Effects of intradialytic exercise for advanced-age patients undergoing hemodialysis: A randomized controlled trial.

Previous reports have shown the benefits of intradialytic exercise to patients undergoing hemodialysis. However, most of those studies assessed the effects of exercise in middle-aged patients and little is known about advanced-age patients undergoing hemodialysis. Therefore, the present randomized c...

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Autores principales:	Hiroki Yabe, Kenichi Kono, Tomoya Yamaguchi, Yumiko Ishikawa, Yoshiko Yamaguchi, Hisanori Azekura
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/e745b97e575b4e7e9d31fcdea1de8d90
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spelling	oai:doaj.org-article:e745b97e575b4e7e9d31fcdea1de8d902021-12-02T20:07:47ZEffects of intradialytic exercise for advanced-age patients undergoing hemodialysis: A randomized controlled trial.1932-620310.1371/journal.pone.0257918https://doaj.org/article/e745b97e575b4e7e9d31fcdea1de8d902021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0257918https://doaj.org/toc/1932-6203Previous reports have shown the benefits of intradialytic exercise to patients undergoing hemodialysis. However, most of those studies assessed the effects of exercise in middle-aged patients and little is known about advanced-age patients undergoing hemodialysis. Therefore, the present randomized controlled trial was performed to determine the effectiveness of exercise therapy in advanced-age patients undergoing hemodialysis. This non-blinded, randomized controlled parallel trial enrolled a total of 101 patients who were randomly assigned to intradialytic exercise (n = 51) or usual care (n = 50) groups. The training program included both resistance and aerobic exercises and was performed three times per week for 6 months. The aerobic exercise intensity was adjusted to a target Borg score of 13 for 20 minutes. Four types of resistance exercises were performed using elastic tubing, with three sets of 10 exercises performed at moderate intensity (13/20 on the Borg scale). The usual care group received standard care. Lower extremity muscle strength, Short Physical Performance Battery score, and 10-m walking speed were the outcomes and were evaluated before the hemodialysis session and after 6 months of training. There were statistically significant improvements in Short Physical Performance Battery score (effect size, 0.57; 95% confidence interval, 0.15‒1.95) in the exercise group relative to the control group. There were no statistically significant differences in lower extremity muscle strength or in the 10-m walking speed between the two groups. These findings suggest that 6 months of intradialytic training could improve physical function in older patients undergoing hemodialysis.Hiroki YabeKenichi KonoTomoya YamaguchiYumiko IshikawaYoshiko YamaguchiHisanori AzekuraPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 10, p e0257918 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Hiroki Yabe Kenichi Kono Tomoya Yamaguchi Yumiko Ishikawa Yoshiko Yamaguchi Hisanori Azekura Effects of intradialytic exercise for advanced-age patients undergoing hemodialysis: A randomized controlled trial.
description	Previous reports have shown the benefits of intradialytic exercise to patients undergoing hemodialysis. However, most of those studies assessed the effects of exercise in middle-aged patients and little is known about advanced-age patients undergoing hemodialysis. Therefore, the present randomized controlled trial was performed to determine the effectiveness of exercise therapy in advanced-age patients undergoing hemodialysis. This non-blinded, randomized controlled parallel trial enrolled a total of 101 patients who were randomly assigned to intradialytic exercise (n = 51) or usual care (n = 50) groups. The training program included both resistance and aerobic exercises and was performed three times per week for 6 months. The aerobic exercise intensity was adjusted to a target Borg score of 13 for 20 minutes. Four types of resistance exercises were performed using elastic tubing, with three sets of 10 exercises performed at moderate intensity (13/20 on the Borg scale). The usual care group received standard care. Lower extremity muscle strength, Short Physical Performance Battery score, and 10-m walking speed were the outcomes and were evaluated before the hemodialysis session and after 6 months of training. There were statistically significant improvements in Short Physical Performance Battery score (effect size, 0.57; 95% confidence interval, 0.15‒1.95) in the exercise group relative to the control group. There were no statistically significant differences in lower extremity muscle strength or in the 10-m walking speed between the two groups. These findings suggest that 6 months of intradialytic training could improve physical function in older patients undergoing hemodialysis.
format	article
author	Hiroki Yabe Kenichi Kono Tomoya Yamaguchi Yumiko Ishikawa Yoshiko Yamaguchi Hisanori Azekura
author_facet	Hiroki Yabe Kenichi Kono Tomoya Yamaguchi Yumiko Ishikawa Yoshiko Yamaguchi Hisanori Azekura
author_sort	Hiroki Yabe
title	Effects of intradialytic exercise for advanced-age patients undergoing hemodialysis: A randomized controlled trial.
title_short	Effects of intradialytic exercise for advanced-age patients undergoing hemodialysis: A randomized controlled trial.
title_full	Effects of intradialytic exercise for advanced-age patients undergoing hemodialysis: A randomized controlled trial.
title_fullStr	Effects of intradialytic exercise for advanced-age patients undergoing hemodialysis: A randomized controlled trial.
title_full_unstemmed	Effects of intradialytic exercise for advanced-age patients undergoing hemodialysis: A randomized controlled trial.
title_sort	effects of intradialytic exercise for advanced-age patients undergoing hemodialysis: a randomized controlled trial.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/e745b97e575b4e7e9d31fcdea1de8d90
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Effects of intradialytic exercise for advanced-age patients undergoing hemodialysis: A randomized controlled trial.

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