Intradialytic Resistance Training Improves Functional Capacity and Lean Mass Gain in Individuals on Hemodialysis: A Randomized Pilot Trial

The Effect of Exercise on Nutritional Status and Body Composition in Hemodialysis: A Systematic Review

“…Similar outcomes recorded by Marinho et al [ 60 ], where resistance exercise led to increased LBM compared to the initial measurement, but the increase was smaller in the intervention group compared to the controls (~1% versus 3%) [ 60 ]. On the contrary, in the studies by Chen et al [ 51 ], Lopes et al [ 59 ], and Rosa et al [ 62 ], LBM increased after the intervention, while in the non-physically active subjects, LBM decreased or showed a slighter increase [ 51 , 59 , 62 ]. Similarly, in the Song et al [ 64 ] study, an increase in the skeletal body mass was observed in the intervention group compared to the non-active group in which the skeletal body mass decreased [ 64 ].…”

“…The effect of exercise on the percentage of body fat (%BF) seemed to vary among the studies included in this systematic review, an effect that can be partially attributed to the type of exercise performed [ 51 , 55 , 56 , 57 , 59 , 60 , 61 , 62 , 64 ]. The results regarding %BF can be found in Table 4 .…”

“…Similarly, in the Chen et al [ 51 ] and Song et al [ 64 ] studies, resistance exercise led to decrease in %BF in the active group in comparison to the control group in which an increase in %BF was observed [ 51 , 64 ]. Furthermore, in the study by Loppes et al [ 59 ], the exercise intervention did not significantly affect %BF in the group following a high-intensity program, while in the group of moderate intensity, the reduction was slightly higher than the control group [ 59 ]. In the Groussard et al [ 55 ] study, the low intensity of the resistance exercise did not have a statistical significant effect on %BF [ 55 ].…”

“…Two studies included in this systematic review examined changes in SMI, and both of them concluded that there was a significant improvement in SMI in the intervention group [ 59 , 65 ]. Resistance training with high-load led to a greater increase in SMI compared to the moderate-load group [ 59 ]. Moreover, in the aerobic exercise groups, the increase in SMI was greater than in the combined aerobic-resistance exercise group (0.15 versus 0.04, p < 0.05) [ 65 ].…”

“…Incomplete studies, studies with different control groups, studies not in the English language, or published before 2000 were excluded. As a result, 18 RCT studies [ 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 , 66 ] were characterized as acceptable; details regarding the eligibility process can be found in the flow diagram presented in Figure 1 .…”