Intradialytic exercise improves physical function and reduces intradialytic hypotension and depression in hemodialysis patients
| Autor: | Jae Won Choi, Dong Ho Shin, Ji-Yeon Lee, Seung Wook Choi, Hee Jung Jeon, Suk Chul Hong, Jieun Oh, So Yon Rhee, Eun Hee Ji, A-Ram Kim, Jin Kyung Song, Eun Hee Choi |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty medicine.medical_treatment Physical fitness Intradialytic hypotension Renal Dialysis medicine Aerobic exercise Humans Prospective Studies Wasting Dialysis Aged business.industry Depression Beck Depression Inventory Resistance Training Middle Aged Intradialytic exercise Blood pressure Nephrology Physical therapy Quality of Life Physical function Medicine Kidney Failure Chronic Female Original Article Hemodialysis medicine.symptom Hypotension business Anaerobic exercise |
| Zdroj: | The Korean Journal of Internal Medicine The Korean Journal of Internal Medicine, Vol 34, Iss 3, Pp 588-598 (2019) |
| ISSN: | 2005-6648 |
| Popis: | Background/Aims As numbers of maintenance hemodialysis patients are growing, debilitating conditions of muscle wasting and atrophy are becoming some of the greatest concerns in end-stage renal disease patients. Exercise training has various potential benefits in terms of prevention of a sustained decline in functional status. This study aimed to evaluate the physical, psychological, laboratory, and dialysis-related effects of intradialytic exercise. Methods We enrolled 22 patients from a hemodialysis center for a 6-month non-randomized prospective trial. Combination of aerobic exercise with bicycle ergometer and anaerobic exercise with elastic bands was conducted during hemodialysis. Data including physical fitness test results, dialysis-related measurements, and biochemical laboratory results were collected at baseline, 3, and 6 months. Depression and quality of life were assessed using Beck Depression Inventory and Short Form-36 health survey. Results After exercise completion, there were significant improvements in back muscle power, forward and backward trunk flexibility, vertical jump, elbow flexion, sit to stand test, and 6-minute walk test (p < 0.05). No significant changes were observed in dry weight, blood pressure, Kt/V, and biochemical variables, except for intradialytic hypotension (p < 0.05). For depression, Beck Depression Inventory showed statistically significant enhancement (p < 0.05). Scores of Short Form-36 health survey did not show significant increase in each domain, except for bodily pain (p < 0.05). Conclusions Combined aerobic and anaerobic exercise training during dialysis was found to be effective on physical health status, intradialytic hypotension, and depression in terms of mental health. Therefore, the findings of the current study may provide an appropriate guidance for encouraging exercise by nephrologists. |
| Databáze: | OpenAIRE |
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