Constant Work-Rate Test to Assess the Effects of Intradialytic Aerobic Training in Mildly Impaired Patients With End-Stage Renal Disease: A Randomized Controlled Trial

Roy’s Adaptation Model-Based Patient Education for Promoting the Adaptation of Hemodialysis Patients

“…Although role-function needs social integrity, yet available evidence shows that a high percentage of ESRD patients especially those who underwent long term dialysis therapy are unemployed or unable to return to their work (41, 42) and chronic renal disease may challenge their family roles and social responsibilities (43-45). Neuropathies, anemia, post dialysis fatigue, age (46, 47), the employment status before dialysis therapy, education level (48) and treatment modality (49) are influencing factors on the patient role function. In addition to financial benefits of employment, this matter is psychosocially important.…”

An update on the effects of aerobic training during hemodialysis in end stage renal disease patients

“…Alguns de nossos resultados já foram publicados, porém, após julho de 2010, data final de inclusão nesta revisão. [2][3][4] Sabendo que as características das populações podem interferir nos resultados de um programa de EA, acreditamos que nossos resultados, obtidos em uma população brasileira, podem contribuir para as conclusões desta revisão que incluiu apenas estudos conduzidos em outros países.…”

“…Além disso, um importante achado deste estudo foi que o teste com carga constante caracteriza melhor o efeito do EA na tolerância ao exercício, quando comparado ao teste incremental. 4 Uma preocupação com a prática de EA durante as sessões de hemodiálise refere-se à segurança e à aderência ao procedimento. Nestes estudos, evidenciamos que a prática de EA durante as sessões de hemodiálise constituiu uma estratégia segura, não acompanhada de complicações clínicas dignas de nota e associada à boa aderência na nossa população.…”

Intra-dialytic training accelerates oxygen uptake kinetics in hemodialysis patients

“…12 There is, therefore, growing interest in using sub-maximal, effort-independent measurements to assess the effects of interventions upon aerobic capacity in patient populations. 7,13,14 In this context, it is worth noting that the rate at which _ VO 2 adapts to the onset and cessation of constant work rate exercise (termed _ VO 2 kinetics) depends on several steps of the O 2 transport/uptake pathway from atmospheric air to tissue mitochondria. 15,16 Slow _ VO 2 kinetics at exercise onset (i.e.…”

“…[2][3][4][5] Accordingly, intra-dialytic training (IDT) has been progressively advocated to mitigate the negative consequences of ESRD and hemodialysis on oxidative metabolism. [6][7][8] The traditional approach to assess the beneficial effects of exercise conditioning upon aerobic capacity in ESRD patients relies on measurements of peak O 2 uptake ( _ VO 2 ) at the end of a maximal incremental test. 6,[8][9][10] Peak _ VO 2 , however, is a highly effortdependent variable which relates poorly to patients' daily functioning.…”