Exercise training during hemodialysis sessions: Physical and biochemical benefits

Chronic inflammation, protein‐energy wasting, and poor physical functioning are highly prevalent among patients with chronic kidney disease (CKD). These factors are associated with disability and increase of cardiovascular risk. The aim of this study is to evaluate the effects of exercise training d...

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Bibliographic Details
Published in:Therapeutic apheresis and dialysis 2020-12, Vol.24 (6), p.648-654
Main Authors: Torres, Esther, Aragoncillo, Ines, Moreno, Jorge, Vega, Almudena, Abad, Soraya, García‐Prieto, Ana, Macias, Nicolas, Hernandez, Andres, Godino, Maria Teresa, Luño, Jose
Format: Article
Language:English
Subjects:
bioimpedance
body composition
cardiovascular events
chronic kidney disease
exercise training
hemodialysis
nutritional status
physical functioning
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Summary:Chronic inflammation, protein‐energy wasting, and poor physical functioning are highly prevalent among patients with chronic kidney disease (CKD). These factors are associated with disability and increase of cardiovascular risk. The aim of this study is to evaluate the effects of exercise training during hemodialysis (HD) sessions on physical functioning, body composition, and nutritional and inflammatory status. We performed a prospective intervention study including patients on prevalent HD therapy. Patients were evaluated at baseline visit by Rehabilitation and Physiotherapy specialists and the exercise program was adapted to each patient's physical capacity. In addition to demographic, clinical, body composition and functional ability data, serum markers regarding nutritional and inflammatory status were collected at baseline and after 3 months of exercise training. We observed a significant improvement after 3‐month follow‐up in functional ability (6 minute walk test [6MWT] [403.15 ± 105.4 vs 431.81 ± 115.5 m, P 
ISSN:1744-9979
1744-9987
DOI:10.1111/1744-9987.13469