Intradialytic resistance training for short daily hemodialysis patients as part of the clinical routine: a quasi-experimental study

Background and purpose: Hemodialysis patients have chronic systemic inflammation, musculoskeletal impairments, and body composition changes from several factors and exercise may attenuate. We evaluated the effects of an intradialytic resistance training program on body composition, physical function...

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Main Authors: Victor M. Baião, Marvery P. Duarte, Vinícius A. Cunha, Gustavo Í. Dourado, Diogo V. Leal, João L. Viana, Antônio J. Inda-Filho, Otávio T. Nóbrega, Aparecido P. Ferreira, Heitor S. Ribeiro
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-06-01
Series:Frontiers in Aging
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fragi.2023.1130909/full
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author Victor M. Baião
Marvery P. Duarte
Vinícius A. Cunha
Gustavo Í. Dourado
Diogo V. Leal
João L. Viana
Antônio J. Inda-Filho
Otávio T. Nóbrega
Aparecido P. Ferreira
Aparecido P. Ferreira
Heitor S. Ribeiro
Heitor S. Ribeiro
Heitor S. Ribeiro
author_facet Victor M. Baião
Marvery P. Duarte
Vinícius A. Cunha
Gustavo Í. Dourado
Diogo V. Leal
João L. Viana
Antônio J. Inda-Filho
Otávio T. Nóbrega
Aparecido P. Ferreira
Aparecido P. Ferreira
Heitor S. Ribeiro
Heitor S. Ribeiro
Heitor S. Ribeiro
author_sort Victor M. Baião
collection DOAJ
description Background and purpose: Hemodialysis patients have chronic systemic inflammation, musculoskeletal impairments, and body composition changes from several factors and exercise may attenuate. We evaluated the effects of an intradialytic resistance training program on body composition, physical function, and inflammatory markers in patients under short daily hemodialysis treatment.Materials and methods: A quasi-experimental study in clinical routine was conducted over eight months. Measures of physical function (handgrip strength, five-time sit-to-stand, timed-up and go, and gait speed), body composition (by bioelectrical impedance), and inflammatory markers (interleukin [IL]-1 beta, IL-6, IL-8, IL-10, IL-12p70, and tumor necrosis factor-α) were assessed at baseline as well as at four and eight months past continued intervention. Patients underwent two intradialytic resistance training sessions per week supervised by exercise professionals.Results: A total of 18 patients (62 ± 14 years; 55.6% ≥ 60 years; 44% female) were included. Significant increases in body mass index and basal metabolic rate were found at four and eight months compared to baseline. For physical function, timed-up and go performance improved at four and eight months compared to baseline. The other body composition and physical function measures, as well as all inflammatory markers, did not significantly change over time.Conclusion: A supervised intradialytic resistance training program for patients on short daily hemodialysis treatment, as part of the clinical routine, may induce modest changes in body mass index, basal metabolic rate, and timed-up and go performance.
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spelling doaj.art-d8250f24378f49dfb2d9a5ab0b08cea12023-06-12T04:33:59ZengFrontiers Media S.A.Frontiers in Aging2673-62172023-06-01410.3389/fragi.2023.11309091130909Intradialytic resistance training for short daily hemodialysis patients as part of the clinical routine: a quasi-experimental studyVictor M. Baião0Marvery P. Duarte1Vinícius A. Cunha2Gustavo Í. Dourado3Diogo V. Leal4João L. Viana5Antônio J. Inda-Filho6Otávio T. Nóbrega7Aparecido P. Ferreira8Aparecido P. Ferreira9Heitor S. Ribeiro10Heitor S. Ribeiro11Heitor S. Ribeiro12Faculty of Health Sciences, University of Brasília, Brasília, BrazilFaculty of Health Sciences, University of Brasília, Brasília, BrazilFaculty of Health Sciences, University of Brasília, Brasília, BrazilFaculty of Health Sciences, University of Brasília, Brasília, BrazilResearch Center in Sports Sciences, Health Sciences, and Human Development, CIDESD, University of Maia, Maia, PortugalResearch Center in Sports Sciences, Health Sciences, and Human Development, CIDESD, University of Maia, Maia, PortugalInterdisciplinary Research Department, University Center ICESP, Brasília, BrazilResearch Center in Sports Sciences, Health Sciences, and Human Development, CIDESD, University of Maia, Maia, PortugalInterdisciplinary Research Department, University Center ICESP, Brasília, BrazilPost-graduation Program, Santa Úrsula University, Rio de Janeiro, BrazilFaculty of Health Sciences, University of Brasília, Brasília, BrazilResearch Center in Sports Sciences, Health Sciences, and Human Development, CIDESD, University of Maia, Maia, PortugalInterdisciplinary Research Department, University Center ICESP, Brasília, BrazilBackground and purpose: Hemodialysis patients have chronic systemic inflammation, musculoskeletal impairments, and body composition changes from several factors and exercise may attenuate. We evaluated the effects of an intradialytic resistance training program on body composition, physical function, and inflammatory markers in patients under short daily hemodialysis treatment.Materials and methods: A quasi-experimental study in clinical routine was conducted over eight months. Measures of physical function (handgrip strength, five-time sit-to-stand, timed-up and go, and gait speed), body composition (by bioelectrical impedance), and inflammatory markers (interleukin [IL]-1 beta, IL-6, IL-8, IL-10, IL-12p70, and tumor necrosis factor-α) were assessed at baseline as well as at four and eight months past continued intervention. Patients underwent two intradialytic resistance training sessions per week supervised by exercise professionals.Results: A total of 18 patients (62 ± 14 years; 55.6% ≥ 60 years; 44% female) were included. Significant increases in body mass index and basal metabolic rate were found at four and eight months compared to baseline. For physical function, timed-up and go performance improved at four and eight months compared to baseline. The other body composition and physical function measures, as well as all inflammatory markers, did not significantly change over time.Conclusion: A supervised intradialytic resistance training program for patients on short daily hemodialysis treatment, as part of the clinical routine, may induce modest changes in body mass index, basal metabolic rate, and timed-up and go performance.https://www.frontiersin.org/articles/10.3389/fragi.2023.1130909/fullexercisedialysisbody compositionphysical functioninflammation
spellingShingle Victor M. Baião
Marvery P. Duarte
Vinícius A. Cunha
Gustavo Í. Dourado
Diogo V. Leal
João L. Viana
Antônio J. Inda-Filho
Otávio T. Nóbrega
Aparecido P. Ferreira
Aparecido P. Ferreira
Heitor S. Ribeiro
Heitor S. Ribeiro
Heitor S. Ribeiro
Intradialytic resistance training for short daily hemodialysis patients as part of the clinical routine: a quasi-experimental study
Frontiers in Aging
exercise
dialysis
body composition
physical function
inflammation
title Intradialytic resistance training for short daily hemodialysis patients as part of the clinical routine: a quasi-experimental study
title_full Intradialytic resistance training for short daily hemodialysis patients as part of the clinical routine: a quasi-experimental study
title_fullStr Intradialytic resistance training for short daily hemodialysis patients as part of the clinical routine: a quasi-experimental study
title_full_unstemmed Intradialytic resistance training for short daily hemodialysis patients as part of the clinical routine: a quasi-experimental study
title_short Intradialytic resistance training for short daily hemodialysis patients as part of the clinical routine: a quasi-experimental study
title_sort intradialytic resistance training for short daily hemodialysis patients as part of the clinical routine a quasi experimental study
topic exercise
dialysis
body composition
physical function
inflammation
url https://www.frontiersin.org/articles/10.3389/fragi.2023.1130909/full
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