keyword
https://read.qxmd.com/read/38477078/effects-of-upper-limbs-neuromuscular-electrical-stimulation-nmes-superimposed-to-voluntary-contraction-added-to-a-protocol-of-intradialytic-leg-cycle-ergometer-exercise-in-muscle-strength-functional-capacity-and-quality-of-life-of-adult-patients-with-ckd-a
#1
JOURNAL ARTICLE
Marcela Cangussu Barbalho-Moulim, Flavia Marini Paro, Diego França Pedrosa, Lais Mello Serafim, Elizângela Kuster, Willian Assis do Carmo, Gabriela P de Oliveira, Maria Helena B S de Lima, Alexandre Bittencourt Pedreira, Halina Duarte, Verônica Lourenço Wittmer
OBJECTIVE: To investigate the effects of unilateral upper limbs' (ULM) neuromuscular electrical stimulation (NMES) superimposed on a voluntary contraction added to a protocol of intradialytic leg cycle ergometer exercise on muscle strength, functional capacity and quality of life of adult patients with chronic kidney disease (CKD). METHODS: This randomized controlled clinical trial will be carried out at a Brazilian University Hospital. The patients will be evaluated and randomly allocated to an intervention group (i...
April 2024: Physiotherapy Research International: the Journal for Researchers and Clinicians in Physical Therapy
https://read.qxmd.com/read/38460948/physical-exercise-a-polypill-against-chronic-kidney-disease
#2
JOURNAL ARTICLE
Pedro L Valenzuela, Adrián Castillo-García, Gonzalo Saco-Ledo, Alejandro Santos-Lozano, Alejandro Lucia
We are currently facing a pandemic of physical inactivity that might contribute to the growing prevalence of chronic kidney disease (CKD). Here, we summarize currently available evidence on the association between physical activity and CKD, and also review the effects of exercise intervention in affected patients. Physical activity/exercise might act as a polypill against CKD, preventing its development or even exerting beneficial effects once it is established (i.e. improvements in patients' physical fitness and cardiovascular risk, as well as in kidney function)...
March 9, 2024: Nephrology, Dialysis, Transplantation
https://read.qxmd.com/read/38446385/physical-activity-and-exercise-programs-for-kidney-patients-an-italian-survey-of-nephrology-centres
#3
JOURNAL ARTICLE
Francesca Bulighin, Filippo Aucella, Vincenzo Bellizzi, Adamasco Cupisti, Teresa Faga, Giovanni Gambaro, Giuseppe Regolisti, Alda Storari, Alessandro Capitanini, Yuri Battaglia
BACKGROUND: Data on exercise activities in place, and on the interest for developing them in Nephrology Services in Italy is limited. To address this gap, we carried out this cross-sectional study to investigate the status of physical activity and exercise programs available in Italian Nephrology Centres. Additionally, research priorities on this topic were examined. METHODS: We developed a 14-item electronic survey, which consisted of multiple-choice questions covering exercise training programs, physical assessment, barriers to exercise practice and to exercise programs, exercise and physical activity counselling practices, perceived exercise benefits, literature evidence, and research priorities...
March 6, 2024: Journal of Nephrology
https://read.qxmd.com/read/38419789/barriers-and-facilitators-to-exercise-in-older-adults-awaiting-kidney-transplantation-and-their-care-partners
#4
JOURNAL ARTICLE
Anoop Sheshadri, Jessica R Elia, Gabriel Garcia, Gary Abrams, Deborah B Adey, Jennifer C Lai, Rebecca L Sudore
RATIONALE & OBJECTIVE: Despite guidelines calling to improve physical activity in older adults, and evidence suggesting that prekidney transplant physical function is highly associated with posttransplant outcomes, only a small percentage of older patients treated with dialysis are engaged in structured exercise. We sought to elucidate barriers and facilitators of exercise among older adults treated with dialysis awaiting transplant and their care partners. STUDY DESIGN: Individual, in-depth, cognitive interviews were conducted separately for patients and care partners through secure web-conferencing...
March 2024: Kidney medicine
https://read.qxmd.com/read/38386361/exercise-and-nutrition-interventions-for-renal-cachexia
#5
JOURNAL ARTICLE
Adrian Slee, Joanne Reid
PURPOSE OF REVIEW: Renal cachexia is a deleterious condition characterized by weight loss, muscle wasting and loss of physical function, quality of life, and increased mortality. Multimodal treatment strategies utilizing exercise and nutrition interventions have been recently suggested although the evidence base is still in its infancy. This paper aimed to review the current literature surrounding the use of exercise and nutrition for renal cachexia. MAIN FINDINGS: Evidence from systematic reviews and narrative reviews indicates that resistance training (RT) is proven to have beneficial effects on improving muscle strength and in some cases physical function, although effects on muscle mass are mixed and inconclusive...
