Relationship between exercise test recovery indices and psychological and quality-of-life status in hemodialysis patients: a pilot study

Σαμαρά, Αναστασία; Kouidi, Evangelia; Ouzouni, Stavroula; Vasileiou, Stylianos; Sioulis, Athanasios; Deligiannis, Asterios

doi:10.5301/jn.5000144

Cited by 7 publications

(4 citation statements)

References 38 publications

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“…Previous studies have strongly suggested that patients with chronic kidney disease on hemodialysis are traditionally described as suffering from reduced health-related quality of life owing to general fatigue, exertional dyspnea during everyday activities, frequent hospitalizations, frustration, anxiety and depression [1,4,6].Thus regarding the evaluation of the effect of an aquatic exercise program to the quality of life of hemodialysis patients, a significant improvement was reported to the exercise group compared to control group. Similar finding have been ascertained in prior studies [4,25,38,39]. It is important to be noted that in exercising patients both parameters of SF-36 questionnaire were improved, physical and mental, while in controls there has been deterioration.…”

Section: Discussionsupporting

confidence: 90%

The Effects of Aquatic Exercise on Functional Capacity and Health-Related Quality of Life in Hemodialysis Patients

Samara¹,

Kouidi²,

Konstantinos³

et al. 2016

J Clin Exp Nephrol

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Objective:The aim of this study was to evaluate the effect of an aquatic program in functional capacity and quality of life in hemodialysis patients. Patients and methods:The study included 27 patients. Group A (n=15) followed an exercise program in a swimming pool and group B (n=12) were the controls. Six Minute Walk tests, Sit to Stand test, Sit and Reach test, Handgrip test, Timed Up and Go test were evaluated. All participants also completed SF-36 Questionnaire.Results: After the aquatic program improvement was observed in all physical parameters and quality of life questionnaire in exercise group. The 6MWT distance increased from 558.8 ± 127.5 m to 625.6 ± 128.1 (p<0.05), the Sit to Stand test from 17.6 ± 5.2 sec to 15.2 ± 5.4 (p<0.05), Handgrip strength test from 34.6 ± 14.2 kg to 37.2 ± 14.7 (p<0.05), Sit and Reach test from 4.7 ± 9.1 cm to -0.6 ± 8.4 (p<0.05), Timed Up and Go test from 5.5 ± 1.4 sec to 4.6 ± 1.4 (p<0.05). Group B reduced its performance in 6-Min walk test from 499.1 ± 94.6 m to 454.4 ± 90.4 (p<0.05), Handgrip test from 34.3 ± 9.6 kg to 32.3 ± 9.9 (p<0.05), and Timed Up and Go from 6.1 ± 1.7 sec to 6.6 ± 2.5 (p<0.05). In SF-36 questionnaire, Group A improved both in Physical and Mental Component Scale and compared to Group B. Conclusion:The results demonstrated that aquatic exercise improves physical functioning and quality of life in hemodialysis patients.

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Section: Discussionsupporting

confidence: 90%

The Effects of Aquatic Exercise on Functional Capacity and Health-Related Quality of Life in Hemodialysis Patients

Samara¹,

Kouidi²,

Konstantinos³

et al. 2016

J Clin Exp Nephrol

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“…Indeed, this study showed that the HRR, which reflects parasympathetic activation, was associated with blood pressure instability during HD. The HRR also reflects cardiac parasympathetic activation both in healthy individuals and patients with chronic conditions [26,27], and HD patients have lower HRRs than healthy control subjects [28]. In 2286 healthy subjects, the HRR showed a significant correlation with exercise tolerance and resting SBP [7].…”

Section: Discussionmentioning

confidence: 99%

Relationship between blood pressure response during hemodialysis and exercise tolerance or heart rate recovery measured using cardio-pulmonary exercise testing in maintenance hemodialysis patients

Yabe¹,

Kono²,

Shiraki³

et al. 2020

Ren Replace Ther

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Background: This study investigated the association between the blood pressure response during hemodialysis (HD) and exercise tolerance or heart rate recovery (HRR) measured with cardiopulmonary exercise testing (CPX). Methods: The study enrolled 23 patients who had been undergoing 4-h regular maintenance HD. The maximum workload (Load peak), peak oxygen uptake (VO 2peak), workload and oxygen uptake at the anaerobic threshold (Load AT and VO 2AT, respectively), and HRR were measured with CPX. The average systolic blood pressure during HD (SBP av) was measured, and the number of times the SBP was less than 100 mmHg was determined in the 2-week period after CPX. Results: The SBP av showed a significant correlation with Load AT (r = 0.46) and Load peak (r = 0.43, p < 0.05). The number of times the SBP was less than 100 mmHg showed a significant correlation with the HRR (r = − 0.44, p < 0.05). Conclusion: Exercise intolerance and HRR in HD patients may be associated with blood pressure instability during HD.

