

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This article reviews the literature addressing exercise programs for dialysis patients to identify elements necessary for sustaining exercise programs in this population. Literature searches for publications (January 1980-February 2009) in Medline (OVID), PubMed, CINAHL (EBSCO), EBSCOhost EJS, ProQuest Central, Web of Science, Cochrane Library, Google Scholar, ScienceDirect, SpringerLink (Kluwer), and Wiley Interscience (Blackwell) were performed. Reference lists from relevant articles were hand-searched for further publications. Criteria for inclusion included full-text primary research and review articles focused on exercise for adult hemodialysis patients. One hundred and seventy one publications were found with a primary focus on exercise in hemodialysis. Of these, 28 primary research and 14 review articles addressed one or more aspects of sustainability of hemodialysis exercise programs. Factors contributing to sustainable exercise programs included: dedicated exercise professionals; encouragement to exercise intradialytically; dialysis and medical staff commitment; adequate physical requirements of equipment and space; interesting and stimulating; cost implications need to be addressed; exercise is not for everyone; requires individual prescription; and there is no age barrier to exercise on hemodialysis.

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“…However, no evidence is available concerning the effectiveness of a standardized early exercise training intervention in the acute ICU phase when patients are still under sedation (22,23). This exercise training modality has been shown to be a safe and feasible exercise tool in patients with severe chronic obstructive pulmonary disease confined to bed (26) and during hemodialysis in patients with endstage renal disease (27). A rather new method to train bed-bound patients is the use of a bedside cycle ergometer.…”

mentioning

confidence: 99%