February 22, 2024: Current Opinion in Clinical Nutrition and Metabolic Care
https://read.qxmd.com/read/38381167/-comprehensive-care-for-kidney-transplantation-optimization-of-interdisciplinary-support-before-and-after-kidney-transplantation
#6
REVIEW
Helge Krusemark, Mario Schiffer
Due to the divergence between the number of potential organ recipients and organ availability, transplant survival is of particular importance. In order to create the best possible conditions, it is not only important to address the risk factors for loss of organ functionality after transplantation, but also to focus on the time before transplantation. During this period, which lasts several years on average, the patient can create the conditions for risk reduction before and after transplantation with support...
February 21, 2024: Urologie
https://read.qxmd.com/read/38370309/a-current-state-of-the-art-and-science-of-exercise-in-dialysis-a-narrative-review
#7
REVIEW
Megan Borkum, Adeera Levin, Joey Ficocelli, Lysa Wone, Mercedeh Kiaii
PURPOSE OF THE REVIEW: The purpose of the review is to discuss current proven benefits and problems of integrating exercise in the care of people receiving dialysis by reviewing literature from the last few years and identifying important questions that still need to be asked and answered. METHODS: A focused review and appraisal of the literature were done. Original peer-reviewed articles, review articles, opinion pieces and guidelines were identified from PubMed and Google Scholar databases...
2024: Canadian Journal of Kidney Health and Disease
https://read.qxmd.com/read/38344312/keep-active-club-study-kidney-transplant-recipients-experiences-of-a-physical-activity-and-social-interaction-virtual-group
#8
JOURNAL ARTICLE
Marie-Françoise Malo, Tania Janaudis-Ferreira, Aliya Affdal, Fabián-Andrés Ballesteros Gallego, Janie Boulianne-Gref, Marcelo Cantarovich, Elizabeth Ingram, Lloyd Mangahas, Catherine M Tansey, Ruth Sapir-Pichhadze, Marie-Chantal Fortin
BACKGROUND: It can be difficult for kidney transplant recipients (KTRs) to be physically active after their transplantation. Physical inactivity is a risk factor for cardiovascular disease, one of the leading cause of death among KTRs. To help KTRs start and maintain a physical activity routine, we developed the KEeP ACTIVe Club, a 6-month online intervention with access to a kinesiologist, a patient partner, and a private support group with an online platform (Facebook). OBJECTIVE: The objective of this study was to capture the participants' experiences of the KEeP ACTIVe Club...
2024: Canadian Journal of Kidney Health and Disease
https://read.qxmd.com/read/38323164/de-novo-onset-of-myasthenia-gravis-after-kidney-transplantation
#9
Aaron de Souza, Rajesh Raj
Myasthenia gravis occurring de novo after kidney transplantation is a rare course of severe muscle weakness. A 57-year-old female on treatment with peritoneal dialysis following polycystic kidney disease received a renal transplant with standard basiliximab induction. She had no preceding history of neuromuscular problems. Three months after transplant she presented with progressive weakness and fatigability, finally needing a wheelchair to mobilise. Graft function was stable. Examination revealed patchy limb weakness, worsening on repeated exercise...
2024: Case Reports in Transplantation
https://read.qxmd.com/read/38320198/exercise-during-hemodialysis-in-patients-with-chronic-kidney-failure
#10
JOURNAL ARTICLE
Kirsten Anding-Rost, Gero von Gersdorff, Pia von Korn, Gabriele Ihorst, Anika Josef, Margit Kaufmann, Maria Huber, Thomas Bär, Sven Zeißler, Stefan Höfling, Cornelia Breuer, Nadine Gärtner, Mark J Haykowsky, Stefan Degenhardt, Christoph Wanner, Martin Halle
Exercise during Hemodialysis in Patients with Chronic Kidney FailureThe authors report on a trial of an exercise intervention provided during dialysis sessions for patients with chronic renal failure. They found that the intervention is safe and improves physical function.
