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Implementation of exercise training programs in a hemodialysis unit: effects on physical performance.
J Nephrol. 2011 Nov-Dec; 24(6):790-7.JN

Abstract

INTRODUCTION

Exercise training is beneficial for hemodialysis patients, but it should be tailored to individual abilities and willingness to participate. This study evaluated the effects of different 6-month programs of physical activity in 18 patients of a single hemodialysis unit.

METHODS

Before and after a 12-month control period (T0), and following 3 (T3) and 6 (T6) months of training, the patients underwent the 6-minute walk test (6MWT) and constant treadmill test at 3 km/hour speed and 10% grade; spontaneous physical activity was assessed by pedometers. All patients trained for coordination, flexibility and muscular strengthening for 30 minutes within the first 2 hours of hemodialysis sessions: 9 patients underwent home exercise walking training (advised walking group [AWG]); the other 9 patients underwent the advised home training program plus an additional supervised gym training session, twice weekly (supervised walking group [SWG]).

RESULTS

In both AWG and SWG, no changes occurred during the control period (232 ± 204 m and 248 ± 187 m at T0). In contrast, endurance performance at treadmill increased at T3 and T6 in the AWG (377 ± 272 m and 615 ± 413 m; p<0.01) and in the SWG (424 ± 272 m and 890 ± 364 m; p<0.001). No unwanted side effects occurred.

CONCLUSION

This study shows that physical exercise programs can safely increase physical performance in hemodialysis patients. The training program should be continued for at least 6 months to increase muscle strength and endurance. Intradialytic exercise and home-based, pedometer-based regimens may be a useful and easy approach, whereas supervised programs can give additional benefits in motivated, selected patients.

Authors+Show Affiliations

Rehabilitation Medicine Unit, Pescia Hospital, Pescia, Italy.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Controlled Clinical Trial
Journal Article

Language

eng

PubMed ID

21360473

Citation

Bulckaen, Massimo, et al. "Implementation of Exercise Training Programs in a Hemodialysis Unit: Effects On Physical Performance." Journal of Nephrology, vol. 24, no. 6, 2011, pp. 790-7.
Bulckaen M, Capitanini A, Lange S, et al. Implementation of exercise training programs in a hemodialysis unit: effects on physical performance. J Nephrol. 2011;24(6):790-7.
Bulckaen, M., Capitanini, A., Lange, S., Caciula, A., Giuntoli, F., & Cupisti, A. (2011). Implementation of exercise training programs in a hemodialysis unit: effects on physical performance. Journal of Nephrology, 24(6), 790-7. https://doi.org/10.5301/JN.2011.6386
Bulckaen M, et al. Implementation of Exercise Training Programs in a Hemodialysis Unit: Effects On Physical Performance. J Nephrol. 2011 Nov-Dec;24(6):790-7. PubMed PMID: 21360473.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Implementation of exercise training programs in a hemodialysis unit: effects on physical performance. AU - Bulckaen,Massimo, AU - Capitanini,Alessandro, AU - Lange,Sara, AU - Caciula,Andrea, AU - Giuntoli,Franco, AU - Cupisti,Adamasco, PY - 2010/12/29/accepted PY - 2011/3/2/entrez PY - 2011/3/2/pubmed PY - 2012/4/19/medline SP - 790 EP - 7 JF - Journal of nephrology JO - J. Nephrol. VL - 24 IS - 6 N2 - INTRODUCTION: Exercise training is beneficial for hemodialysis patients, but it should be tailored to individual abilities and willingness to participate. This study evaluated the effects of different 6-month programs of physical activity in 18 patients of a single hemodialysis unit. METHODS: Before and after a 12-month control period (T0), and following 3 (T3) and 6 (T6) months of training, the patients underwent the 6-minute walk test (6MWT) and constant treadmill test at 3 km/hour speed and 10% grade; spontaneous physical activity was assessed by pedometers. All patients trained for coordination, flexibility and muscular strengthening for 30 minutes within the first 2 hours of hemodialysis sessions: 9 patients underwent home exercise walking training (advised walking group [AWG]); the other 9 patients underwent the advised home training program plus an additional supervised gym training session, twice weekly (supervised walking group [SWG]). RESULTS: In both AWG and SWG, no changes occurred during the control period (232 ± 204 m and 248 ± 187 m at T0). In contrast, endurance performance at treadmill increased at T3 and T6 in the AWG (377 ± 272 m and 615 ± 413 m; p<0.01) and in the SWG (424 ± 272 m and 890 ± 364 m; p<0.001). No unwanted side effects occurred. CONCLUSION: This study shows that physical exercise programs can safely increase physical performance in hemodialysis patients. The training program should be continued for at least 6 months to increase muscle strength and endurance. Intradialytic exercise and home-based, pedometer-based regimens may be a useful and easy approach, whereas supervised programs can give additional benefits in motivated, selected patients. SN - 1724-6059 UR - https://www.unboundmedicine.com/medline/citation/21360473/Implementation_of_exercise_training_programs_in_a_hemodialysis_unit:_effects_on_physical_performance_ L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&amp;PAGE=linkout&amp;SEARCH=21360473.ui DB - PRIME DP - Unbound Medicine ER -