Implementing a resistance training programme for patients on short daily haemodialysis: A feasibility study.

Autor: Ribeiro HS; Faculty of Physical Education, University of Brasília, Brasília, Brazil.; Interdisciplinary Research Department, University Centre ICESP, Brasília, Brazil.; Research Centre in Sports Sciences, Health Sciences and Human Development, CIDESD, University of Maia, Maia, Portugal., Cunha VA; Faculty of Health Science, University of Brasília, Brasília, Brazil., Dourado GÍ; Faculty of Health Science, University of Brasília, Brasília, Brazil., Duarte MP; Faculty of Physical Education, University of Brasília, Brasília, Brazil.; Faculty of Health Science, University of Brasília, Brasília, Brazil., Almeida LS; Faculty of Physical Education, University of Brasília, Brasília, Brazil., Baião VM; Faculty of Health Science, University of Brasília, Brasília, Brazil., Inda-Filho AJ; Interdisciplinary Research Department, University Centre ICESP, Brasília, Brazil., Viana JL; Research Centre in Sports Sciences, Health Sciences and Human Development, CIDESD, University of Maia, Maia, Portugal., Nóbrega OT; Faculty of Health Science, University of Brasília, Brasília, Brazil., Ferreira AP; Interdisciplinary Research Department, University Centre ICESP, Brasília, Brazil.; Post-graduation Program, Santa Úrsula University, Rio de Janeiro, Brazil.
Jazyk: angličtina
Zdroj: Journal of renal care [J Ren Care] 2023 Jun; Vol. 49 (2), pp. 125-133. Date of Electronic Publication: 2022 May 08.
DOI: 10.1111/jorc.12423
Abstrakt: Background: Kidney failure patients receiving haemodialysis experience protein-energy wasting, muscle mass loss and physical function impairment. Intradialytic exercise interventions seem to modify these features, but they are often not implemented as a clinical routine.
Objective: To investigate the feasibility of implementing a supervised intradialytic resistance training programme as a clinical routine for patients receiving short daily haemodialysis.
Design: A prospective longitudinal study.
Participants: Eighteen patients in a supervised intradialytic resistance training programme for 8 months.
Measurements: It consisted of a warm-up, lower- and upper-limb resistance exercises and a cool-down. Patients performed the resistance training during the first half of haemodialysis, twice a week, supervised by exercise physiologists and physiotherapists. The feasibility was assessed by the total and partial adherences, the reasons for refusing or for not exercising and the intradialytic complications.
Results: From a total of 953 potential exercise sessions, 759 were performed, with a 79.6% adherence rate. In the first 9 weeks, the adherence rate was 86.6% and the lowest rate was in the 19-27 weeks (73.5%). The main intradialytic complication during exercise sessions was hypotension (n = 31; 4.1%). The highest number of complications was reported during the first 9 weeks (n = 27; 9.1%). The main reasons for refusing or for not performing the intradialytic exercise sessions were clinical complications previous to exercise time (n = 63; 32.5%) and self-reported indisposition (n = 62; 32.0%).
Conclusions: The intradialytic resistance training programme, supervised by exercise physiologists and physiotherapists, had very low complications, achieved a high long-term adherence rate and showed to be feasible as a clinical routine for patients receiving short daily haemodialysis.
(© 2022 European Dialysis and Transplant Nurses Association/European Renal Care Association.)
Databáze: MEDLINE
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