Comparison of intradialytic versus home-based exercise programs on physical functioning, physical activity level, adherence, and health-related quality of life: pilot study

Abstract Intradialytic exercise (ID) programs are effective and safe for hemodialysis (HD) patients to avoid functional deterioration. However, exercise is not routinely undertaken in most HD units, and we do not know if home-based (HB) programs are as effective as ID programs. The purpose of this s...

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Autores principales:	Lucía Ortega-Pérez de Villar, Francisco José Martínez-Olmos, Francisco de Borja Pérez-Domínguez, Vicent Benavent-Caballer, Francisco Javier Montañez-Aguilera, Tom Mercer, Eva Segura-Ortí
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2020
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/fd6bda0b9edd4dd79b4256f1acc06eff
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spelling	oai:doaj.org-article:fd6bda0b9edd4dd79b4256f1acc06eff2021-12-02T14:58:53ZComparison of intradialytic versus home-based exercise programs on physical functioning, physical activity level, adherence, and health-related quality of life: pilot study10.1038/s41598-020-64372-y2045-2322https://doaj.org/article/fd6bda0b9edd4dd79b4256f1acc06eff2020-05-01T00:00:00Zhttps://doi.org/10.1038/s41598-020-64372-yhttps://doaj.org/toc/2045-2322Abstract Intradialytic exercise (ID) programs are effective and safe for hemodialysis (HD) patients to avoid functional deterioration. However, exercise is not routinely undertaken in most HD units, and we do not know if home-based (HB) programs are as effective as ID programs. The purpose of this study was to compare the effects of 16 weeks of ID exercise versus a HB exercise program for HD patients. A total of 46 patients were randomly assigned to the ID group (n = 24) or HB group (n = 22). They completed a 16-week combined exercise program 3 times/week. We measured physical activity level, physical functioning, depression level, and health-related quality of life at baseline and after 16 weeks. A significant time effect was found in both groups for the physical activity level (p = 0.012). There was also a significant group–time interaction effect for the one-leg standing test (OLST) (p = 0.049) and a significant time effect for the Short Physical Performance Battery (p = 0.013), timed up-and-go test (p = 0.005), sit-to-stand-10 (p = 0.027), right and left hand handgrip (p = 0.044, p < 0.001), one-heel left leg raise (p = 0.019), and 6-minute walking (p = 0.006), depression (p = 0.017). HRQoL remained unchanged. There was no difference between the two interventions on the tested outcomes (besides OLST). Both interventions were associated with positive changes of the physical activity levels and physical function.Lucía Ortega-Pérez de VillarFrancisco José Martínez-OlmosFrancisco de Borja Pérez-DomínguezVicent Benavent-CaballerFrancisco Javier Montañez-AguileraTom MercerEva Segura-OrtíNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 10, Iss 1, Pp 1-10 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Lucía Ortega-Pérez de Villar Francisco José Martínez-Olmos Francisco de Borja Pérez-Domínguez Vicent Benavent-Caballer Francisco Javier Montañez-Aguilera Tom Mercer Eva Segura-Ortí Comparison of intradialytic versus home-based exercise programs on physical functioning, physical activity level, adherence, and health-related quality of life: pilot study
description	Abstract Intradialytic exercise (ID) programs are effective and safe for hemodialysis (HD) patients to avoid functional deterioration. However, exercise is not routinely undertaken in most HD units, and we do not know if home-based (HB) programs are as effective as ID programs. The purpose of this study was to compare the effects of 16 weeks of ID exercise versus a HB exercise program for HD patients. A total of 46 patients were randomly assigned to the ID group (n = 24) or HB group (n = 22). They completed a 16-week combined exercise program 3 times/week. We measured physical activity level, physical functioning, depression level, and health-related quality of life at baseline and after 16 weeks. A significant time effect was found in both groups for the physical activity level (p = 0.012). There was also a significant group–time interaction effect for the one-leg standing test (OLST) (p = 0.049) and a significant time effect for the Short Physical Performance Battery (p = 0.013), timed up-and-go test (p = 0.005), sit-to-stand-10 (p = 0.027), right and left hand handgrip (p = 0.044, p < 0.001), one-heel left leg raise (p = 0.019), and 6-minute walking (p = 0.006), depression (p = 0.017). HRQoL remained unchanged. There was no difference between the two interventions on the tested outcomes (besides OLST). Both interventions were associated with positive changes of the physical activity levels and physical function.
format	article
author	Lucía Ortega-Pérez de Villar Francisco José Martínez-Olmos Francisco de Borja Pérez-Domínguez Vicent Benavent-Caballer Francisco Javier Montañez-Aguilera Tom Mercer Eva Segura-Ortí
author_facet	Lucía Ortega-Pérez de Villar Francisco José Martínez-Olmos Francisco de Borja Pérez-Domínguez Vicent Benavent-Caballer Francisco Javier Montañez-Aguilera Tom Mercer Eva Segura-Ortí
author_sort	Lucía Ortega-Pérez de Villar
title	Comparison of intradialytic versus home-based exercise programs on physical functioning, physical activity level, adherence, and health-related quality of life: pilot study
title_short	Comparison of intradialytic versus home-based exercise programs on physical functioning, physical activity level, adherence, and health-related quality of life: pilot study
title_full	Comparison of intradialytic versus home-based exercise programs on physical functioning, physical activity level, adherence, and health-related quality of life: pilot study
title_fullStr	Comparison of intradialytic versus home-based exercise programs on physical functioning, physical activity level, adherence, and health-related quality of life: pilot study
title_full_unstemmed	Comparison of intradialytic versus home-based exercise programs on physical functioning, physical activity level, adherence, and health-related quality of life: pilot study
title_sort	comparison of intradialytic versus home-based exercise programs on physical functioning, physical activity level, adherence, and health-related quality of life: pilot study
publisher	Nature Portfolio
publishDate	2020
url	https://doaj.org/article/fd6bda0b9edd4dd79b4256f1acc06eff
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Comparison of intradialytic versus home-based exercise programs on physical functioning, physical activity level, adherence, and health-related quality of life: pilot study

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