Effect of Intradialytic and Home-Based Walking Exercises on Physical Function and Dialysis Adequacy in Hemodialysis Patients

Background and purpose: Patients undergoing hemodialysis, regardless of age, suffer from impaired physical function. Many problems caused by lack of mobility affect different dimensions of their lives. Exercise training, commensurate with the ability and willingness of hemodialysis patients could be...

Full description

Bibliographic Details
Main Authors: Marzieh Hatef, Ravanbakhsh Esmaeili, Noroddin Mousavinasab, Zahra Madani, Fatemeh Spahbodi, Vida Shafipour
Format: Article
Language:English
Published: Mazandaran University of Medical Sciences 2017-11-01
Series:Journal of Mazandaran University of Medical Sciences
Subjects:
Online Access:http://jmums.mazums.ac.ir/article-1-10338-en.html
_version_ 1828054754962440192
author Marzieh Hatef
Ravanbakhsh Esmaeili
Noroddin Mousavinasab
Zahra Madani
Fatemeh Spahbodi
Vida Shafipour
author_facet Marzieh Hatef
Ravanbakhsh Esmaeili
Noroddin Mousavinasab
Zahra Madani
Fatemeh Spahbodi
Vida Shafipour
author_sort Marzieh Hatef
collection DOAJ
description Background and purpose: Patients undergoing hemodialysis, regardless of age, suffer from impaired physical function. Many problems caused by lack of mobility affect different dimensions of their lives. Exercise training, commensurate with the ability and willingness of hemodialysis patients could be of great benefit in dealing with the lack of physical activity. The aim of this study was to investigate the effect of intradialytic and home-based walking exercises on physical function and adequacy of hemodialysis patients. Materials and methods: In a clinical trial, 60 hemodialysis patients were randomly selected from two hospitals affiliated to Mazandaran University of Medical Sciences. Patients in the exercise group performed the exercise program for eight weeks (two weeks during dialysis and six weeks at home). The six-minute walk test (6MWt) was used to measure physical function and KT/V and URR values were used to measure the dialysis adequacy. Results: In the six-minute walk test, the mean distance walked by the exercise group was significantly different from that in the control group (P˂ 0.015).  According to the KT/V and URR values, the adequacy of dialysis in patients in the exercise group increased, although this increase was not statistically significant. Conclusion: Exercise activities such as the program designed can improve physical function in hemodialysis patients. These activities are recommended for such patients since they are easily done at any time and place without any special equipment, have no complications, and are low cost.
first_indexed 2024-04-10T20:28:15Z
format Article
id doaj.art-1ce520f437b24aa4b2400c1067472d8f
institution Directory Open Access Journal
issn 1735-9260
1735-9279
language English
last_indexed 2024-04-10T20:28:15Z
publishDate 2017-11-01
publisher Mazandaran University of Medical Sciences
record_format Article
series Journal of Mazandaran University of Medical Sciences
spelling doaj.art-1ce520f437b24aa4b2400c1067472d8f2023-01-25T07:50:07ZengMazandaran University of Medical SciencesJournal of Mazandaran University of Medical Sciences1735-92601735-92792017-11-01271548393Effect of Intradialytic and Home-Based Walking Exercises on Physical Function and Dialysis Adequacy in Hemodialysis PatientsMarzieh Hatef0Ravanbakhsh Esmaeili1Noroddin Mousavinasab2Zahra Madani3Fatemeh Spahbodi4Vida Shafipour5 MSc Student in Intensive Care Nursing, Nasibeh Faculty of Nursing and Midwifery, Student Research Committee, Mazandaran University of Medical Sciences, Sari, Iran Assistant Professor, Department of Medical-Surgical Nursing, Nasibeh Faculty of Nursing and Midwifery, Orthopedic Research Center, Mazandaran University of Medical Sciences, Sari, Iran Associate Professor, Department of Biostatistics, Faculty of Health, Mazandaran University of Medical Sciences, Sari, Iran Assistant Professor, Department of Sport Medicine, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran