Document Detail


Exercise program to enhance physical performance and quality of life of older hemodialysis patients: a feasibility study.
MedLine Citation:
PMID:  20213292     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: Evaluate the feasibility of implementing a combined in-hospital and home-based exercise program in older hemodialysis (HD) patients.
DESIGN: A prospective longitudinal 12-week pilot study.
SETTING: A university hospital HD unit and patients' homes.
PARTICIPANTS: A convenience sample of nine older (>55 years) patients undergoing HD.
INTERVENTIONS: An individualized exercise program performed on HD days (3/week) and at home (2-3/week), including aerobic, flexibility, strength exercises and patient education.
MAIN OUTCOME MEASURES: Feasibility measure: patient participation. Exercise performance: Duke Activity Status Index (DASI); 2-min walk test (2MWT); Timed-up-and-go (TUG). Quality of life: The Illness Intrusiveness Ratings Scale (IIRS); The Kidney Disease Quality of Life Questionnaire (KDQOL).
RESULTS: The mean (SD) age of the patients was 68.1 (7.1). Participation in the in-hospital supervised exercise program was high, with patients exercising during 89% of HD sessions, but was lower for the unsupervised home-based component (56% exercised ≥ 2 times/week). Patients showed a gradual increase in the amount of exercise performed over 12 weeks. The 2MWT, TUG, IIRS and the KDQOL physical composite score demonstrated moderate responsiveness, while the DASI score exhibited only limited responsiveness.
CONCLUSIONS: This exercise program and the outcome measures were feasible for older HD patients: in-hospital participation was high, and physical performance and QOL measures exhibited moderate levels of responsiveness. Future, larger studies are needed to demonstrate whether intra-dialysis exercise, with or without home exercise, can lead to improved outcomes in this population.
Authors:
Mika L Nonoyama; Dina Brooks; Alexandra Ponikvar; S Vanita Jassal; Pia Kontos; Gerald M Devins; Lily Spanjevic; Carol Heck; Judi Laprade; Gary Naglie
Publication Detail:
Type:  Clinical Trial; Journal Article; Research Support, Non-U.S. Gov't     Date:  2010-03-07
Journal Detail:
Title:  International urology and nephrology     Volume:  42     ISSN:  1573-2584     ISO Abbreviation:  Int Urol Nephrol     Publication Date:  2010 Dec 
Date Detail:
Created Date:  2010-12-01     Completed Date:  2011-04-04     Revised Date:  2013-05-30    
Medline Journal Info:
Nlm Unique ID:  0262521     Medline TA:  Int Urol Nephrol     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  1125-30     Citation Subset:  IM    
Affiliation:
Toronto Rehabilitation Institute, 550 University Avenue, Toronto, ON, M5G 2A2, Canada.
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MeSH Terms
Descriptor/Qualifier:
Aged
Exercise Therapy*
Feasibility Studies
Female
Humans
Male
Middle Aged
Physical Fitness*
Prospective Studies
Quality of Life*
Renal Dialysis*
Grant Support
ID/Acronym/Agency:
73373//Canadian Institutes of Health Research; IAP-73373//Canadian Institutes of Health Research
Comments/Corrections

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