September 2023: NEJM Evid
https://read.qxmd.com/read/38320189/move-it-or-lose-it-intradialytic-exercise-as-antidote-to-functional-losses-in-hemodialysis-patients
#11
EDITORIAL
Annie Liu, Samantha L Gelfand
Maintaining independence is the top health-related priority reported by older patients with advanced kidney disease.1 Unfortunately, functional losses such as fatigue, skeletal muscle loss, infection, cognitive decline, and diminished aerobic capacity are very common among patients receiving hemodialysis for chronic kidney failure. Such functional losses are associated with higher mortality2-4 and affect patients' physical activity level and overall quality of life. Indeed, symptom burden and mortality in patients receiving hemodialysis rival those in patients with cancer...
September 2023: NEJM Evid
https://read.qxmd.com/read/38283477/oxalate-nephropathy-a-case-report-of-acute-kidney-injury-due-to-juice-diet
#12
Niranjan Raja, Hemachandar Radhakrishnan, Sivasankar Masilamani
Oxalate nephropathy occurs due to the deposition of calcium oxalate crystals in kidney tubules and/or the interstitium as a part of primary or secondary hyperoxaluria. Secondary oxalate nephropathy can occur even with moderately high doses of ascorbic acid intake under yet unidentified clinical circumstances. Vitamin C, although traditionally considered an antioxidant, leads to the formation of superoxide and subsequent generation of reactive oxidant species at pharmacologic concentrations. Ascorbic acid is partly converted to oxalic acid, which is responsible for deposition and renal tubular injury...
December 2023: Curēus
https://read.qxmd.com/read/38261536/the-acute-combined-and-separate-effects-of-cold-hemodialysis-and-intradialytic-exercise-in-insulin-sensitivity-and-glucose-disposal
#13
JOURNAL ARTICLE
Argyro A Krase, Christoforos D Giannaki, Andreas D Flouris, Dimitris Liakos, Ioannis Stefanidis, Christina Karatzaferi, Giorgos K Sakkas
Hemodialysis (HD) patients suffer from multiple health problems, including severe insulin resistance. Both cold dialysis and intradialytic exercise training could elicit health benefits; however, it is still unknown whether the combination of those two approaches could enhance overall health. The current study aimed to evaluate the separate and combined acute effects of a single session of cold dialysis and intradialytic exercise in parameters related to insulin sensitivity and glucose disposal. Ten HD patients (57...
January 23, 2024: ASAIO Journal: a Peer-reviewed Journal of the American Society for Artificial Internal Organs
https://read.qxmd.com/read/38253769/factors-associated-with-improved-health-related-quality-of-life-due-to-improvements-in-physical-function-and-dialysis-related-symptoms-following-intradialytic-exercise-in-outpatients-undergoing-haemodialysis
#14
JOURNAL ARTICLE
Ren Takahashi, Hiroki Yabe, Hideaki Ishikawa, Takashi Hibino, Sayumi Morishita, Kenichi Kono, Yoshifumi Moriyama, Tetsuya Yamada
PURPOSE: Exercise therapy is a crucial intervention for improving health-related quality of life (HRQOL) in patients undergoing haemodialysis. However, factors that improve HRQOL by improving physical function and dialysis-related symptoms remain unknown. This study aimed to examine the physical function parameters and dialysis-related symptoms that improve HRQOL following intradialytic exercise. METHODS: This multicentre cohort study included 596 patients who participated in an intradialytic exercise program three times per week for a period of 6 months, which comprised of stretching and resistance training...
January 23, 2024: Quality of Life Research
https://read.qxmd.com/read/38246811/value-of-concerted-and-hospital-hemodialysis-through-a-multi-criteria-decision-analysis
#15
JOURNAL ARTICLE
Araceli Caro Martínez, María Del Carmen Valcárcel Cabrera, Antonio Olry de Labry Lima
OBJECTIVE: To evaluate the value of the provision of contracted versus hospital dialysis services for the treatment of chronic kidney disease in Spain using the multicriteria decision analysis methodology. METHOD: The EVIDEM (Evidence and Value: Impact on Decision Making) evaluation framework was used to calculate the estimated value of both dialysis delivery models (arranged vs. hospital) through a virtual workshop in which different profiles participated: directors and managers, professionals and heads of units and representatives of patients and relatives...
