ORIGINAL ARTICLE |
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Year : 2022 | Volume
: 22
| Issue : 2 | Page : 86-96 |
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The effect of intradialytic aerobic training on physical performance and quality of life among hemodialysis patients
Hesham A Elghoneimy1, Ahmed E El-Deeb1, Gihan Abd El-Latif Younis2, Mohamed M. Abd El-Kader1, Hala S El-Wakil1
1 Nephrology Unit, Department of Internal Medicine, Alexandria University, Alexandria, Egypt 2 Department of Physical Medicine, Rheumatology and Rehabilitation, Faculty of Medicine, Alexandria University, Alexandria, Egypt
Correspondence Address:
Dr. Hesham A Elghoneimy Nephrology unit, Department of Internal Medicine, Faculty of Medicine, Alexandria University 17 Champollion Street, El Messallah, Alexandria 2113 Egypt
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/jesnt.jesnt_35_21
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Background Patients with chronic kidney disease and end-stage kidney disease have reduced physical performance and impaired quality of life. The aim of this work is to study the effect of intradialytic aerobic training using a pedal on physical performance and quality of life among hemodialysis (HD) patients.
Patients and methods This experimental study was conducted on 30 adult patients with end-stage kidney disease on maintenance HD for more than 3 months. Mentally or physically unfit patients, patients with overt ischemic heart disease or cardiac decompensation, severe anemic patients (hemoglobin≤8 g/dl), patients with advanced chronic kidney disease-mineral and bone disorder, patients with advanced lower limbs joints disease, and those with amputation of the lower limb were excluded. Patients were divided into two groups; each group consisted of 15 patients. Group A performed intradialytic aerobic exercise for 30 min three times/week for 8 weeks. Group B was a control group.
Results There was significant improvement in the distance walked in 6-min walk test in the exercise group (P=0.04). Moreover, there was significant improvement in the main scales of kidney disease quality-of-life short form, version 1.3, Arabic version (Kidney Disease Component Summary, Physical Composite Scale, and Mental Composite Scale) (P<0.001, P=0.018, and P=0.037, respectively).
Conclusion Exercise has a beneficial effect on the physical performance and quality of life in HD patients.
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