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Exercise training during hemodialysis improves dialysis efficacy and physical performance.
Arch Phys Med Rehabil. 2006 May; 87(5):680-7.AP

Abstract

OBJECTIVE

To determine the impact of a 20-week intradialytic exercise program, consisting of 60 minutes of cumulative duration, low-intensity exercise during the first 2 hours of dialysis, on dialysis efficacy, physical performance, and quality of life in self-care hemodialysis (HD) patients.

DESIGN

One-group repeated measures.

SETTING

Satellite HD units affiliated with a Canadian teaching hospital.

PARTICIPANTS

A convenience sample of 13 self-care HD patients who were stable on dialysis for a minimum of 6 months and were medically screened for significant cardiac, pulmonary, and/or musculoskeletal pathology that would preclude exercise.

INTERVENTION

A 5-month intradialytic exercise program in which subjects exercised 3 times a week (cycle ergometer, mini-stepper) for 30 minutes in each of the first 2 hours of HD.

MAIN OUTCOME MEASURES

Dialysis efficacy (in single-pool model of urea kinetics [spKt/V]) was assessed prior to and at the end of each month of the exercise program. Physical function (6-minute walk test [6MWT]), and quality of life. (Kidney Disease Quality of Life-Short Form [KDQOL]) were determined at baseline and at weeks 10 and 20 of the exercise program.

RESULTS

SpKt/V increased 11% at the end of the first month of the program (P<.05) and remained elevated for the duration of the program (18%-19%). Distance walked on the 6MWT increased by 14% at both weeks 10 and 20 (P<.05). No changes were noted in KDQOL scores.

CONCLUSIONS

A low-intensity intradialytic exercise program is a viable adjunctive therapy, which improves HD efficacy and physical function in HD patients.

Authors+Show Affiliations

School of Rehabilitation Therapy, Queen's University, and Division of Nephrology, Kingston General Hospital, ON, Canada.No affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

16635631

Citation

Parsons, Trisha L., et al. "Exercise Training During Hemodialysis Improves Dialysis Efficacy and Physical Performance." Archives of Physical Medicine and Rehabilitation, vol. 87, no. 5, 2006, pp. 680-7.
Parsons TL, Toffelmire EB, King-VanVlack CE. Exercise training during hemodialysis improves dialysis efficacy and physical performance. Arch Phys Med Rehabil. 2006;87(5):680-7.
Parsons, T. L., Toffelmire, E. B., & King-VanVlack, C. E. (2006). Exercise training during hemodialysis improves dialysis efficacy and physical performance. Archives of Physical Medicine and Rehabilitation, 87(5), 680-7.
Parsons TL, Toffelmire EB, King-VanVlack CE. Exercise Training During Hemodialysis Improves Dialysis Efficacy and Physical Performance. Arch Phys Med Rehabil. 2006;87(5):680-7. PubMed PMID: 16635631.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Exercise training during hemodialysis improves dialysis efficacy and physical performance. AU - Parsons,Trisha L, AU - Toffelmire,Edwin B, AU - King-VanVlack,Cheryl E, PY - 2005/07/12/received PY - 2005/12/22/accepted PY - 2006/4/26/pubmed PY - 2006/6/7/medline PY - 2006/4/26/entrez SP - 680 EP - 7 JF - Archives of physical medicine and rehabilitation JO - Arch Phys Med Rehabil VL - 87 IS - 5 N2 - OBJECTIVE: To determine the impact of a 20-week intradialytic exercise program, consisting of 60 minutes of cumulative duration, low-intensity exercise during the first 2 hours of dialysis, on dialysis efficacy, physical performance, and quality of life in self-care hemodialysis (HD) patients. DESIGN: One-group repeated measures. SETTING: Satellite HD units affiliated with a Canadian teaching hospital. PARTICIPANTS: A convenience sample of 13 self-care HD patients who were stable on dialysis for a minimum of 6 months and were medically screened for significant cardiac, pulmonary, and/or musculoskeletal pathology that would preclude exercise. INTERVENTION: A 5-month intradialytic exercise program in which subjects exercised 3 times a week (cycle ergometer, mini-stepper) for 30 minutes in each of the first 2 hours of HD. MAIN OUTCOME MEASURES: Dialysis efficacy (in single-pool model of urea kinetics [spKt/V]) was assessed prior to and at the end of each month of the exercise program. Physical function (6-minute walk test [6MWT]), and quality of life. (Kidney Disease Quality of Life-Short Form [KDQOL]) were determined at baseline and at weeks 10 and 20 of the exercise program. RESULTS: SpKt/V increased 11% at the end of the first month of the program (P<.05) and remained elevated for the duration of the program (18%-19%). Distance walked on the 6MWT increased by 14% at both weeks 10 and 20 (P<.05). No changes were noted in KDQOL scores. CONCLUSIONS: A low-intensity intradialytic exercise program is a viable adjunctive therapy, which improves HD efficacy and physical function in HD patients. SN - 0003-9993 UR - https://www.unboundmedicine.com/medline/citation/16635631/Exercise_training_during_hemodialysis_improves_dialysis_efficacy_and_physical_performance_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0003-9993(06)00051-7 DB - PRIME DP - Unbound Medicine ER -