Exercise Training and Outcomes in Hemodialysis Patients: Systematic Review and Meta-Analysis

Mei, Huang; Lv, Aili; Jing, Wang; Xu, Na; Ma, Gairong; Zhai, Zhonghui; Zhang, Bin; Gao, Julin; Ni, Chunping

doi:10.1159/000502447

Cited by 125 publications

(120 citation statements)

References 48 publications

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“…Quality of life is very important for patients who need lifelong treatment, such as haemodialysis. Many studies of haemodialysis patients have used exercise programs as interventions to improve quality of life as well as exercise capacity (Huang et al, 2019). Another study involving an 8‐week dietary program also significantly improved quality of life in haemodialysis patients (Yun & Choi, 2016).…”

Section: Discussionmentioning

confidence: 99%

Randomised controlled trial of a smartphone application‐based dietary self‐management program on haemodialysis patients

Pack

Lee

2021

Journal of Clinical Nursing

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Aims and objectives To develop a smartphone application‐based dietary self‐management program for haemodialysis patients and to examine its effects on biochemical indicators, self‐efficacy and quality of life. Background Lack of dietary management in haemodialysis patients can lead to serious complications such as oedema, hyponatremia, hyperkalaemia, hypertension, uraemia and eventually death; however, studies using smartphone applications for dietary self‐management in haemodialysis patients are rare. Design A prospective, single‐blind, randomised, controlled design with repeated measures was followed with 75 haemodialysis patients at a haemodialysis centre. Data were collected from 10 January 2017–6 May 2018. The study applied the Consolidated Standards of Reporting Trials statement. Methods The 8‐week smartphone application‐based dietary self‐management program was developed through collaboration with a haemodialysis equipment company. The experimental group took this program while the control group took an 8‐week general program. Study variables were serum phosphorus, potassium and albumin, self‐efficacy and quality of life. They were measured at pretest, and 8 weeks and 12 weeks after the programs, and analysed using two‐way repeated measures analysis of variance. Findings The smartphone application‐based program significantly improved serum phosphorus, potassium, self‐efficacy and quality of life over time compared with the general program. There was no significant difference in albumin level changes between the groups. Conclusions The smartphone application‐based dietary self‐management program is an opportune and effective nursing intervention to lower serum phosphorus and potassium levels in haemodialysis patients over time. Trial registration was performed on http://www.cris.nih.go.kr (KCT0005366). Relevance to clinical practice Haemodialysis patients can easily use the smartphone application to manage their diet anytime and anywhere. They can get real‐time feedback and solutions to prevent haemodialysis complications. Nurses can provide tailored high‐quality care based on an individual's lifelog data from the smartphone application.

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Section: Discussionmentioning

confidence: 99%

Randomised controlled trial of a smartphone application‐based dietary self‐management program on haemodialysis patients

Pack

Lee

2021

Journal of Clinical Nursing

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“…The results of the Cochrane systematic review 5 showed that regular exercise can improve health-related quality of life in patients with chronic kidney disease. Huang et al’s 32 systematic review also showed that various types of exercise, when exercised for more than eight weeks, can effectively improve health-related quality of life in dialysis patients. What’s more, in the result of this study’s quality of life, due to use of a different quality-of-life scale—RAND scale, Rossi’s study did not conduct the merging of effect value.…”

Section: Discussionmentioning

confidence: 99%

Effects of combined aerobic and resistance exercise on renal function in adult patients with chronic kidney disease: a systematic review and meta-analysis

Yang

Wang

et al. 2020

Clin Rehabil

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Objectives: Combined aerobic and resistance exercise (CARE) is beneficial for improving renal function. To confirm this, we conducted a meta-analysis to evaluate the effects of CARE on renal function in adult patients with chronic kidney disease (CKD). Date sources: The last date of search was 22 February 2020. We searched Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, Embase, Allied and Complementary Medicine (AMED), CINAHL, Web of Science, SPORTDiscus, and three Chinese databases (China National Knowledge Infrastructure (CNKI), Wangfang, Journal Integration Platform (VIP)) for articles of randomized and quasi-randomized controlled trials. Methods: We used the Cochrane tool and the JBI Critical Appraisal checklist to assess randomized controlled trials and quasi-randomized controlled trials, respectively. Result: A total of 12 studies and 745 patients were included. Compared with usual care or no exercise, CARE resulted in a significant improvement in the estimated glomerular filtration rate (between-group analysis: mean difference (MD) =5.01, 95% confidence interval (CI): 2.37 to 7.65; within-group analysis: MD = 3.01, 95% CI: 0.86 to 5.16). The serum creatinine levels also showed a significant improvement after CARE (between-group analysis: MD = −8.57, 95% CI: −13.71 to −3.43; within-group analysis: MD = −6.33, 95% CI: −10.23 to −2.44). Patients who performed CARE also demonstrated a decline in the blood pressure in the within-group analysis (systolic blood pressure: MD = −5.24, 95% CI: −7.93 to −2.54; diastolic blood pressure: MD = −3.63, 95% CI: −5.35 to −1.91). However, there were no significant differences in proteinuria, lipid levels, physical composition, and quality of life. Conclusion: The study results support the concept that CARE intervention improves renal function. It provides strong evidence for guiding clinical decisions and implementing renal rehabilitation exercises.

