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- Title
Feasibility of an Intradialytic Combined Exercise Program Targeting Older Adults With End-Stage Renal Disease.
- Authors
Parent-Roberge, Hugo; Deshayes, Thomas A.; Fortier, Catherine; Marquis, Karine; Lacharité-Lemieux, Christiane; Rodrigue, Chantale; Dionne, Isabelle J.; Agharazii, Mohsen; Godin, Mélanie; Riesco, Eléonor
- Abstract
Intradialytic exercise is feasible and yields substantial clinical benefits in middle-aged patients. However, evidence is scarce in older hemodialysis patients. Objective: To assess the feasibility and clinical benefits of supervised, intradialytic exercise in older patients. Methods: Multicenter one-arm feasibility study. The main outcome was feasibility (ease of recruitment, dropout rate, adherence, affective valence, and adverse events). The secondary outcomes were physical capacity (five-repetition sit-to-stand, 60-s sit-to-stand tests, and grip strength), quality of life (36-Item Short-Form Health Survey), quality of sleep (Pittsburgh Sleep Quality Index), depressive symptoms (Beck Depression Inventory), and dialysis efficacy (Kt/V and urea reduction ratio). Results: About 79% of the screened patients agreed to participate (n = 25, 73 [66–77] years). The dropout rate was high (32%), but adherence remained high among the participants who completed the study (94%). Improvements were found in the five-repetition sit-to-stand (p <.001), 60-s sit-to-stand tests (p =.028), 36-Item Short-Form Health Survey mental component score (p =.008), depressive symptoms (p =.006), and quality of sleep (p =.035). Conclusion: Supervised intradialytic exercise seems safe and beneficial in older patients.
- Subjects
QUEBEC (Province); CHRONIC kidney failure; PILOT projects; RESEARCH; CLINICAL trials; MEDICAL cooperation; SLEEP; TREATMENT effectiveness; PRE-tests &; post-tests; QUALITY of life; MENTAL depression; EXERCISE therapy
- Publication
Journal of Aging & Physical Activity, 2021, Vol 29, Issue 6, p905
- ISSN
1063-8652
- Publication type
Article
- DOI
10.1123/japa.2020-0359