Effectiveness of physical activity on depression, anxiety, stress and quality of life of patients on hemodialysis

Abstract

Individuals diagnosed with Chronic Kidney Disease (CKD) usually develop psychiatric complications as the dialysis procedure causes changes in the physical health and social life. Though the literature supports beneficial effects of exercise programmes in dialysis patients, the implementation of exercise as a part of clinical care is very less. Hence, the present study was undertaken to provide further evidence for the effectiveness of physical activity depression, anxiety, stress and quality of life of patients on hemodialysis. A total of 14 patients including males and females who were undergoing hemodialysis at selected hospital and who fulfil the selection criteria were included in the present study. The quality of life of the participants was collected by interview method using modified Kidney Disease Quality of Life (KDQOL) scale and Depression, Anxiety and Stress Scale (DASS 21). In this study regular exercise program has reduced depression, anxiety and stress and improved quality of life in hemodialysis patients. Hence, it is suggested to perform more qualitative and quantitative studies in this area to support adoption of physical exercise in the routine care of hemodialysis patients.

The Effectiveness of Physical Exercise on Psychological Status, and Sleep Quality among Jordanian Patients Undergoing Hemodialysis: Literature Review

“…Furthermore, providing physical activity on patients undergoing hemodialysis, which consists of elbow flexion/extension, forearm supination/pronation, wrist circumduction, fingers flexion/extension, ankle rotation, toes flexion, extension and hyper extension, were found to be significantly reducing the levels of depression and improving the quality of their life. However, the results recommends to support these finding with other experimental studies using different approach of physical exercises [38].…”

“…The prevalence rate of anxiety ranged from 21% to 48% [38]. Moreover, the higher levels of anxiety were significantly correlated with females, increased patients' age, low level of education, retirement status, poor financial situation, and co-morbidities [39].…”

“…Afshar et al [38] conducted an experimental study to evaluate the effectiveness of aerobic training exercises on sleep quality among patients with ESRD, the results revealed that sleep quality was improved after 8 weeks in training groups, and the study recommended further research studies about the effectiveness of different kinds of physical exercises. Another study assessed the predictors of sleep quality among hemodialysis patients, the results showed that physical exercise is a predictor for sleep quality [51].…”

Application of Wearables to Facilitate Virtually Supervised Intradialytic Exercise for Reducing Depression Symptoms

“…Instead, exercise therapy has been considered as an appropriate option to reduce depression in hemodialysis patients [15][16][17][18][19]. Scientists have demonstrated that the release of beta-endorphins during exercise plays an important role in the construction of hippocampal neurons and reduce depression [20]. In addition, exercise also reduces depression by changing the growth hormones and cortisol hormones [20].…”

Study of Physico- chemical Characteristics of Water in River Mandakini

“…all the collected samples have phosphate concentration ranging from 0.00 to 0.009 mg/l. all the water samples of phosphate concentration are under the limit of [20] USPHS as 0.1 mg/l. [21] Prasanna et al 2010, studied physicchemical properties of water collected from Dharma Estuary and analysed the phosphate content and values were found ranged between 0.04 to 1.15 mg/l.…”