January 20, 2024: Nefrología
https://read.qxmd.com/read/38212675/impairments-of-functional-exercise-capacity-muscle-strength-balance-and-kinesiophobia-in-patients-with-chronic-kidney-disease-a-cross-sectional-study
#16
JOURNAL ARTICLE
Nihan Katayıfçı, İrem Hüzmeli, Döndü İriş, Faruk Hilmi Turgut
BACKGROUND: Muscle weakness, balance, and functional capacity are affected in patients with chronic kidney disease (CKD) in dialysis. However, studies about kinesiophobia, peripheral and respiratory muscle strength, balance, exercise capacity, fatigue, and physical activity level in patients with CKD 3-4 are limited. The study aimed to compare the functional exercise capacity, peripheral and respiratory muscle strength, pulmonary function, balance, kinesiophobia, physical activity, fatigue, and dyspnea between patients with CKD 3-4 and controls...
January 11, 2024: BMC Nephrology
https://read.qxmd.com/read/38194427/factors-influencing-fatigue-among-patients-undergoing-hemodialysis-a-multi-center-cross-sectional-study
#17
MULTICENTER STUDY
Bushra Alshammari, Sameer A Alkubati, Awatif Alrasheeday, Eddieson Pasay-An, J Silvia Edison, Norah Madkhali, Ahmed K Al-Sadi, Maha Salem Altamimi, Sahar Obeid Alshammari, Areej A Alshammari, Farhan Alshammari
UNLABELLED: Fatigue has been reported to be the most common symptom experienced by patients receiving hemodialysis (HD) therapy. Fatigue can lead to a reduction in their ability to engage in both routine and self-care activities, which can negatively affect their self-confidence and quality of life. This study aimed to determine the level of fatigue and the factors that affecting its level among patients receiving uHD. METHODS: A cross-sectional design was utilized to explore the level of fatigue among patients receiving maintenance HD using the Mul-tidimensional Assessment of Fatigue (MAF) scale...
December 31, 2024: Libyan Journal of Medicine
https://read.qxmd.com/read/38177558/analytical-performance-of-free-testosterone-calculated-by-direct-immunoluminometric-method-compared-with-the-vermeulen-equation-results-from-a-clinical-series
#18
JOURNAL ARTICLE
Cristina Dalmiglio, Alessio Bombardieri, Elisa Mattii, Fausta Sestini, Carla Fioravanti, Maria Grazia Castagna, Marcello Fiorini, Francesco Dotta, Silvia Cantara
INTRODUCTION: Testosterone (T) is a hormone that is crucial for primary and secondary sexual development in both males and females. Free testosterone (FT) represents the biologically active form of T, and its measurement is of great importance in clinical practice. While application of either equilibrium dialysis or ultrafiltration is considered to be the gold standard for FT assessment, these methods are expensive and not widely accessible. As an alternative, the Vermeulen formula is a commonly utilized calculated method...
January 5, 2024: Hormones: International Journal of Endocrinology and Metabolism
https://read.qxmd.com/read/38172696/objectively-measured-daily-steps-as-an-outcome-in-a-clinical-trial-of-chronic-kidney-disease-a-systematic-review
#19
JOURNAL ARTICLE
Liuyan Huang, Hui Wang, Yan Bai, Huachun Zhang, Fan Zhang, Yifei Zhong
BACKGROUND: Physical inactivity is prevalent among individuals with chronic kidney disease (CKD) and is linked to unfavorable outcomes. In recent years, daily steps have emerged as a prominent target for interventions in clinical trials. The present study endeavors to scrutinize the effectiveness and/or efficacy of various interventions on daily steps in patients with full-spectrum CKD. METHODS: In December 2022, a systematic search was conducted across three databases, namely PubMed, Embase, and Web of Science, and subsequently updated in June 2023...
January 3, 2024: BMC Nephrology
https://read.qxmd.com/read/38142276/contemporary-outcomes-of-distal-radial-artery-ligation-for-access-related-hand-ischemia
#20
JOURNAL ARTICLE
James J Fitzgibbon, Patrick Heindel, Dirk M Hentschel, Charles Keith Ozaki, Mohamad A Hussain
OBJECTIVES: Access related hand ischemia (ARHI) is a rare albeit morbid complication of hemodialysis access creation. Distal radial artery ligation (DRAL) has been described as a strategy to improve perfusion to the hand while maintaining the access. The objective of this study was to report longitudinal outcomes of DRAL for ARHI. METHODS: Retrospective cohort study (2015-2021) of all patients who underwent DRAL for ARHI at a tertiary care vascular center. Subjects were identified using the Mass General Brigham clinical data warehouse and data collection was supplemented with chart adjudication...
December 23, 2023: Journal of Vascular Access
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