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“…O VO2pico é o parâmetro considerado padrão-ouro para avaliar a capacidade do sistema cardiovascular de captar, distribuir e usar o oxigênio. Nos pacientes em hemodiálise, há estudos com valores variam entre 15,2-22,9 mL/kg/min, bem abaixo do previsto para idade, fato que também ocorreu no presente estudo (GREGORY et al, 2011;SAMARA et al, 2012;FASSBINDER et al, 2015;HOWDEN et al, 2015).…”

Section: Discussionunclassified

“…Outro aspecto importante são os prejuízos relacionados à qualidade de vida devido à influência direta da realização da hemodiálise nas atividades da vida diária e na percepção do bem-estar individual (COSTA; VASCONCELOS; TASSITANO, 2010). Alguns estudos (COSTA; VASCONCELOS; TASSITANO, 2010;SAMARA et al, 2012;MAZAIRAC et al, 2011) que avaliaram a qualidade de vida indicaram que as dimensões mais afetadas foram o funcionamento físico, a vitalidade, a função sexual, o componente mental e a capacidade de trabalho, enquanto as dimensões relacionadas à satisfação do paciente com o tratamento, com a equipe de diálise e a interação social apresentaram os maiores escores (AL-JUMAIH et al, 2011). A avaliação da AC e da qualidade de vida está presente em muitos estudos como parâmetro de avaliação de intervenções e para prever taxa de sobrevivência (SIETSEMA et al, 2004;SAMARA et al, 2012;NELSON et al, 2016), mas, ainda não está esclarecida a relação entre AC e qualidade de vida nos pacientes em hemodiálise.…”

Section: Introductionunclassified

Relação entre pico de consumo de oxigênio e qualidade de vida em pacientes submetidos à hemodiálise

Soares

Silva²,

Trindande

et al. 2017

R. bras. Qual. Vida

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OBJETIVO: Avaliar a relação entre a aptidão cardiorrespiratória e a qualidade de vida em pacientes submetidos à hemodiálise.MÉTODOS: Estudo analítico do tipo transversal realizado com pacientes em hemodiálise, do sexo masculino, com idade entre 22-75 anos. Participaram 50 pacientes avaliados pelo Teste de esforço cardiopulmonar (TECP) e pelo questionário de qualidade de vida – Kidney Desease Quality of Life-Short Form (KDQOL-SF). O protocolo de Bruce foi adaptado com tempo de duração total de 12min, realizado em esteira rolante com o analisador de gases acoplado com coleta de gases expirados para análise a cada 10 segundos. O KDQOL-SF foi aplicado durante a sessão de diálise intermediária da semana. O pulso de oxigênio e a incompetência cronotrópica foram calculados a partir das variáveis do TECP. Os valores de consumo de oxigênio pico (VO2pico) foram categorizados em tercis para classificação em baixo, moderada e alta aptidão cardiorrespiratória. A análise estatística foi realizada com teste Kruskall-Walllis (post hoc de Dunn) e o coeficiente de Spearman para verificar a correlação entre as variáveis.RESULTADOS: O componente físico (p=0,01), domínios específicos lista de sintomas (p= 0,05), função sexual (p=0,014), qualidade do sono (p= 0,04), satisfação com a equipe (p= 0,03) e o escore total do KDQOL-SF (p=0,006) aumentaram com os tercis do VO2pico. Houve correlações positivas do pulso de oxigênio (p=0,01) e incompetência cronotrópica (p=0,02) com o componente físico e do pulso de O2 com o escore total do KDQOL-SF (p=0,02).CONCLUSÕES: Houve relação positiva e significativa entre os parâmetros de aptidão cardiorrespiratória e os componentes físico, mental e o escore total dos pacientes submetidos à hemodiálise. Além disso, a sobrecarga acarretada pela doença e função sexual foram os aspectos que parecem ser mais influenciados pela aptidão cardiorrespiratória por serem domínios que dependem da interação física e mental.

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Relationship between exercise test recovery indices and psychological and quality-of-life status in hemodialysis patients: a pilot study

Abstract: In conclusion, in HD patients, recovery indices following maximal and submaximal exercise tests were shown to provide useful indications of the patients' psychological and quality-of-life profiles.

Cited by 7 publications

References 38 publications

The Effects of Aquatic Exercise on Functional Capacity and Health-Related Quality of Life in Hemodialysis Patients

The Effects of Aquatic Exercise on Functional Capacity and Health-Related Quality of Life in Hemodialysis Patients

Relationship between blood pressure response during hemodialysis and exercise tolerance or heart rate recovery measured using cardio-pulmonary exercise testing in maintenance hemodialysis patients

Relação entre pico de consumo de oxigênio e qualidade de vida em pacientes submetidos à hemodiálise

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