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Exercise and dialysis

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https://www.readbyqxmd.com/read/27909047/exercise-in-patients-on-dialysis-a-multicenter-randomized-clinical-trial
#1
Fabio Manfredini, Francesca Mallamaci, Graziella D'Arrigo, Rossella Baggetta, Davide Bolignano, Claudia Torino, Nicola Lamberti, Silvio Bertoli, Daniele Ciurlino, Lisa Rocca-Rey, Antonio Barillà, Yuri Battaglia, Renato Mario Rapanà, Alessandro Zuccalà, Graziella Bonanno, Pasquale Fatuzzo, Francesco Rapisarda, Stefania Rastelli, Fabrizio Fabrizi, Piergiorgio Messa, Luciano De Paola, Luigi Lombardi, Adamasco Cupisti, Giorgio Fuiano, Gaetano Lucisano, Chiara Summaria, Michele Felisatti, Enrico Pozzato, Anna Maria Malagoni, Pietro Castellino, Filippo Aucella, Samar Abd ElHafeez, Pasquale Fabio Provenzano, Giovanni Tripepi, Luigi Catizone, Carmine Zoccali
Previous studies have suggested the benefits of physical exercise for patients on dialysis. We conducted the Exercise Introduction to Enhance Performance in Dialysis trial, a 6-month randomized, multicenter trial to test whether a simple, personalized walking exercise program at home, managed by dialysis staff, improves functional status in adult patients on dialysis. The main study outcomes included change in physical performance at 6 months, assessed by the 6-minute walking test and the five times sit-to-stand test, and in quality of life, assessed by the Kidney Disease Quality of Life Short Form (KDQOL-SF) questionnaire...
December 1, 2016: Journal of the American Society of Nephrology: JASN
https://www.readbyqxmd.com/read/27881101/knowledge-barriers-and-facilitators-of-exercise-in-dialysis-patients-a-qualitative-study-of-patients-staff-and-nephrologists
#2
Manisha Jhamb, Mary L McNulty, Gerald Ingalsbe, Julie W Childers, Jane Schell, Molly B Conroy, Daniel E Forman, Andrea Hergenroeder, Mary Amanda Dew
BACKGROUND: Despite growing evidence on benefits of increased physical activity in hemodialysis (HD) patients and safety of intra-dialytic exercise, it is not part of standard clinical care, resulting in a missed opportunity to improve clinical outcomes in these patients. To develop a successful exercise program for HD patients, it is critical to understand patients', staff and nephrologists' knowledge, barriers, motivators and preferences for patient exercise. METHODS: In-depth interviews were conducted with a purposive sample of HD patients, staff and nephrologists from 4 dialysis units...
November 24, 2016: BMC Nephrology
https://www.readbyqxmd.com/read/27832685/treadmill-exercise-induced-e-e-elevation-as-a-predictor-of-cardiovascular-event-in-end-stage-renal-disease-on-peritoneal-dialysis
#3
Jong Ho Shin, Ki-Woon Kang, Jung Ho Kim, Jung Yeon Chin, Nae Yu Kim, Sang Hyun Park, Won Ho Kim, Yu Jeong Choi, Kyung Tae Jung
Background/Aims: Diastolic dysfunction is associated with cardiovascular (CV) events in end-stage renal disease (ESRD) on continuous ambulatory peritoneal dialysis (CAPD). However, conventional measurement of LA volume and E/e' using Doppler echocardiography has been limited to predict CV events in patients with ESRD on CAPD. Methods: From September 2007 to September 2008, 30 consecutive patients with exertional dyspnea in ESRD on CAPD and normal systolic function was prospectively enrolled and underwent laboratory testing, coronary angiography, and treadmill exercise stress echocardiography (TESE)...
November 11, 2016: Korean Journal of Internal Medicine
https://www.readbyqxmd.com/read/27826207/psychosocial-predictors-of-nonadherence-to-medical-management-among-patients-on-maintenance-dialysis
#4
Fahad Dakheel Alosaimi, Mohammed Asiri, Saleh Alsuwayt, Tariq Alotaibi, Mohammed Bin Mugren, Abdulmalik Almufarrih, Saad Almodameg
BACKGROUND: A number of reports suggest a link between depression and nonadherence to recommended management for end-stage renal disease (ESRD) patients on maintenance dialysis. However, the relationship between nonadherence and other psychosocial factors have been inadequately examined. OBJECTIVES: To examine the prevalence of psychosocial factors including depression, anxiety, insecure attachment style, as well as cognitive impairment and their associations with adherence to recommended management of ESRD...
