Effectiveness of exercise on fatigue in hemodialysis patients: a randomized controlled trial

Salehi, Farzaneh; Dehghan, Mahlagha; Shahrbabaki, Parvin Mangolian; Ebadzadeh, Mohammad Reza

doi:10.1186/s13102-020-00165-0

Cited by 37 publications

(35 citation statements)

References 31 publications

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“…In Case 3, fatigue related to CKD may have affected presenteeism. A previous study showed that exercise therapy in patients with CKD reduces fatigue [ 24 ]. Additionally, physical function is related to fatigue in workers [ 25 ], and exercise therapy for workers has been shown to reduce fatigue [ 26 ].…”

Section: Discussionmentioning

confidence: 99%

Investigation of presenteeism, physical function, and exercise habits in workers with CKD: three case reports with literature review

et al. 2022

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Management of presenteeism in the context of chronic kidney disease (CKD) is essential for disease management, ensuring the workforce’s availability, and reducing health-related costs. The purpose of this case study was to investigate presenteeism, physical function, and exercise habits in three working patients with CKD and discuss their effects. Case 1 was a 71-year-old male security guard; Case 2 was a 72-year-old male agricultural worker; and Case 3 was an 83-year-old male civil engineering employee. Presenteeism was measured using the work functioning impairment scale (WFun), and physical function was measured using grip strength, skeletal muscle mass index, 10 m walk test, short physical performance battery, and exercise habits. The WFun assessment showed that only Case 3 had moderate presenteeism, and the barrier to employment was fatigue. Each value of physical function was higher than the reference value, but Case 3 had the lowest physical function values. All three patients had no exercise habits and were in the interest stage of behavior change. This case report indicates the existence of workers with CKD who need care for presenteeism, even if they have no problems with physical function or activities of daily living. To ensure work productivity in workers with CKD, clinicians may need to evaluate presenteeism, physical function, and exercise habits in addition to popular treatment and care.

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Section: Discussionmentioning

confidence: 99%

Investigation of presenteeism, physical function, and exercise habits in workers with CKD: three case reports with literature review

et al. 2022

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“…As mentioned, hemodialysis patients are less engaged in physical activities on dialysis days and preliminary results demonstrate that low-to-moderate-intensity exercise prior to hemodialysis is effective in improving fatigue [ 42 ]. One small-scale randomized clinical trial also demonstrated intradialytic exercise was efficacious in reducing fatigue in the intervention group compared to the control group [ 43 ]. From clinical perspectives, our results reinforce the importance of maintaining the recommend minimum target of nPCR of 1.2 g/kg/day.…”

Section: Discussionmentioning

confidence: 99%

Fatigue characteristics on dialysis and non-dialysis days in patients with chronic kidney failure on maintenance hemodialysis

Debnath

Rueda²,

Bansal

et al. 2021

BMC Nephrol

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Background Fatigue is prevalent in hemodialysis patients who for survival follow a strict dialysis treatment regimen – dialysis and non-dialysis days. As a result, the daily activities, symptom burden, and clinical outcomes of hemodialysis patients vary significantly between dialysis and non-dialysis days. Fatigue is one of the most reported debilitating symptoms by hemodialysis patients with profound negative impact on their quality of life. Prior studies assessed fatigue during the preceding 7 or 30 days and did not discriminate fatigue characteristics between dialysis and non-dialysis days. We aimed to characterize and compare fatigue severity and fatigue interference with daily activities between dialysis and non-dialysis days. Methods Hemodialysis patients self-reported fatigue on consecutive dialysis and non-dialysis days using the 9-item Brief Fatigue Inventory. The differences in fatigue characteristics between dialysis and non-dialysis days were analyzed using one-way ANCOVA. Results Global fatigue burden was worse on a dialysis day compared to a non-dialysis day (P for all < 0.001). Age and education were associated with fatigue, but hemodialysis-related variables were not. A significant inverse association of physical activity with fatigue severity observed on non-dialysis day; there was also a negative association between the normalized protein catabolic rate and fatigue severity on both dialysis and non-dialysis days. The positive association of depression with fatigue severity and fatigue interference were consistent on both dialysis and non-dialysis days. None of these factors, however, explained differences in fatigue characteristics between dialysis and non-dialysis days. Conclusions Fatigue, measured in severity and interference, was more pronounced on a dialysis day relative to a non-dialysis day. These differences were not explained by age, sex, education, hemodialysis-related variables, habitual exercise, nutritional status, and or depression. The quantitative measures of fatigue characteristics may facilitate future interventional trials design and better fatigue management for hemodialysis patients.

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“…Today, physical activity is one of the simplest and possibly the most inexpensive strategies for improving the lifestyle of cardiovascular patients [ 8 ]. Physical activity is any physical movement that requires energy expenditure and is generated by skeletal muscle [ 9 ]. Physical activity can moderate risk factors in heart failure patients [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

The relationship between sleep quality and physical activity among patients with heart failure: a cross-sectional study

Esnaasharieh

Dehghan

Shahrbabaki

2022

BMC Sports Sci Med Rehabil

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Background Sleep disorders are one of the most common and annoying problems among patients with heart failure, which decrease their quality of life. Participation in physical activity is one of the most effective methods to reduce sleep disorders; however, few patients participate. This study was conducted to examine the relationship between physical activities and sleep quality among heart failure patients. Methods A convenience sample of 100 patients with heart failure referred to rehabilitation centers in southeastern Iran was used in this descriptive cross-sectional study. The Pittsburgh Sleep Quality Index and the Rapid Assessment of Physical Activity (RAPA) were used to collect data. The Spearman correlation coefficient and regression were used to analyze the data. The significance level was < 0.05. Results The results revealed that the mean score of sleep quality was 8.74 ± 2.83, with the majority of them (84.47%) having poor sleep quality. The mean score of physical activity was 2.59 ± 1.33, and the majority of them (95.15%) had sub-optimal physical activity. There was a significant and inverse relationship between the total scores of sleep quality and physical activity, and patients’ sleep quality improved while physical activity increased. Physical activity, sex, history of heart surgery, and the stage of illness were found to account for 31% of the variances in patients’ sleep quality. Conclusion The results of this study showed better sleep quality among patients who were more physically active. Given that the majority of patients with heart failure suffer from sleep disorders, patients’ knowledge of physical activity should be increased to improve their quality of sleep and quality of life.

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Effectiveness of exercise on fatigue in hemodialysis patients: a randomized controlled trial

Cited by 37 publications

References 31 publications

Investigation of presenteeism, physical function, and exercise habits in workers with CKD: three case reports with literature review

Investigation of presenteeism, physical function, and exercise habits in workers with CKD: three case reports with literature review

Fatigue characteristics on dialysis and non-dialysis days in patients with chronic kidney failure on maintenance hemodialysis

The relationship between sleep quality and physical activity among patients with heart failure: a cross-sectional study

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