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“…Contudo, os principais fatores de risco estabelecidos são o Diabetes Mellitus Tipo e a Hipertensão Arterial Sistêmica. Quando atinge os estágio 4-5 de evolução da doença, torna-se necessária a terapia de substituição renal 6 . Estima-se que 2,62 milhões de pessoas foram submetidas ao tratamento de substituição renal em todo o mundo, sendo a hemodiálise (HD) o tratamento mais realizado 7 .…”

Section: Introductionunclassified

“…Pacientes em HD apresentam redução na qualidade de vida, bem como dificuldades no controle da pressão arterial e redução da capacidade aeróbica, o que eleva a taxa de mortalidade prematura 6 . Nesse sentido, torna-se necessário intervenções direcionadas a sintomas específicos e de cunho educacional, para incentivar mudanças no estilo de vida 5 .…”

Section: Introductionunclassified

Relação da fragilidade com variáveis clínicas de pacientes com insuficiência renal crônica

Kupske¹,

Uggeri²,

Trindade³

et al. 2021

Revista Recien

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Relacionar a fragilidade com variáveis clínicas de pacientes com Insuficiência Renal Crônica. Pesquisa transversal de caráter analítico, de abordagem quantitativa, com pacientes portadores de Insuficiência Renal Crônica em tratamento hemodialítico. Como instrumento de avaliação utilizou-se o prontuário físico funcional, e questionários para avaliação de fragilidade, função cognitiva, atividades de vida diária, depressão e atividade física no lazer, sendo os mesmos analisados por estatística descritiva e teste de correlação linear de Spearman, considerou-se p≤0,05. O aumento da fragilidade relacionou-se com o avanço da idade, com a redução da força de membros inferiores e da flexibilidade, além da redução da função cognitiva, dependência para a realização das atividades básicas de vida diária, bem como de sintomas depressivos. A fragilidade é uma síndrome frequente em paciente em HD, dessa forma, a avaliação e monitoramento das condições de saúde é essencial a fim de proporcionar uma melhor qualidade de vida a esta população.Descritores: Insuficiência Renal Crônica, Fragilidade, Hemodiálise. Relationship of fragility with clinical variables of patients with chronic kidney insufficiencyAbstract: To relate frailty with clinical variables of patients with Chronic Renal Failure. Cross-sectional research of an analytical character, with a quantitative approach, with patients with chronic renal failure undergoing hemodialysis. As an assessment instrument, the functional physical record and questionnaires were used to assess frailty, cognitive function, activities of daily living, depression and leisure-time physical activity, which were analyzed using descriptive statistics and Spearman's linear correlation test, considered up p≤0.05. The increase in frailty was related to advancing age, with the reduction of strength of the lower limbs and flexibility, in addition to the reduction of cognitive function, dependence for performing basic activities of daily living, as well as depressive symptoms. Frailty is a frequent syndrome in HD patients, so the evaluation and monitoring of health conditions is essential in order to provide a better quality of life for this population.Descriptors: Chronic Kidney Failure, Fragility, Hemodialysis. Relación de fragilidad con variables clínicas de pacientes con insuficiencia crónica de riñónResumen: Relacionar la fragilidad con las variables clínicas de pacientes con insuficiencia renal crónica. Investigación analítica transversal, con un enfoque cuantitativo, con pacientes con insuficiencia renal crónica sometidos a hemodiálisis. Como herramienta de evaluación, el registro físico funcional y los cuestionarios se utilizaron para evaluar la fragilidad, la función cognitiva, las actividades de la vida diaria, la depresión y la actividad física en el tiempo libre, que se analizaron mediante estadística descriptiva y la prueba de correlación lineal de Spearman arriba p≤0.05. El aumento de la fragilidad se relacionó con el avance de la edad, con la reducción de la fuerza de las extremidades inferiores y la flexibilidad, además de la reducción de la función cognitiva, la dependencia para realizar actividades básicas de la vida diaria, así como los síntomas depresivos. La fragilidad es un síndrome frecuente en pacientes con EH, por lo que la evaluación y el monitoreo de las condiciones de salud son esenciales para proporcionar una mejor calidad de vida a esta población.Descriptores: Insuficiencia Renal Crónica, Fragilidad, Hemodiálisis.

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Exercise Training and Outcomes in Hemodialysis Patients: Systematic Review and Meta-Analysis

Cited by 125 publications

References 48 publications

Randomised controlled trial of a smartphone application‐based dietary self‐management program on haemodialysis patients

Randomised controlled trial of a smartphone application‐based dietary self‐management program on haemodialysis patients

Effects of combined aerobic and resistance exercise on renal function in adult patients with chronic kidney disease: a systematic review and meta-analysis

Relação da fragilidade com variáveis clínicas de pacientes com insuficiência renal crônica

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