Intradialytic cycling in children and young adults on chronic hemodialysis

Abstract

Based on our results, we conclude that a 30-min exercise program of intradialytic cycling is feasible for the majority of pediatric patients on chronic HD and will be well accepted. Such an exercise program can lead to a significant improvement in the exercise capacity of this patient population.

Pengaruh Exercise Intradialytic Terhadap Nilai Adekuasi Hemodialysis

“…Alat yang dipakai dalam melakukan exercise resistance training adalah menggunkan elastic band (Moraes et al, 2014;Marinho et al, 2017). Lima studi menggunakan intervensi exercise cycle ergometer (Paglialonga et al, 2014;Orcy et al, 2014;Groussard et al, 2015;Musavian et al, 2015;Parker et al, 2015). Satu studi menggunakan intervensi airogym dengan bantal (Adam, Mtech, & Sbn, 2017).…”

“…Intervensi exercise intradialytic dilakukan dengan durasi waktu yang berbeda-beda termasuk kapan dilakukan dan berapa lama exercise dilakukan. tujuh studi intervensi pemberian exercise dilakukan pada saat dua jam pertama dilakukan hemodialysis (Moraes et al, 2014;Marinho et al, 2017;Orcy et al, 2014;Groussard et al, 2015;Musavian et al, 2015;Parker et al, 2015;Mohseni et al, 2013), satu studi exercise dilakukan satu jam pertama saat hemodialysis (Paglialonga et al, 2014) serta satu studi dilakukan 15 menit/jam saat hemodialysis (Adam, Mtech, & Sbn, 2017). Selain kapan waktu exercise intradialytic diterapkan, dari 12 artikel memberikan data lama pemberian intervensi exercise intradialytic.…”

“…Lima studi memberikan intervensi exercise selama enam bulan (Moraes et al, 2014;Marinho et al, 2017;Parker et al, 2015;Adam et al, 2017;Smart et al, 2013). Dua studi memberikan intervensi selama tiga bulan (Paglialonga et al, 2014;Groussard et al, 2015). Tiga studi memberikan intervensi selama delapan minggu (Ribeiro et al, 2013 ;Musavian et al, 2015;Mohseni et al, 2013).…”

Let's programme exercise during haemodialysis (intradialytic exercise) into the care plan for patients, regardless of age

“…A recent study showed that a 3-month exercise programme of intradialytic cycling (30 min sessions, 2–3 times a week) is feasible, free from adverse effects, and well tolerated by paediatric patients (age range 9.1–24.2 years) 4. Considering the challenge of providing optimal haemodialysis to children with ESRD,7 their positive feedback on the intradialytic cycling programme has interesting implications, starting with an increase in the acceptance of haemodialysis therapy and a possible means of improving their long-term outcomes 4 7. Similar conclusions can be drawn from studies of frail older haemodialysis patients, especially those with protein–energy wasting (PEW), for whom prevention and treatment aim to replenish protein and energy stores and stimulate anabolic processes.…”

“…One reason may be the age of patients with ESRD, a vulnerable population at high risk of mortality. Now more than ever, whether for paediatric patients4 or older patients (>65 years of age),5 let's challenge this intrinsic reluctance by advocating intradialytic exercise programmes as part of the standard care for patients receiving dialysis.…”