| Implementation of exercise training programs in a hemodialysis unit: effects on physical performance. | |
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MedLine Citation:
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PMID: 21360473 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Massimo Bulckaen; Alessandro Capitanini; Sara Lange; Andrea Caciula; Franco Giuntoli; Adamasco Cupisti |
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Publication Detail:
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Type: Controlled Clinical Trial; Journal Article |
Journal Detail:
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Title: Journal of nephrology Volume: 24 ISSN: 1724-6059 ISO Abbreviation: J. Nephrol. Publication Date: 2011 Nov-Dec |
Date Detail:
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Created Date: 2011-11-07 Completed Date: 2012-04-18 Revised Date: 2012-04-27 |
Medline Journal Info:
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Nlm Unique ID: 9012268 Medline TA: J Nephrol Country: Italy |
Other Details:
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Languages: eng Pagination: 790-7 Citation Subset: IM |
Affiliation:
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Rehabilitation Medicine Unit, Pescia Hospital, Pescia, Italy. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Diabetes Mellitus / epidemiology Exercise / physiology* Exercise Test Female Follow-Up Studies Humans Hypertension / epidemiology Kidney Failure, Chronic / physiopathology*, therapy* Longitudinal Studies Male Middle Aged Physical Endurance / physiology* Prevalence Prospective Studies Renal Dialysis* Resistance Training / methods* Treatment Outcome Walking / physiology |
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