Benefits of exercise training in patients on continuous ambulatory peritoneal dialysis

Lo, Chen‐Tsyr; Li, L.; Lo, Wai-Kei; Chan, Ming‐Jen; So, Elaine F. M.; Tang, Sydney C.W.; Yuen, M.-C.; Cheng, Ignatius K.P.; Chan, Tak Mao

doi:10.1016/s0272-6386(98)70076-9

Cited by 55 publications

(63 citation statements)

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“…Although doses are unknown, as EPO was prescribed independently by many physicians, the greater increase in hematocrit in PR and DR may be partly due to exercise [17, 29, 30]. Correction of anemia with EPO treatment increases exercise capacity less than expected for a given increase in hematocrit [6], perhaps partly because increased physical activity may also be needed for maximum benefit.…”

Section: Discussionmentioning

confidence: 99%

Exercise Coaching and Rehabilitation Counseling Improve Quality of Life for Predialysis and Dialysis Patients

Fitts

Guthrie

Blagg

1999

Nephron

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Advances in medical treatment have improved the rehabilitation potential of predialysis (P) and dialysis (D) patients, but deficits remain in their physical and vocational functioning. We studied 18 P (expected to begin dialysis in 6–12 months) and 18 D patients (on dialysis 1–5 years) for 1 year. Exercise coaching and rehabilitation counseling were provided at no cost for the first 6 months to half of each patient group (rehabilitation group = R); the other half were assigned randomly to controls (C). No R services were provided during 6 months of follow-up. PR walked further in 6 min at 6 months (+3.9 m) and 12 months (+4.1 m) than initially (p < 0.01). Hematocrit increased in R (p < 0.05), but not in C. Symptom scores were stable in D, worsened 21% in PC, and improved 15% in PR. Sickness impact profile scores were better in PR than PC at 6 months (p < 0.05) and 12 months (NS). Comorbidity correlated with symptoms (r = +0.34, p < 0.05), self-rated affect (r = –0.35, p < 0.05), and self-rated Karnofsky index of disability (r = –0.37, p < 0.05), but not with physician-rated affect or physician-rated Karnofsky index of disability. Thus, quality of life was stable or improved in PR, but declined in PC; PR benefited more than DR. Rehabilitation services are more beneficial before than after patients stabilize on dialysis, and quality of life monitoring should continue indefinitely.

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Section: Discussionmentioning

confidence: 99%

Exercise Coaching and Rehabilitation Counseling Improve Quality of Life for Predialysis and Dialysis Patients

Fitts

Guthrie

Blagg

1999

Nephron

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“…The mean peak aerobic capacity (VO 2 peak) of the patients increased by 16.2% after training (pre-and post-exercise, 17.2 ± 5.2 mL/kg/min v 20.0 ± 6.4 mL/kg/min; P=0.004) [31]. Although there were no significant changes in serum urea, creatinine, albumin, hematocrit levels, left ventricular diastolic/systolic diameter ratio and ejection fraction, an increasing trend in plasma high-density lipoproteins (HDLs) was observed (baseline vs. post exercise, 33 ± 11 mg/dL v 40 ±…”

Section: Physical Activity In Capd Patientsmentioning

confidence: 99%

“…In a study on exercise tolerance, blood biochemistry, blood pressure (BP) control, cardiac function, and quality of life (QOL) over a 12-week exercise program [31], scores were calculated from 13 patients undergoing continuous ambulatory peritoneal dialysis (CAPD; six men and seven women of mean age, 46.5 ± 12.8 years, and with a mean duration of dialysis of 4.8 ± 3.8 years). The patients underwent exercise training using treadmill running or cycling with arm ergometers three times a week.…”

Section: Physical Activity In Capd Patientsmentioning

confidence: 99%

“…No changes occurred in exercise capacity, blood biochemistry, BP profile, and QOL scores in the controls. The team concludes that structured aerobic exercise is safe and can improve the exercise tolerance and QOL outcomes in CAPD patients [31]. Another study investigated factors that influence peak VO 2 in patients receiving CAPD [32].…”

