Document Detail

Effects of an exercise program on blood biochemical values and exercise stage of chronic kidney disease patients.
MedLine Citation:
PMID:  20592655     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Chronic kidney disease (CKD) patients face a relatively high risk of cardiovascular disease morbidity and mortality. A healthy lifestyle facilitated by participation in a regular exercise regimen may prevent or retard conditions commonly associated with CKD, including hypertension, hyperlipidemia, and diabetes. PURPOSE: This study examined the effect of a tailored exercise program on blood biochemical values and other exercise-related variables in CKD patients. METHODS: A total of 94 subjects diagnosed with CKD by a nephrology outpatient clinic at a medical center in northern Taiwan participated in this quasi-experimental study. Subjects were randomly divided into an experimental group (n = 45) or a control group (n = 49). Experimental group subjects agreed to join a 3-month exercise program. Individual guidance was given remotely to the experimental group over the telephone during the second and the third months following initiation of the exercise intervention. Both groups completed the pretest and posttest forms of the Stages of Exercise Questionnaire, and blood biochemical data were obtained from patient medical files. Data were analyzed using analysis of covariance. RESULTS: The preexercise cholesterol values (from 198.03 +/- 43.52 to 160.97 +/- 37.39 mg/dl) of the experimental group differed significantly from their postexercise values. Also, the number of subjects in the experimental group who reported exercising regularly rose from 57.8% pretest to 75.6% posttest. However, changes in red blood cell count, hemoglobin, hematocrit, and blood sugar were all insignificant in the experimental group. No significant change in any of these items was detected in the control group. The cholesterol value of the experimental group (158.75 mg/dl) was significantly lower than that of the control group (177.29 mg/dl) after applying analysis of covariance, using the pretest results of both groups as the covariate. CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: The developed exercise program was found to reduce cholesterol levels in CKD patients effectively, to encourage more patients to do exercise regularly, and to offer clinical nursing staff an approach to encourage and teach CKD patients to exercise.
Pei-Ying Chen; Yi-Ching Huang; Yu-Hsiu Kao; Jinn-Yang Chen
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  The journal of nursing research : JNR     Volume:  18     ISSN:  1948-965X     ISO Abbreviation:  J Nurs Res     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-07-01     Completed Date:  2010-10-21     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101128757     Medline TA:  J Nurs Res     Country:  China (Republic : 1949- )    
Other Details:
Languages:  eng     Pagination:  98-107     Citation Subset:  IM; N    
Department of Nursing, Taipei Veterans General Hospital, Taipei, Taiwan, ROC.
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MeSH Terms
Kidney Failure, Chronic / blood*,  physiopathology
Middle Aged
Models, Theoretical

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