Exercise Renal Rehabilitation Program: Psychosocial Effects

Abstract

The aim of this study was to assess the psychosocial effects of exercise training on hemodialysis (HD) patients. Thirty-one uremic patients, aged 50.6 ± 11.6 years, on maintenance HD were studied. Twenty patients were selected at random for a 6-month exercise renal rehabilitation program (ERRP) consisting of 3 weekly sessions of exercise training. The other 11 patients were assigned to sedentary control status. A formal psychosocial assessment, which included affective (Beck Depression Inventory, BDI), quality of life (Quality of Life Index, QLI) and personality (Eysenck Personality Questionnaire, EPQ) parameters, was performed with validated questionnaires at the beginning and the end of the ERRP. After training significant improvement occurred in physical capacity (VO_2maχ increased from 16.8 ± 6.2 to 23.2 ± 7.6 ml/kg/min, p < 0.05). Although the level of depression did not differ betwen the 2 groups at pretesting, the ERRP group showed a decrease in their self-report of depression (decrease in BDI score value, from 21.0 ± 10.4 to 13.7 ± 9.5, p < 0.05) after the training program. From the relationship between the baseline levels of BDI depression and changes in VO_2max in the ERRP group it was suggested that the most severely depressed patients got the greatest beneficial effects from exercise training. Moreover, trained patients demonstrated an improvement in QLI (from 6.3 ± 1.5 to 9.0 ± 0.9, p < 0.05). This improvement was found to be dependent on the participation in ERRP, the effects of the training and the improvement in the depression. All the above functional and psychosocial parameters remained unchanged in the controls. The results demonstrate that ERRP is an effective emotional therapeutic method for HD patients and improves their quality of life.

A systematic review and metaethnography to identify how effective, cost-effective, accessible and acceptable self-management support interventions are for men with long-term conditions (SELF-MAN)

“…Three male-only studies (including four interventions), 80,89,91 five mixed-sex studies 147,151,152,157 and eight female-only studies 163,165,175 reported on depression scales which could be used for meta-analysis. Table 16 reports the effect sizes for each group.…”

“…147-162 and female-only samples (n = 14) [163][164][165][166][167][168][169][170][171][172][173][174][175][176][177] were identified from 'parent' Cochrane reviews that contained the male-only studies. Data were pooled according to broad intervention type rather than using the 'by review' approach taken in analysis 1.…”

Akt1-Mediated Fast/Glycolytic Skeletal Muscle Growth Attenuates Renal Damage in Experimental Kidney Disease

“…2 Muscle wasting is independently associated with increased mortality in CKD. 3 Numerous studies demonstrate that supervised exercise therapy has beneficial effects, including improvement of peak VO 2 , 4 BP control, 5 and quality of life 6 in patients with CKD. On the basis of these observations, exercise training is now recommended as a complementary therapeutic intervention for patients with CKD.…”

Efeitos do treinamento muscular inspiratório nos pacientes em hemodiálise

“…9,27 In addition, HD patients can show a reduction in physical function and fitness, 2,9,28-30 with a decrease in peripheral muscle strength. 9,[31][32][33] Thus, muscle weakness present in CKD patients on HD can result from muscle atrophy. This interferes with the normal musculoskeletal fiber functioning and structure.…”