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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

Malagoni AM
Vascular Diseases Center, University of Ferrara, Ferrara - Italy. mlgnmr@unife.it
Catizone L
No affiliation info available
Mandini S
No affiliation info available
Soffritti S
No affiliation info available
Manfredini R
No affiliation info available
Boari B
No affiliation info available
Russo G
No affiliation info available
Basaglia N
No affiliation info available
Zamboni P
No affiliation info available
Manfredini F
No affiliation info available

MeSH

AgedExercise TherapyExercise ToleranceFemaleFollow-Up StudiesHumansKidney Failure, ChronicMaleMiddle AgedQuality of LifeRenal DialysisTime FactorsTreatment OutcomeWalking

Pub Type(s)

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

Language

eng

PubMed ID

19034871

Clinical Trial Links

EXerCise Introduction To Enhance Performance in Dialysis(EXCITE)

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 -