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Acute and long-term effects of an exercise program for dialysis patients prescribed in hospital and performed at home.
J Nephrol. 2008 Nov-Dec; 21(6):871-8.JN

Abstract

BACKGROUND

Exercise has positive psychophysical effects on dialysis patients, thus effective programs should be identified. We evaluated the effects of an original 6-month walking program on physical capacity, health-related quality of life (HRQL) and postdialysis fatigue (PDF).

METHODS

Thirty-one dialysis patients (19 male, mean age 65 -/+ 11 years) were divided into exercise (group E; n=17) and control (group C; n=14) groups, and evaluated upon entry, after the 6-month program and 19 -/+ 3 months later. Outcome measures were 6-minute walking distance (6MWD), SF-36 scale scores, self-reported PDF and recovery time. E group was assigned 2 daily 10-minute home walking sessions on the nondialysis day at a speed 50% below maximal treadmill speed as determined and updated monthly at the hospital. C group: no exercise.

RESULTS

Twenty patients (13 from E, 7 from C) completed the study. The E group, unlike the C group, increased 6MWD (308 -/+ 105 m, to 351 -/+ 118 m, p=0.0007), and HRQL, significantly for bodily pain, physical role and mental health (p<0.05), decreased PDF and recovery time (p<0.05). At the follow-up, 15 patients were reevaluated (9 from E, 6 from C). The E group was still active and showed 6MWD similar to baseline, with a decline of 0.13 -/+ 1.72 m/mo. The C group decreased 6MWD (p=0.026) with a decline of 3.43 -/+ 3.2 m/mo. For both groups, HRQL, PDF and recovery time showed slight variations from baseline.

CONCLUSIONS

In dialysis patients, a 6-month exercise program prescribed at the hospital and performed at home improved physical capacity, HRQL and PDF symptoms. Patients maintained an active lifestyle after discharge and showed a slow functional decline over a 2-year period.

Authors+Show Affiliations

Vascular Diseases Center, University of Ferrara, Ferrara - Italy. mlgnmr@unife.itNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

19034871

Citation

Malagoni, Anna Maria, et al. "Acute and Long-term Effects of an Exercise Program for Dialysis Patients Prescribed in Hospital and Performed at Home." Journal of Nephrology, vol. 21, no. 6, 2008, pp. 871-8.
Malagoni AM, Catizone L, Mandini S, et al. Acute and long-term effects of an exercise program for dialysis patients prescribed in hospital and performed at home. J Nephrol. 2008;21(6):871-8.
Malagoni, A. M., Catizone, L., Mandini, S., Soffritti, S., Manfredini, R., Boari, B., Russo, G., Basaglia, N., Zamboni, P., & Manfredini, F. (2008). Acute and long-term effects of an exercise program for dialysis patients prescribed in hospital and performed at home. Journal of Nephrology, 21(6), 871-8.
Malagoni AM, et al. Acute and Long-term Effects of an Exercise Program for Dialysis Patients Prescribed in Hospital and Performed at Home. J Nephrol. 2008 Nov-Dec;21(6):871-8. PubMed PMID: 19034871.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Acute and long-term effects of an exercise program for dialysis patients prescribed in hospital and performed at home. AU - Malagoni,Anna Maria, AU - Catizone,Luigi, AU - Mandini,Simona, AU - Soffritti,Silvia, AU - Manfredini,Roberto, AU - Boari,Benedetta, AU - Russo,Giorgia, AU - Basaglia,Nino, AU - Zamboni,Paolo, AU - Manfredini,Fabio, PY - 2008/11/27/pubmed PY - 2009/3/25/medline PY - 2008/11/27/entrez SP - 871 EP - 8 JF - Journal of nephrology JO - J. Nephrol. VL - 21 IS - 6 N2 - BACKGROUND: Exercise has positive psychophysical effects on dialysis patients, thus effective programs should be identified. We evaluated the effects of an original 6-month walking program on physical capacity, health-related quality of life (HRQL) and postdialysis fatigue (PDF). METHODS: Thirty-one dialysis patients (19 male, mean age 65 -/+ 11 years) were divided into exercise (group E; n=17) and control (group C; n=14) groups, and evaluated upon entry, after the 6-month program and 19 -/+ 3 months later. Outcome measures were 6-minute walking distance (6MWD), SF-36 scale scores, self-reported PDF and recovery time. E group was assigned 2 daily 10-minute home walking sessions on the nondialysis day at a speed 50% below maximal treadmill speed as determined and updated monthly at the hospital. C group: no exercise. RESULTS: Twenty patients (13 from E, 7 from C) completed the study. The E group, unlike the C group, increased 6MWD (308 -/+ 105 m, to 351 -/+ 118 m, p=0.0007), and HRQL, significantly for bodily pain, physical role and mental health (p<0.05), decreased PDF and recovery time (p<0.05). At the follow-up, 15 patients were reevaluated (9 from E, 6 from C). The E group was still active and showed 6MWD similar to baseline, with a decline of 0.13 -/+ 1.72 m/mo. The C group decreased 6MWD (p=0.026) with a decline of 3.43 -/+ 3.2 m/mo. For both groups, HRQL, PDF and recovery time showed slight variations from baseline. CONCLUSIONS: In dialysis patients, a 6-month exercise program prescribed at the hospital and performed at home improved physical capacity, HRQL and PDF symptoms. Patients maintained an active lifestyle after discharge and showed a slow functional decline over a 2-year period. SN - 1121-8428 UR - https://www.unboundmedicine.com/medline/citation/19034871/Acute_and_long_term_effects_of_an_exercise_program_for_dialysis_patients_prescribed_in_hospital_and_performed_at_home_ L2 - https://ClinicalTrials.gov/search/term=19034871 [PUBMED-IDS] DB - PRIME DP - Unbound Medicine ER -