Physical activity promotion for patients transitioning to dialysis using the "Exercise is Medicine" framework: a multi-center randomized pragmatic trial (EIM-CKD trial) protocol

Patients on dialysis are physically inactive, with most reporting activity levels below the fifth percentile of healthy age-matched groups. Several small studies have reported efficacy of diverse exercise interventions among persons with CKD and those on dialysis. However, no single intervention has...

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Bibliographic Details
Published in:BMC nephrology 2018-09, Vol.19 (1), p.230-230, Article 230
Main Authors: Jagannathan, Ram, Ziolkowski, Susan Lynn, Weber, Mary Beth, Cobb, Jason, Pham, Nhat, Long, Jin, Anand, Shuchi, Lobelo, Felipe
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Analysis
Care and treatment
Chronic illnesses
Chronic kidney disease
Chronic kidney failure
Clinical trials
Counseling
Dialysis
Epidermal growth factor receptors
Estimated glomerular filteration rate
Exercise
Exercise - physiology
Exercise is medicine
Female
Fitness training programs
Health aspects
Health care
Health Promotion - methods
Health Promotion - trends
Hemodialysis
Humans
Intervention
Kidney diseases
Male
Middle Aged
Mortality
Nephrology
Nursing
Patient Transfer - methods
Patient Transfer - trends
Patients
Physical activity
Physical fitness
Physical training
Population
Preventive medicine
Qualitative interviews
Qualitative research
Quality of life
Renal Dialysis - methods
Renal Dialysis - trends
Renal Insufficiency, Chronic - epidemiology
Renal Insufficiency, Chronic - therapy
Sports medicine
Studies
Study Protocol
Systematic review
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Summary:Patients on dialysis are physically inactive, with most reporting activity levels below the fifth percentile of healthy age-matched groups. Several small studies have reported efficacy of diverse exercise interventions among persons with CKD and those on dialysis. However, no single intervention has been widely adopted in real-world practice, despite a clear need in this vulnerable population with high rates of mortality, frailty, and skilled nursing hospitalizations. We describe a pragmatic clinical trial for an exercise intervention among patients transitioning to dialysis. We will use an existing framework - Exercise is Medicine (EIM) - developed by the American College of Sports Medicine. After undertaking formative qualitative research to tailor the EIM framework to the advanced CKD population (eGFR
ISSN:1471-2369
1471-2369
DOI:10.1186/s12882-018-1032-0