Section: Annals Of Clinical and Laboratory Research Issn 2386-5180mentioning

confidence: 99%

“…In further work to determine the effects of physical activity on left ventricular function at rest and during sub maximal effort, thirty-eight ESRD patients maintained on HD were recruited and randomized into three groups [31]. Sixteen patients (Group A -mean age 46.4 ± 13.9 years, without clinical features of heart failure) participated in a 6 month renal rehabilitation program with supervised exercise consisting of three weekly sessions of aerobic training.…”

Section: Physical Activity In Hd Patientsmentioning

confidence: 99%

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End-Stage Renal Disease (ESRD): Physical Activity and Elucidation of Its Effects on Biochemical and Haematological Parameters in Haemodialysis Patients

Muhammad¹

2016

Ann Clin Lab Res

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End-stage renal disease (ESRD) is a progressive disorder for which there is no prospect of recovery, and for which patients receive regular haemodialysis. In ESRD the ability of the kidneys to excrete metabolic waste products and to regulate the composition of extracellular fluid is compromised. Symptoms of ESRD also include cardiovascular dysfunction, anaemia, malnutrition, muscle wasting, muscle weakness, glucose intolerance and reduced bone density. Patients with ESRD are likely to be challenged by participation in exercise whilst undergoing a HD regimen. Nevertheless there is a case for prescribing exercise in patients who struggle to become active. Some benefits of exercise In patients receiving haemodialysis, the benefits of physical exercise, which include: 1) Reduction of toxins and fluid overload in the circulatory system, permitting improved tolerance to the HD regimen and 2) Increased heart rate, which improves cardiovascular performance, 3) a reduction in comorbidities and an increase in well-being, and 4) the facilitation of positive coping strategies. An understanding how exercise can be of clinical advantage in ESRD patients is unique and challenging given the variety of nutritional and clinical conditions with which they present. The haematological and biochemical parameters which should be monitored in these patients (including blood potassium, urea, calcium and hemoglobin levels) need to be prioritized, and this prioritization depends in turn upon general patient well-being. More research is also required in the understanding of physiology and importance of good nutrition in this population. The aim of this work is to provide some background of the key parameters in HD patients and to identify literature on biochemical parameters which are affected during physical activity in HD patients. The results help to emphasize that closer attention should be paid to monitoring HD efficacy and Kt/V, a measure of dialysis adequacy.

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Exercise

Galbo¹,

Richter²

2004

International Textbook of Diabetes Mellitus

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If type 1 diabetic patients take too little insulin, exercise accelerates the rate at which hyperglycemia and ketosis develop. On the other hand, if the patients take too much insulin, hypoglycemia develops more rapidly, if they also exercise. However, education and home monitoring of blood glucose concentrations allow insulin‐treated diabetic patients to change amount and timing of insulin and food intake to cope with any exercise challenge. In type 2 diabetic patients the metabolic risks with exercise are less. In the postprandial state exercise always reduces glucose levels, and the decrease seems determined primarily by overall energy expenditure. In response to regularly repeated exercise, i.e. training, type 2 diabetic patients show an increase in insulin sensitivity in muscle and a reduction in HbA 1c levels. In contrast, type 1 diabetic patients cannot be recommended training as a means to improve glycemic control. However, in addition to mental and social benefits both groups may achieve improvements in aerobic exercise capacity, muscle strength, arterial blood pressure, and endothelium‐dependent vasodilation by training. Furthermore, cardiovascular morbidity and mortality are lower and life expectancy increased in physically active compared with sedentary diabetic patients. The risk of getting type 2 diabetes can also be reduced by an active life style. Before increasing the level of physical activity all diabetic patients should undergo a thorough medical evaluation. In case of overt or suspected clinically silent long‐term complications the examination should include a graded exercise test with ECG and blood pressure measurement. Based on the examination an appropriate program, which accounts for individual limitations and preferences and includes, for instance, both aerobic and resistance training, can be worked out for all patients.

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Benefits of exercise training in patients on continuous ambulatory peritoneal dialysis

Cited by 55 publications

References 0 publications

Exercise Coaching and Rehabilitation Counseling Improve Quality of Life for Predialysis and Dialysis Patients

Exercise Coaching and Rehabilitation Counseling Improve Quality of Life for Predialysis and Dialysis Patients

End-Stage Renal Disease (ESRD): Physical Activity and Elucidation of Its Effects on Biochemical and Haematological Parameters in Haemodialysis Patients

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