The Effect of a 12-Week Intradialytic Exercise on Patients’ Blood Indices, Physical Performance, and Quality of Life

Abstract

This study aims to examine the effect of a 12-week intradialytic exercise program on patients’ blood indices, physical performance, and quality of life. Forty-six outpatients who were diagnosed with end-stage renal failure by a nephrologist and received hemodialysis therapy for six months or longer were recruited. The data were analyzed using SPSS and Kruskal-Wallis test was employed to analyze the continuous variables. Among blood indices, Hematocrit decreased significantly after aerobic and complex exercise; hemoglobin dropped only after complex exercise; P and Ca×P increased for a considerable amount only after complex exercise, but the postexamination results show no significant difference. As for physical performance, sit-to-stand (STS)-5 decreased with resistance and complex exercise (p < .01), while there was a significant increase in STS-30 after aerobic, resistance, and complex exercise (p < .01). 6-minute walk test (MWT) grew significantly in all groups (p < .01), but alongside gait speed, and grip strength, it diminished significantly in the non-exercise group (p< .05). When it comes to SF-36, there was a significant rise in the physical component score (PCS) (p< .01) with resistance and complex exercise. In the meantime, mental component summary (MCS) went up significantly after all types of exercises (p < .01). In contrast, Beck depression inventory (BDI) showed a significant decline only with complex exercise (p < .01). To sum up, this study suggests intradialytic complex exercise appears to be effective in enhancing Short Form (SF)-36 and BDI as well as physical performance, which is why we recommend this type of complex exercise program for hemodialysis patients.

Drug Resistance Mechanism of Enterobacteriaceae with Decreased Antibiotic Sensitivity

“…At the same time of transmission, the original gene can obtain a new pathogenic gene; or it was previously encoded in a mobile plasma but inserted into the chromosome after mutation [ 29 ]. Urinary bacterial infection is a common infectious disease, mainly including asymptomatic bacteriuria, cystitis, and pyelonephritis.…”

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

“…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.…”

“…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…”

“…Six studies 38,[43][44][45]51,57 with 318 participants reported hemoglobin. CARE significantly improved hemoglobin compared with UC in MHD patients [MD = 0.26 g/dL, 95%CI (0.10, 0.43), p < 0.01,…”

“…Three studies 38,45,55 with 125 participants reported CRP. The Four studies 37,43,44,51 with 206 participants reported potassium.…”