Physical exercise modifies the functional capacity of elderly patients on hemodialysis

Marchesan, Moane; Krug, Rodrigo de Rosso; Silva, José Raphael Leandro da Costa e; Barbosa, Aline Rodrigues; Rombaldi, Aírton José

doi:10.1590/0103-5150.029.002.ao14

Cited by 9 publications

(8 citation statements)

References 26 publications

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“…The 19 remaining articles were supplemented by four articles identified from citation searching. Finally, 23 studies 35–57 were included. The study selection process is presented in a flowchart (Figure 1).…”

Section: Resultsmentioning

confidence: 99%

“…Three studies were published in Chinese and 20 in English. In the IG, 17 studies 36,39–48,50–52,54–56 had ICARE, and seven studies 35,37,38,42,49,53,57 had NCARE (one study 42 had both ICARE and NCARE). In the CG, all studies reported UC.…”

Section: Resultsmentioning

confidence: 99%

“…Nine studies 35,36,38,39,41,52,54,55,57 reported the detailed method of randomization, and the others 37,40,[42][43][44][45][46][47][48][49][50][51]53,56 reported randomization but did not describe a specific method. Five studies 35,36,39,48,54 completed allocation concealment.…”

Section: Risk Of Bias In Studiesmentioning

confidence: 99%

“…Six studies 40,[45][46][47]54,55 with 169 participants reported STS30, and all interventions of these studies were conducted during dialysis. ICARE significantly improved the STS30 compared with UC in MHD patients…”

Section: Sts30mentioning

confidence: 99%

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Combined aerobic and resistance exercise in maintenance hemodialysis patients: A meta‐analysis

Liu

Luo

Deng

et al. 2023

Seminars in Dialysis

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Exercise brings many benefits to patients undergoing maintenance hemodialysis (MHD), but the effect of combined aerobic and resistance exercise remains unclear. English and Chinese databases (PubMed, Cochrane Library, Embase, Web of Science, CNKI, VIP, Wan Fang, and CBM) were searched from inception to January 2023 to retrieve qualified randomized controlled trials. The literature selection, data extraction, and risk of bias assessment of included studies were conducted independently by two reviewers. Meta-analysis was performed using RevMan 5.3 software. A total of 23 studies with 1214 participants were included, and 17 of the interventions were conducted during dialysis. Results showed that combined aerobic and resistance exercise (CARE) improved the peak oxygen uptake, six-minute walking test, 60 s sitto-stand test (STS), 30 s STS, dialysis adequacy, five (out of eight) domains and physical component summary of health-related quality of life (HRQOL) measured by the Medical Outcomes Study Short Form-36, blood pressure, and hemoglobin for MHD patients compared with usual care. No significant changes were found in the mental component summary of HRQOL, C-reactive protein, creatinine, potassium, sodium, calcium, and phosphate. Subgroup analysis showed that intradialytic CARE ameliorated more outcomes, except for handgrip strength and hemoglobin, than nonintradialytic ones. CARE is an effective way to improve physical function, aerobic capacity, dialysis adequacy, and HRQOL for MHD patients. Strategies should be implemented by clinicians and policymakers to motivate patients to do more exercise. Well-designed clinical trials are warranted to explore the effectiveness of nonintradialytic CARE.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Risk Of Bias In Studiesmentioning

confidence: 99%

Section: Sts30mentioning

confidence: 99%

See 2 more Smart Citations

Combined aerobic and resistance exercise in maintenance hemodialysis patients: A meta‐analysis

Liu

Luo

Deng

et al. 2023

Seminars in Dialysis

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“…Also anemia and imbalance in the body homeostasis reduce approximately 50% of maximal oxygen consumption and 30% to 40% of muscle strength, compared to the values found in healthy subjects [3]. This side effects leads to reduction in the muscular strength and functions ability also affect the cardio-respiratory capacity [4].…”

Section: Introductionmentioning

confidence: 99%

Impact of Intradialytic Rehabilitation Program on General Health of Chronic Kidney Disease Patients

Elbaky¹,

Zaki²,

Amin³

et al. 2018

AJNR

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Background: CKD patients received intradialytic rehabilitation program developed improvement in their general health. Exercise also improve solute removal which increase the HD efficiency. Aim: to evaluate the impact of intradialytic rehabilitation program on general health of CKD patients. Design: Quasi experimental. Setting: The study conducted at hemodialysis unit of Minia urology hospital. Sampling: 60 patients divided in two groups 30 for each. Results: more than half of both groups were female. More than half of both group were diabetic and hypertensive. Mean age of both groups were (39.73 ± 8.17) & (40.00 ± 8.27). The 6 MWT was lower in the control group (325.3 ±24.1, 310.6 ±18.3 & 308 ±17.8) at the three observations than the study (352.3 ±46.8, 393.8 ±78.4 & 448 ±26.9). Small percentage of the rehabilitation group experienced dyspnea (16.6 % and 26 %). The study group showed improvement in mean serum creatinine (4.85± 0.54 & 4.58±0.54) than the control group (5.58± 0.68 & 5.58± 0.68). After rehabilitation program half of the study had low depression and only (13.3%) of them had high depression level. Conclusion: Intradialytic rehabilitation program for CKD patients enhance their activities of daily living abilities which improves their psychological health status.

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Exercise training for adults undergoing maintenance dialysis

Bernier-Jean

Beruni

Bondonno

et al. 2022

Cochrane Database of Systematic Reviews

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Physical exercise modifies the functional capacity of elderly patients on hemodialysis

Abstract: Introduction: Patients on hemodialysis (HD) improve functional capacity after physical training.

Cited by 9 publications

References 26 publications

Combined aerobic and resistance exercise in maintenance hemodialysis patients: A meta‐analysis

Combined aerobic and resistance exercise in maintenance hemodialysis patients: A meta‐analysis

Impact of Intradialytic Rehabilitation Program on General Health of Chronic Kidney Disease Patients

Exercise training for adults undergoing maintenance dialysis

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