Document Detail


Implementation of exercise training programs in a hemodialysis unit: effects on physical performance.
MedLine Citation:
PMID:  21360473     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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:
Massimo Bulckaen; Alessandro Capitanini; Sara Lange; Andrea Caciula; Franco Giuntoli; Adamasco Cupisti
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Publication Detail:
Type:  Controlled Clinical Trial; Journal Article    
Journal Detail:
Title:  Journal of nephrology     Volume:  24     ISSN:  1724-6059     ISO Abbreviation:  J. Nephrol.     Publication Date:    2011 Nov-Dec
Date Detail:
Created Date:  2011-11-07     Completed Date:  2012-04-18     Revised Date:  2012-04-27    
Medline Journal Info:
Nlm Unique ID:  9012268     Medline TA:  J Nephrol     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  790-7     Citation Subset:  IM    
Affiliation:
Rehabilitation Medicine Unit, Pescia Hospital, Pescia, Italy.
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MeSH Terms
Descriptor/Qualifier:
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

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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