Physical function in children/adolescents with chronic kidney disease and the impact of exercise intervention: a protocol for systematic review and meta-analysis

Introduction Impaired physical function is relatively common in children/adolescents with chronic kidney disease (CKD), affecting not only patients’ daily lives but also the efficiency of later treatment and rehabilitation. Exercise is a recognised intervention to improve physical function and quali...

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Main Authors: Hui Wang, Fan Zhang, Liuyan Huang, Huachun Zhang, Qiuzi Sun
Format: Article
Language:English
Published: BMJ Publishing Group 2023-12-01
Series:BMJ Paediatrics Open
Online Access:https://bmjpaedsopen.bmj.com/content/7/1/e002151.full
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author Hui Wang
Fan Zhang
Liuyan Huang
Huachun Zhang
Qiuzi Sun
author_facet Hui Wang
Fan Zhang
Liuyan Huang
Huachun Zhang
Qiuzi Sun
author_sort Hui Wang
collection DOAJ
description Introduction Impaired physical function is relatively common in children/adolescents with chronic kidney disease (CKD), affecting not only patients’ daily lives but also the efficiency of later treatment and rehabilitation. Exercise is a recognised intervention to improve physical function and quality of life in adult patients with CKD. However, implementing this strategy in paediatric/adolescent populations remains relatively limited. For exercise training to be widely delivered as part of paediatric public health policy, a better understanding of the physical function and the impact of exercise interventions in children/adolescents with CKD is needed.Methods and analysis A systematic review and meta-analysis will be conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines to compare physical function in children/adolescents with CKD with healthy controls and the impact of exercise interventions on their outcomes. The systematic review will search the following databases: PubMed, Embase, Scopus and Web of Science. We will use the Risk Of Bias In Non-Randomised Studies-of Interventions and the second edition of the Cochrane Risk of Bias to assess the quality of the literature. Where feasible, we will conduct random effects meta-analyses where appropriate. If possible, we will conduct subgroup analyses to explore potential sources of heterogeneity.Ethics and dissemination Due to the nature of the protocol, ethical approval is not required. We will follow the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines to disseminate the study results through publication and conference presentations.PROSPERO registrationnumber CRD42023416208.
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spelling doaj.art-4f318acea3054b74820e3d6b10df0c9e2024-01-02T14:00:08ZengBMJ Publishing GroupBMJ Paediatrics Open2399-97722023-12-017110.1136/bmjpo-2023-002151Physical function in children/adolescents with chronic kidney disease and the impact of exercise intervention: a protocol for systematic review and meta-analysisHui Wang0Fan Zhang1Liuyan Huang2Huachun Zhang3Qiuzi Sun4State Key Laboratory of Systems Medicine for Cancer, Center for Single-Cell Omics, School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, China19 Neurology, Hainan General Hospital/Hainan Affiliated Hospital of Hainan Medical University, Hainan, ChinaFirst Branch of Nephrology Department, Longhua Hospital Shanghai University of Traditional Chinese Medicine, Shanghai, People`s Republic of ChinaDepartment of Nursing, Longhua Hospital Shanghai University of Traditional Chinese Medicine, Shanghai, People`s Republic of ChinaDepartment of Nursing, Longhua Hospital Shanghai University of Traditional Chinese Medicine, Shanghai, People`s Republic of ChinaIntroduction Impaired physical function is relatively common in children/adolescents with chronic kidney disease (CKD), affecting not only patients’ daily lives but also the efficiency of later treatment and rehabilitation. Exercise is a recognised intervention to improve physical function and quality of life in adult patients with CKD. However, implementing this strategy in paediatric/adolescent populations remains relatively limited. For exercise training to be widely delivered as part of paediatric public health policy, a better understanding of the physical function and the impact of exercise interventions in children/adolescents with CKD is needed.Methods and analysis A systematic review and meta-analysis will be conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines to compare physical function in children/adolescents with CKD with healthy controls and the impact of exercise interventions on their outcomes. The systematic review will search the following databases: PubMed, Embase, Scopus and Web of Science. We will use the Risk Of Bias In Non-Randomised Studies-of Interventions and the second edition of the Cochrane Risk of Bias to assess the quality of the literature. Where feasible, we will conduct random effects meta-analyses where appropriate. If possible, we will conduct subgroup analyses to explore potential sources of heterogeneity.Ethics and dissemination Due to the nature of the protocol, ethical approval is not required. We will follow the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines to disseminate the study results through publication and conference presentations.PROSPERO registrationnumber CRD42023416208.https://bmjpaedsopen.bmj.com/content/7/1/e002151.full
spellingShingle Hui Wang
Fan Zhang
Liuyan Huang
Huachun Zhang
Qiuzi Sun
Physical function in children/adolescents with chronic kidney disease and the impact of exercise intervention: a protocol for systematic review and meta-analysis
BMJ Paediatrics Open
title Physical function in children/adolescents with chronic kidney disease and the impact of exercise intervention: a protocol for systematic review and meta-analysis
title_full Physical function in children/adolescents with chronic kidney disease and the impact of exercise intervention: a protocol for systematic review and meta-analysis
title_fullStr Physical function in children/adolescents with chronic kidney disease and the impact of exercise intervention: a protocol for systematic review and meta-analysis
title_full_unstemmed Physical function in children/adolescents with chronic kidney disease and the impact of exercise intervention: a protocol for systematic review and meta-analysis
title_short Physical function in children/adolescents with chronic kidney disease and the impact of exercise intervention: a protocol for systematic review and meta-analysis
title_sort physical function in children adolescents with chronic kidney disease and the impact of exercise intervention a protocol for systematic review and meta analysis
url https://bmjpaedsopen.bmj.com/content/7/1/e002151.full
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