Effect of intradialytic physical activity on the quality of life, biological parameters and sleep in hemodialysis patients
Article Sidebar
Main Article Content
Abstract
Many side effects, in addition to those of the pathology itself, have occurred with hemodialysis treatment but existing literature have shown that physical activity is beneficial to hemodialysis patients. Nevertheless, our parameters have not been studied enough with a resistance training program. In our study we have observed the effect of a 12-week intradialytic resistance training program (T0 vs T12) on the quality of life using the KDQOL-SF questionnaire, blood samples biological parameters and sleep using the Epworth scale and the International restless legs syndrome study group scale. The resistance training program consists of 3 sessions per week and involved lower extremities thanks to elastic band and soft ball. After the training program, the quality of life score trend to the increase at T12 compared to T0. Among the biological parameters, the only trend decrease observed was in the C-reactive protein and a trend increase was observed in urea at T12. Dialysis efficiency presented no changes and no significant results were observed for sleep. Some trends were observed as a result of our program. The type of exercise seems to have different effects on measured parameters. Nevertheless, exercise was beneficial to chronic hemodialysis patients and seemed to improve their health.
Article Details
Copyright (c) 2019 Gallot M, et al.
This work is licensed under a Creative Commons Attribution 4.0 International License.
The Journal of Clinical Nephrology is committed in making it easier for people to share and build upon the work of others while maintaining consistency with the rules of copyright. In order to use the Open Access paradigm to the maximum extent in true terms as free of charge online access along with usage right, we grant usage rights through the use of specific Creative Commons license.
License: Copyright © 2017 - 2025 | 
Open Access by Journal of Clinical Nephrology is licensed under a Creative Commons Attribution 4.0 International License. Based on a work at Heighten Science Publications Inc.
With this license, the authors are allowed that after publishing with the journal, they can share their research by posting a free draft copy of their article to any repository or website.
Compliance 'CC BY' license helps in:
| Permission to read and download | ✓ |
| Permission to display in a repository | ✓ |
| Permission to translate | ✓ |
| Commercial uses of manuscript | ✓ |
'CC' stands for Creative Commons license. 'BY' symbolizes that users have provided attribution to the creator that the published manuscripts can be used or shared. This license allows for redistribution, commercial and non-commercial, as long as it is passed along unchanged and in whole, with credit to the author.
Please take in notification that Creative Commons user licenses are non-revocable. We recommend authors to check if their funding body requires a specific license.
O'Hare AM, Tawney K, Bacchetti P, Johansen KL. Decreased survival among sedentary patients undergoing dialysis: results from the dialysis morbidity and mortality study wave 2. Am J Kidney Dis. 2003; 41: 447-454. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/12552509
Blumberg A, Nelp WB, Hegstrom RM, Scribner BH. Extracellular volume in patients with chronic renal disease treated for hypertension by sodium restriction. Lancet. 1967: 69-73. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/4165465
Finkelstein FO, Wuerth D, Finkelstein SH. Health related quality of life and the CKD patient: challenges for the nephrology community. Kidney Int. 2009; 76: 946-952. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/19675529
Johansen KL, Chertow GM, Kutner NG, Dalrymple LS, Grimes BA, et al. Low level of self-reported physical activity in ambulatory patients new to dialysis. Kidney Int. 2010; 78: 1164-1170. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/20811334
Perlman RL, Finkelstein FO, Liu L, Roys E, Kiser M, et al. Quality of life in chronic kidney disease: a cross-sectional analysis of the Renal Research Institute CKD study. Am J Kidney Dis. 2005; 45: 658-666. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/15806468
Murtagh FE, Addington-Hall J, Higginson IJ. The prevalence of symptoms in end (stage renal disease: a systematic review. Adv Chronic Kidney Dis. 2007; 1: 82-99. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/17200048
Cheema B, Abas H, Smith B, O'Sullivan A, Chan M, et al. Progressive Exercise for Anabolism in Kidney Disease (PEAK): A Randomized, Controlled Trial of Resistance Training during Hemodialysis. J Am Soc Nephrol. 2007; 18: 1594-1601. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/17409306
Pearson TA, Mensah GA, Alexander RW, Anderson JL, Cannon RO 3rd, et al. Markers of inflammation and cardiovascular disease: application to clinical and public health practice: a statement for healthcare professionals from the Centers for Disease Control and Prevention and the American Heart Association. Circulation. 2003; 107: 499-511. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/12551878
Anand S, Chertow GM, Johansen KL, Grimes B, Kurella Tamura M, et al. Association of self-reported physical activity with laboratory markers of nutrition and inflammation: the comprehensive dialysis study. J Renal Nutr. 2001; 21: 429-437. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/21239185
Heiwe S, Jacobson SH. Exercise Training in Adults With CKD: A Systematic Review and Meta-analysis. Am J Kidney Dis. 2014; 64: 383-393. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/24913219
Daul AE, Schäfers RF, Daul K, Philipp T. Exercise during hemodialysis. Clin Nephrol. 2004; 61: 26-30. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/15233244
Painter P. Determinants of exercise capacity in CKD patients treated with hemodialysis. Adv in Chronic Kidney Dis. 2009; 16: 437-448. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/19801134
Bullani R, El-Housseini Y, Giordano F, Larcinese A, Ciutto L, et al. Effect of intradialytic resistance band exercise on physical function in patients on maintenance hemodialysis: A pilot study. J Renal Nutr. 2011; 21: 61-65. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/21195922
Borg G. Psychophysical bases of perceived exertion. Med Sci Sports Exerc. 1982; 14: 377-381. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/7154893
Hays RD, Kallich JD, Mapes DL, Coons SJ, Carter WB. Development of the kidney disease quality of life (KDQOL) instrument. Qual Life Res. 1994; 3: 329-338. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/7841967
Leplège A, Ecosse E, Pouchot J. Le questionnaire MOS SF-36: manuel de l’utilisateur et guide d’interprétation des scores, Estem. 2001.
