Evaluation of the impact of an intradialytic exercise programme on sarcopaenia in very elderly haemodialysis patients

Sánchez-Tocino, Maria Luz; González‐Parra, Emilio; Serrano, Blanca Miranda; Gracia-Iguacel, Carolina; de-Alba-Peñaranda, Ana María; López-González, Antonio; Olegario, Marcos García; Ortíz, Alberto; Mas, Sebastián

doi:10.1093/ckj/sfac046

Cited by 15 publications

(10 citation statements)

References 52 publications

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“…While initially the concept of sarcopenia focused on muscle size, muscle strength does not depend on muscle size alone, and the two entities can be separate [ 20 , 21 ]. Indeed, the loss of strength is greater than the loss of muscle mass in older patients, and strength can decrease while muscle size is still maintained or even increased [ 22 ].…”

Section: Introductionmentioning

confidence: 99%

Sarcopenia and Mortality in Older Hemodialysis Patients

et al. 2022

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(1) Sarcopenia is a progressive loss of skeletal muscle mass and strength. The aim of this study was to determine the association of sarcopenia, defined according to the Working Group on Sarcopenia in Older People (EWGSOP2) diagnostic criteria, with mortality at 24 months in very elderly hemodialysis patients. (2) A prospective study was conducted in 60 patients on chronic hemodialysis who were older than 75 years. Sarcopenia was diagnosed according to EWGSOP2 criteria. Additionally, clinical, anthropometric and analytical variables and body composition by bioimpedance were assessed. The date and cause of death were recorded during 2 years of follow-up. (3) Among study participants, 41 (68%) were men, the mean age 81.85 ± 5.58 years and the dialysis vintage was 49.88 ± 40.29 months. The prevalence of probable sarcopenia was 75% to 97%, depending on the criteria employed: confirmed sarcopenia ranged from 37 to 40%, and severe sarcopenia ranged from 18 to 37%. A total of 30 (50%) patients died over 24 months. Sarcopenia probability variables were not related to mortality. In contrast, sarcopenia confirmation (appendicular skeletal muscle mass, ASM) and severity (gait speed, GS) variables were associated with mortality. In multivariate analysis, the hazard ratio (95% confidence interval) for all-cause death was 3.03 (1.14–8.08, p = 0.028) for patients fulfilling ASM sarcopenia criteria and 3.29 (1.04–10.39, p = 0.042) for patients fulfilling GS sarcopenia criteria. (4) The diagnosis of sarcopenia by EWGSOP2 criteria is associated with an increased risk of all-cause death in elderly dialysis patients. Specifically, ASM and GS criteria could be used as mortality risk markers in elderly hemodialysis patients. Future studies should address whether the early diagnosis and treatment of sarcopenia improve outcomes.

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Section: Introductionmentioning

confidence: 99%

Sarcopenia and Mortality in Older Hemodialysis Patients

et al. 2022

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“…Taichi exercises increase the ability of muscles to extend/stretch as much as possible so that the body can move with a maximum range of motion without discomfort/pain (Sánchez-Tocino et al, 2022). Increased flexibility is closely related to soft tissues, such as ligaments, tendons, muscles, and bone structure (Xinzheng, Fanyuan, & Xiaodong, 2022).…”

Section: Discussionmentioning

confidence: 99%

Tai chi exercise is better than low-intensity steady-state cardio for improving physical fitness and sleep quality in the elderly

Andriana

Nurdianto²

2022

SPORTIF

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The condition of elderly is a condition with decreased function both anatomically and physiologically. The problem is the lack of participation of the elderly in exercise due to motivational factors, physical conditions, and attitudes of the elderly towards this type of exercise. This study aims to prove that tai chi is better than low-intensity steady-state cardio in improving the physical fitness and sleep quality of the elderly. The method used in this study is quantitative inferential using a two-group experimental design. This study examined as many as 40 older adults as subjects. The Physical fitness was collected using a senior fitness test instrument, and sleep quality was collected using a sleep quality questionnaire entitled the Pittsburgh Sleep Quality Index. The data analysis technique was paired sample t-test and independent t-test. The results showed that tai chi exercise was better than low-intensity steady-state cardio for increasing flexibility (p<0,05), muscle strength in the upper and lower extremities (p<0,05), and improving coordination and balance abilities (p<0,05). At the same time, the low-intensity steady state is better than tai chi exercise in improving cardiovascular ability (p<0,05). Tai chi exercise is better than the low-intensity steady-state cardio method for improving sleep quality (p<0,05). The conclusion is that tai chi exercise is better than the low-intensity steady state in improving physical fitness and sleep quality in the elderly group.

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“…This study showed significant changes in hemoglobin and albumin levels, which aligns with previous research. [23][24][25][26][27][28][29][30][31] The sample size can be expanded in future studies to investigate whether exercise can help to control anemia in hemodialysis patients. It is important to note that adequate dialysis and complication management are essential for exercise and psychological rehabilitation.…”

Section: Before the Interventionmentioning

confidence: 99%

The impact of aerobic exercise on health-related quality of life among patients undergoing maintenance hemodialysis

Liu,

Zheng,

Yao

et al. 2023

Medicine

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To investigate the effect of exercise on cardiopulmonary function and the life quality of maintenance hemodialysis patients. Eighty-four patients who underwent maintenance hemodialysis treatment for more than 3 months were randomly divided into experimental group and control group. The general data and nutritional indexes, including hemoglobin and plasma albumin, before and after the experiment. The differences in lung function, cardiac ultrasound, cardiopulmonary function, exercise endurance between the 2 groups before and after intervention were compared. The short form 36-item health survey (SF-36) and self-rating depression scale (SDS) were assessed. In our study, the experimental group had better Force vital capacity (FVC) and peak expiratory flow (PEF) after the intervention compared to the control group (P < .05). Anaerobic threshold and 6-minute walk test (6MWT) improved significantly in the experimental group (P < .05), and SF-36 showed better physical functioning, social functioning, general health, and vitality scores in the experimental group compared to the control group (P < .05). In addition, following 24 weeks of exercise, the Depression score of the exercise group showed a statistically significant improvement when compared to the control group (P < .05). After the intervention, hemoglobin improved significantly in the experimental group (P < .05). Intradialytic exercise can improve hemoglobin, Alb, pulmonary function, aerobic capacity, and exercise endurance in maintenance hemodialysis patients, so as to improve the quality of life, which is worthy of further promotion.

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Evaluation of the impact of an intradialytic exercise programme on sarcopaenia in very elderly haemodialysis patients

Cited by 15 publications

References 52 publications

Sarcopenia and Mortality in Older Hemodialysis Patients

Sarcopenia and Mortality in Older Hemodialysis Patients

Tai chi exercise is better than low-intensity steady-state cardio for improving physical fitness and sleep quality in the elderly

The impact of aerobic exercise on health-related quality of life among patients undergoing maintenance hemodialysis

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