Exercise Guidelines for Chronic Kidney Disease Patients

Milam, Rita Huie

doi:10.1053/j.jrn.2016.03.001

Cited by 18 publications

(14 citation statements)

References 8 publications

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“…Intradialytic exercise (IE) (exercise training during hemodialysis treatment) can increase patients’ physical activity levels without placing additional demands on them. Growing evidence documents the positive effects of intradialytic exercise on exercise capacity [ 2 , 4 , 17 ], physical functioning [ 17 , 18 , 19 ], quality of life [ 2 , 20 , 21 ] and other patient-reported outcomes [ 22 , 23 ], when it combines resistance training and aerobic exercise [ 24 , 25 ]. The benefits of exercise may also protect the patients’ functional independence and, over time, reduce the need for homecare and help from family caregivers.…”

Section: Introductionmentioning

confidence: 99%

Motivation, Barriers, and Suggestions for Intradialytic Exercise—A Qualitative Study among Patients and Nurses

Wodskou

Reinhardt

Andersen

et al. 2021

IJERPH

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Background: Intradialytic exercise is an effective intervention to reduce morbidity and mortality and increase quality of life among patients with chronic kidney disease undergoing dialysis. However, implementing and sustaining it in clinical practice has proved challenging. To identify how to best design an effective and sustainable intervention in clinical practice, we aimed to explore hemodialysis patients’ and nurses’ attitudes towards intradialytic exercise, including their motivation, anticipated barriers, and suggestions for the design of a proposed exercise program. Methods: Data were collected through qualitative semistructured interviews with patients and focus group interviews with nurses and analyzed inductively with content analysis. Results: Overall, patients’ and nurses’ attitudes towards intradialytic exercise were positive. Patients were motivated by their expectations about perceived benefits, such as improved quality of life and reduced musculoskeletal pain. Their main concern was triggering dialysis machine alarms and disturbing nurses. Nurses were more skeptical of intradialytic exercise and concerned about patient safety. Patients and nurses had several ideas on how to design a safe and motivating intradialytic exercise intervention. Conclusion: The analysis of patients’ and nurses’ experiences and attitudes generated recommendations for an intradialytic exercise program. Recommendations include individually tailored programs that are safe and that patients can do independently, continuous collaboration between patients, nurses, physicians, and physiotherapists, and educating nurses about the benefits and safety of intradialytic exercise.

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Section: Introductionmentioning

confidence: 99%

Motivation, Barriers, and Suggestions for Intradialytic Exercise—A Qualitative Study among Patients and Nurses

Wodskou

Reinhardt

Andersen

et al. 2021

IJERPH

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“…We here to recommend exercise in CKD patients as a structured activity that includes aerobic exercise, which uses large amounts of oxygen for example strength training, which involves using a large amount of muscle; and flexibility training, which involves joint activity. 19 The limitations of this study are unmeasured factors that may affect muscle mass. These factors include data on nutritional intake, hormonal status, menopausal status, and physical activity.…”

Section: Discussionmentioning

confidence: 90%

Muscle Mass Difference among Patients With Chronic Kidney Disease Stage 3 to Stage 5

Ivena

Supriyadi

Setiawan³

2019

amj

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Background: Low muscle mass is one of the complications of chronic kidney disease (CKD), that may occur due to the accumulation of uremic toxins and other mechanisms related to CKD. The aim of this study was to explore the difference of muscle mass among CKD patients stage 3 to stage 5. Methods: A cross-sectional study was conducted with comparative analysis, using secondary data collected during the year 2017 by total sampling method. Subjects were patients aged over 18 years with CKD stage 3 to stage 5 from three hospitals in Bandung. Chronic Kidney Disease stages were determined based on Glomerular Filtration Rate. Muscle mass data was determined using Bioelectrical Impedance Analysis, collected from previous research. Data were analyzed usingone-way ANOVA or Kruskal-Wallis test. Results: One hundred subjects consisting of 57 men and 43 women were included in in this study with the mean muscle mass was 26.29%±4.86, of whom 67% of the patients had low muscle mass. There was no difference between male (27.21%±3.82) and female (28.36%±4.67). The muscle mass among patients withCKD stage 3 to stage 5 showed no significant results (p>0.05). Conclusions: There is no difference in muscle mass among CKD stage 3 to stage 5.

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“…Objective physical function is consistently lower in this group than age‐matched non‐CKD groups . However, the nephrology and rehabilitation community have only recently focused on this aspect of care, demonstrating exercise counseling, aerobic, strength, and flexibility training are all feasible in the predialysis CKD group . The recent work in this area has reinforced the call for qualified exercise professionals to provide exercise training programs to people with predialysis CKD …”

Section: Introductionmentioning

confidence: 99%

The physical deterioration of dialysis patients—Ignored, ill‐reported, and ill‐treated

Bennett

Capdarest–Arest

Parker³

2017

Seminars in Dialysis

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The progressive physical deterioration of dialysis patients is apparent to all who are involved in their care. Exercise can help stem this decline, yet exercise uptake in chronic and end-stage kidney disease is low. The involvement of exercise professionals has been shown to significantly increase patients' physical function and improve their quality of life. However, exercise professionals are scarce in renal programs, far less than dietetic and social work services. A review of 10 years of renal exercise publications in the physical therapy and rehabilitation literature found that only 0.4% (7 out of a total of 1763) of all published articles were focused on people with kidney disease. This compared with stroke (44%, n=883), arthritis/bone (29%, n=458), cancer (9%, n=168), respiratory (8%, n=106), cardiac (5%, n=82), and diabetes (3%, n=45). These results reflect the low emphasis placed on renal rehabilitation by the physical therapy professions and the low renal content in physical therapy tertiary education programs. This is likely to have an impact on the level of involvement of physical therapists in renal programs leading to lower physical function and poorer quality of life for renal patients.

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Exercise Guidelines for Chronic Kidney Disease Patients

Cited by 18 publications

References 8 publications

Motivation, Barriers, and Suggestions for Intradialytic Exercise—A Qualitative Study among Patients and Nurses

Motivation, Barriers, and Suggestions for Intradialytic Exercise—A Qualitative Study among Patients and Nurses

Muscle Mass Difference among Patients With Chronic Kidney Disease Stage 3 to Stage 5

The physical deterioration of dialysis patients—Ignored, ill‐reported, and ill‐treated

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