Lean ME, Han TS, Seidell JC. Impairment of health and quality of life using new US Federal Guidelines for the identification of obesity. Arch Intern Med. 1999; 159: 837-843. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/10219929
Johns MW. A new method for measuring daytime sleepiness: The Epworth Sleepiness Scale. Sleep. 1991; 14: 540-545. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/1798888
Walters AS, LeBrocq C, Dhar A, Hening W, Rosen R, et al. Validation of the International Restless Legs Syndrome Study Group rating scale for restless legs syndrome. Sleep Med. 2003; 4: 121-132. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/14592342
Tawney KW, Tawney PJ, Hladik G, Hogan SL, Falk RJ, et al. The life readiness program: A physical rehabilitation program for patients on hemodialysis. Am J Kidney Dis. 2000; 36: 581-591. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/10977791
Parsons T1, Toffelmire EB, King-VanVlack CE. Exercise training during hemodialysis improves dialysis efficacy and physical performance. Arch Physical Med Rehab. 2006; 87: 680-687. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/16635631
Ling KW, Wong FS, Chan WK, Chan SY, Chan EP, et al. Effect of a home exercise program based on Tai Chi in patients with end-stage renal disease. Perit Dials Int. 2003; 23: 99-103. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/17986569
Painter P, Carlson L, Carey S, Paul SM, Myll J. Physical functioning and health-related quality-of-life changes with exercise training in hemodialysis patients. Am J Kidney Dis. 2000; 35: 482-492. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/10692275
Oh-Park M, Fast A, Gopal S, Lynn R, Frei G, et al. Exercise for the dialyzed: aerobic and strength training during hemodialysis. Am J Phys Med Rehabil/Association of Academic Physiatrists. 2002; 81: 814-821. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/12394992
Oliveros RMS, Avendano M, Bunout D, Hirsch S, De La Maza MP, et al. Estudio piloto sobre entrenamiento fisico durante hemodialisis. Rev MedChile. 2011; 139: 1046-1053.
Afshar R, Emany A, Saremi A, Shavandi N, Sanavi S. Effects of intradialytic aerobic training on sleep quality in hemodialysis patients. Iran J Kidney Dis. 2011; 5: 119-123. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/21368391
Kong CH, Tattersall JE, Greenwood RN, Farrington K. The effect of exercise during haemodialysis on solute removal. Nephrol Dial Transplant. 1999; 14: 2927-2931. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/10570099
Vaithilingam I, Polkinghorne KR, Atkins RC, Kerr PG. Time and exercise improve phosphate removal in hemodialysis patients. Am J Kidney Dis. 2004; 43: 85-89. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/14712431
Parsons TL, Toffelmire EB, King-VanVlack CE. The effect of an exercise program during hemodialysis on dialysis efficacy, blood pressure and quality of life in end-stage renal disease patients. Clin Nephrol. 2004; 61: 261-274. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/15125032
Anand S, Johansen KL, Grimes B, Kaysen GA, Dalrymple LS, et al. Physical acidity and self-reported symptoms of insomnia, restless legs syndrome, and depression: The comprehensive dialysis study: Physical activity, insomnia, RLS, and depression. Hemodial Int. 2013; 17: 50-58. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/22812496
Giannaki CD, Sakkas GK, Karatzaferi C, Hadjigeorgiou GM, Lavdas E, et al. Effect of exercise training and dopamine agonists in patients with uremic restless legs syndrome: a six-month randomized, partially double-bling, placebo-controlled comparative study. MBC Nephrol. 2013; 14: 194-205. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/24024727