Twelve-week intradialytic cycling exercise improves physical functional performance with gain in muscle strength and endurance: a randomized controlled trial

Objective: To evaluate the effect of intradialytic cycling exercise on physical functional performance with gain in muscle strength and endurance in end-stage renal disease patients with haemodialysis. Design: Randomized controlled trial, with repeated measurements at baseline and after 4, 8, and 12...

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Bibliographic Details
Published in:Clinical rehabilitation 2020-07, Vol.34 (7), p.916-926
Main Authors: Yeh, Mei-Ling, Wang, Mei-Hua, Hsu, Chin-Che, Liu, Yueh-Min
Format: Article
Language:English
Subjects:
Adult
Aerobic exercise
Aged
Bicycles
Bicycling
Clinical trials
Dialysis
Endurance
Exercise
Exercise Therapy
Female
Functional performance
Hemodialysis
Humans
Kidney diseases
Kidney Failure, Chronic - physiopathology
Kidney Failure, Chronic - therapy
Male
Middle Aged
Muscle strength
Muscle Strength - physiology
Nutritional Status
Physical ability
Physical Endurance - physiology
Physical fitness
Physical Functional Performance
Renal Dialysis
Strength training
Taiwan
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Summary:Objective: To evaluate the effect of intradialytic cycling exercise on physical functional performance with gain in muscle strength and endurance in end-stage renal disease patients with haemodialysis. Design: Randomized controlled trial, with repeated measurements at baseline and after 4, 8, and 12 weeks of intradialytic cycling exercise. Setting: A 50-bed haemodialysis centre in a regional hospital in Taiwan. Subjects: Seventy-six regular haemodialysis patients, recruited and equally and randomly assigned to exercise and control groups. Intervention: The intradialytic cycling exercise was performed for 12 weeks and comprised warm-up, main, and cool-down exercise phases. A stationary cycling equipment was used, which involved aerobic and resistance modalities. The intensity was maintained at somewhat hard exertion. Each intradialytic cycling exercise was implemented for 30 minutes, starting at the second hour of treatment. Main measure: Measured outcomes were 6-minute walk distance, time taken to complete 10 sit-to-stand-to-sit cycles and number of sit-to-stand-to-sit cycles in 60 seconds. Results: Average (standard deviation) participant age was 55.47 (13.00) years. Therefore, the 6-minute walk distance was significantly different at weeks 8 (P = 0.01) and 12 (P 
ISSN:0269-2155
1477-0873
DOI:10.1177/0269215520921923