Effects of individualized exercise program on physical function, psychological dimensions, and health‐related quality of life in patients with chronic kidney disease: A randomized controlled trial in China

Abstract

The aim of this study was to examine the effects of a 12-week home-based exercise program on physical function, psychological dimensions, and health-related quality of life for patients with chronic kidney disease. Ninety eligible patients were enrolled and randomly separated into the exercise group and the control group from November 2015 to May 2016. The exercise group received an individualized exercise program while the control group received only usual care and continued primary lifestyle. Physical function was measured using 6-minute walk test and 10 repetitions of the sit-to-stand test while psychological dimensions were assessed by the Hospital Anxiety and Depression scale and the Self-Efficacy for Exercise scale. Quality of life was evaluated by a disease-specific instrument, the Kidney Disease Quality of Life scale. The differences between the exercise group and the control group were statistically significant for 6-minute walk distance, the time to complete 10 repetitions of the sit-to-stand test, self-efficacy for exercise, anxiety and depression, and all domains of health-related quality of life after a 12-week exercise. This study suggests that home-based individualized exercise program is an effective and feasible way of improving physical function, psychological stress, and health-related quality of life for early stage of chronic kidney disease patients.

Physical Fitness, Exercise Self-Efficacy, and Quality of Life in Adulthood: A Systematic Review

“…Figure 1 presents all the articles that were selected for this systematic review. Of the 37 articles reviewed focused on clarifying the relationship between fitness parameters and exercise self-efficacy, 32 articles were focused on populations with some type of pathology [ 6 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 ]. Five articles focused on the pathology-free middle-aged population [ 62 , 63 , 64 , 65 , 66 ].…”

“…Quality of life has been evaluated with different instruments, 13 articles used “The SF-36 Health Questionnaire” [ 6 , 31 , 32 , 35 , 36 , 38 , 41 , 43 , 44 , 45 , 53 , 60 , 61 ]; On three occasions, the following were used: The SF-12 Health Questionnaire” [ 42 , 51 , 55 ]; “The Medical Outcomes Study 36-Item Short Form” (The MOS SF36) [ 44 , 47 , 52 ]. On two occasions “Minnesota Living with Heart Failure Questionnaire” (The MLHFQ) [ 54 , 55 ]; “The EuroQol Five-Dimensions Questionnaire” (EQ-5D) [ 46 , 56 ]; “The St. George Respiratory Questionnaire” (SGRQ-TS) [ 39 , 44 ]; “Chronic Respiratory Questionnaire”(CRQ) [ 36 , 49 ]; “The European Organization for Research and Training, Quality of Life Questionnaire—Core 30” (The EORTC QLQ-C30) [ 57 , 64 ]; “The World Health Organization Quality of Life questionnaire” (WHOQOL-BREF) [ 40 , 59 ] were evaluated.…”

“…On one occasion we used: “Self-Administered Quality of-Well-Being Scale” (The QWB-SA) [ 44 ]; “Cancer Rehabilitation Evaluation System-Short Form” (CARES-SF) [ 62 ]; “The Fibromyalgia Impact Questionnaire” (FIQ) [ 32 ]; “Stroke Impact Scale–16” (SIS-16) [ 50 ]; “The Parkinson’s Disease Questionnaire-8” (PDQ-8) [ 48 ]; “The Kidney Disease Quality of Life” (KDQOL-36) [ 51 ]; “The Quality of Well-Being Scale” (QWB) [ 49 ]; “The Asthma Quality of Life Questionnaire” [ 58 ].…”

“…In relation to the instruments used in this review, 18 articles evaluated self-efficacy for physical exercise; these focus primarily on evaluating pre-behavioral processes such as change of behavior towards exercise [ 33 , 39 , 49 ], confidence in designated change towards exercise behavior [ 6 , 45 , 47 , 54 , 55 ], self-perceived capacity to develop sports behavior [ 45 , 51 ], confidence in designated change towards exercise behavior [ 6 , 54 , 55 ], social support for exercise behavior [ 46 ], and self-perceived barriers to exercise behavior [ 62 , 65 ]. Specifically, all of these results are related to Pender contributions, which link healthy behavior to the likelihood of engaging in it and one’s sense of self-efficacy.…”

Lifestyle behaviour change for preventing the progression of chronic kidney disease: a systematic review

“…Primary outcomes of studies in this review were diverse and were mainly physiological metrics (for example, eGFR, blood pressure, peak VO 2 and sodium or albumin excretion). Only six studies included patient-reported and/or behavioural primary outcomes such as quality of life, fatigue, knowledge, self-efficacy, self-management, exercise and health behaviours 30 31 44 45 48 49…”