Comparative efficacy of nine exercise methods on the prognosis in chronic kidney disease patients with hemodialysis: a systematic review and network meta-analysis

Ren, Ning; Yang, Huiting; Cai, Zelin; Wang, Ruye; Wang, Zeng; Zhao, Ying; Miao, Chenyun; Chen, Yun; Zhang, Yang; Zhu, Xingyu; Chen, Hongyu; Zhang, Qin

doi:10.1186/s40001-023-01270-9

Cited by 3 publications

(1 citation statement)

References 37 publications

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“…A recent meta-analysis comparing the effects of nine different exercise modalities reported that aerobic exercise alone or aerobic exercise plus resistance training contributed most strongly to improvements in exercise tolerance 14 . The JSRR clinical practice guidelines recommend both aerobic exercise and resistance training, but many facilities focused on lower limb resistance training, which is easier to perform.…”

Section: Discussionmentioning

confidence: 99%

Exercise instruction during haemodialysis treatment after changes to the insurance regime: a nationwide questionnaire survey in Japan

Sofue,

Matsuzawa,

Nishiwaki

et al. 2024

Sci Rep

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In April 2022, an additional medical fee for exercise instruction during haemodialysis treatment was approved for insurance claims in Japan. We conducted a questionnaire survey to investigate the current situation regarding exercise therapy during haemodialysis treatment after this change. Questionnaires were mailed to 4257 haemodialysis facilities, almost all the haemodialysis facilities in Japan, on January 31, 2023. In total, 1657 facilities responded, of which 550 (33%) provided exercise instruction during haemodialysis treatment, and 65% of these claimed the new fee. Of the 550 facilities that had claimed the fee at the time of survey, 245 (55%) started exercise instruction in April 2022 or later. Exercise instruction focused on resistance training (81%) and aerobic exercise (62%) for 20–30 min (66%) three times a week (80%). The instructors included physicians in 45% of facilities, nurses in 74%, and physical therapists in 36%. Efficacy was evaluated in 76% of the facilities providing instruction, mainly by assessing change in muscle strength (49%). Overall, 39% of facilities had experienced some adverse events, but none were life-threatening. In conclusion, after the change in the insurance regime, exercise instruction during haemodialysis treatment has become more popular, and more patients on haemodialysis are undergoing exercise therapy.

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Section: Discussionmentioning

confidence: 99%