Assistant Professor, Department of Nephrology, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran Assistant Professor, Department of Medical-Surgical Nursing, Nasibeh Faculty of Nursing and Midwifery, Orthopedic Research Center, Mazandaran University of Medical Sciences, Sari, Iran Background and purpose: Patients undergoing hemodialysis, regardless of age, suffer from impaired physical function. Many problems caused by lack of mobility affect different dimensions of their lives. Exercise training, commensurate with the ability and willingness of hemodialysis patients could be of great benefit in dealing with the lack of physical activity. The aim of this study was to investigate the effect of intradialytic and home-based walking exercises on physical function and adequacy of hemodialysis patients. Materials and methods: In a clinical trial, 60 hemodialysis patients were randomly selected from two hospitals affiliated to Mazandaran University of Medical Sciences. Patients in the exercise group performed the exercise program for eight weeks (two weeks during dialysis and six weeks at home). The six-minute walk test (6MWt) was used to measure physical function and KT/V and URR values were used to measure the dialysis adequacy. Results: In the six-minute walk test, the mean distance walked by the exercise group was significantly different from that in the control group (P˂ 0.015).  According to the KT/V and URR values, the adequacy of dialysis in patients in the exercise group increased, although this increase was not statistically significant. Conclusion: Exercise activities such as the program designed can improve physical function in hemodialysis patients. These activities are recommended for such patients since they are easily done at any time and place without any special equipment, have no complications, and are low cost.http://jmums.mazums.ac.ir/article-1-10338-en.htmlexercise traininghemodialysis adequacyphysical functionhemodialysis
spellingShingle Marzieh Hatef
Ravanbakhsh Esmaeili
Noroddin Mousavinasab
Zahra Madani
Fatemeh Spahbodi
Vida Shafipour
Effect of Intradialytic and Home-Based Walking Exercises on Physical Function and Dialysis Adequacy in Hemodialysis Patients
Journal of Mazandaran University of Medical Sciences
exercise training
hemodialysis adequacy
physical function
hemodialysis
title Effect of Intradialytic and Home-Based Walking Exercises on Physical Function and Dialysis Adequacy in Hemodialysis Patients
title_full Effect of Intradialytic and Home-Based Walking Exercises on Physical Function and Dialysis Adequacy in Hemodialysis Patients
title_fullStr Effect of Intradialytic and Home-Based Walking Exercises on Physical Function and Dialysis Adequacy in Hemodialysis Patients
title_full_unstemmed Effect of Intradialytic and Home-Based Walking Exercises on Physical Function and Dialysis Adequacy in Hemodialysis Patients
title_short Effect of Intradialytic and Home-Based Walking Exercises on Physical Function and Dialysis Adequacy in Hemodialysis Patients
title_sort effect of intradialytic and home based walking exercises on physical function and dialysis adequacy in hemodialysis patients
topic exercise training
hemodialysis adequacy
physical function
hemodialysis
url http://jmums.mazums.ac.ir/article-1-10338-en.html
work_keys_str_mv AT marziehhatef effectofintradialyticandhomebasedwalkingexercisesonphysicalfunctionanddialysisadequacyinhemodialysispatients
AT ravanbakhshesmaeili effectofintradialyticandhomebasedwalkingexercisesonphysicalfunctionanddialysisadequacyinhemodialysispatients
AT noroddinmousavinasab effectofintradialyticandhomebasedwalkingexercisesonphysicalfunctionanddialysisadequacyinhemodialysispatients
AT zahramadani effectofintradialyticandhomebasedwalkingexercisesonphysicalfunctionanddialysisadequacyinhemodialysispatients
AT fatemehspahbodi effectofintradialyticandhomebasedwalkingexercisesonphysicalfunctionanddialysisadequacyinhemodialysispatients
AT vidashafipour effectofintradialyticandhomebasedwalkingexercisesonphysicalfunctionanddialysisadequacyinhemodialysispatients