2016: International Journal of Nephrology and Renovascular Disease
https://www.readbyqxmd.com/read/27819409/interventions-for-chronic-kidney-disease-associated-restless-legs-syndrome
#5
REVIEW
Seerapani Gopaluni, Mohamed Sherif, Naim A Ahmadouk
BACKGROUND: Restless legs syndrome (RLS) is defined as the spontaneous movement of the limbs (mainly legs) associated with unpleasant, sometimes painful sensation which is relieved by moving the affected limb. Prevalence of RLS among people on dialysis has been estimated between 6.6% and 80%. RLS symptoms contribute to impaired quality of life and people with RLS are shown to have increased cardiovascular morbidity and mortality.Various pharmacological and non-pharmacological interventions have been used to treat primary RLS...
November 7, 2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/27752012/risk-factors-for-chronic-kidney-disease-in-urban-uyo-south-south-nigeria
#6
Effiong Ekong Akpan, Udeme Ekpenyong Ekrikpo, Aniema Isaac Assam Udo
The prevalence of chronic kidney disease (CKD) is increasing the world over, and it is now regarded as a public health problem. The prevalence of CKD in Nigeria remained largely unknown with hospital-based data of 2-8%. However, emerging community studies show a prevalence of 10-26.8%. This study was conducted during the 2013 world kidney day activities in Uyo, Akwa Ibom, State of Nigeria, with an estimated population of 554,906 people. Sensitizations of members of the public were ensured through the media...
September 2016: Saudi Journal of Kidney Diseases and Transplantation
https://www.readbyqxmd.com/read/27731597/-exercise-induced-rhabdomyolysis-a-new-trend
#7
Hilde Fardal, Lasse G Gøransson
BACKGROUND: The purpose of this study was to investigate whether or not there has been an increase in the number of admissions for exercise-induced rhabdomyolysis at Stavanger University Hospital (SUS) in recent years. MATERIAL AND METHOD: The study is a retrospective review of patients discharged over the period January 2010 to March 2015 with a diagnosis of exercise-induced rhabdomyolysis and with maximum creatine kinase (CK) levels more than ten times the upper reference limit...
October 2016: Tidsskrift for Den Norske Lægeforening: Tidsskrift for Praktisk Medicin, Ny Række
https://www.readbyqxmd.com/read/27676951/physical-activity-among-a-cohort-of-hemodialysed-lebanese-patients
#8
Khalil Ghoussoub, Bernard Ghanem, Dania Nehme Chelala, Serge Finianos, Hiba Azar, Zakhia Naoum, Kassem Bdeiri
OBJECTIVE: The purpose of the study is to identify factors that may influence the functional limitations of hemodialysis patients and analyze their level of physical activity. MATERIAL/PATIENTS AND METHODS: Cross-sectional descriptive study, for adult patients on chronic hemodialysis in the Hôtel-Dieu de France Hospital. A 32-item questionnaire explores the personal data, etiology of renal failure, associated defects, technical data of hemodialysis and seniority, the current seat and pain...
September 2016: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/27626625/renal-interstitial-fibrosis-an-imperfect-predictor-of-kidney-disease-progression-in-some-patient-cohorts
#9
Hanni Menn-Josephy, Carol S Lee, Angela Nolin, Marta Christov, Denis V Rybin, Janice M Weinberg, Joel Henderson, Ramon Bonegio, Andrea Havasi
BACKGROUND: The extent of interstitial fibrosis on kidney biopsy is regarded as a prognostic indicator and guide to treatment. Patients with extensive fibrosis are assigned to supportive treatments with the expectation that they have advanced beyond the point at which immunosuppressive or other disease-modifying therapies would be of benefit. Our study highlights some of the limitations of using interstitial fibrosis to predict who will develop end-stage renal disease (ESRD). METHODS: Analysis of 434 consecutive renal biopsies performed between 2001 and 2012 at a single center...
2016: American Journal of Nephrology
https://www.readbyqxmd.com/read/27625757/the-effect-of-stretching-exercises-on-severity-of-restless-legs-syndrome-in-patients-on-hemodialysis
#10
Mansooreh Aliasgharpour, Zahra Abbasi, Shadan Pedram Razi, Anoshiravan Kazemnezhad
BACKGROUND: The restless legs syndrome is a sensorimotor disorder that is very common in patients on hemodialysis. Due to pharmacological treatments which have their own side effects, nowadays, studies have turned to non-pharmacological treatments. OBJECTIVES: The present study aims to assess the effect of stretching exercises on the severity of restless legs syndrome in patients on hemodialysis. PATIENTS AND METHODS: This clinical trial study was conducted on 33 patients who had been identified using diagnostic criteria from the hemodialysis ward of Hasheminejad Hospital in Tehran...
June 2016: Asian Journal of Sports Medicine
https://www.readbyqxmd.com/read/27601500/randomised-factorial-mixed-method-pilot-study-of-aerobic-and-resistance-exercise-in-haemodialysis-patients-dialy-size
#11
Stephanie Thompson, Scott Klarenbach, Anita Molzahn, Anita Lloyd, Iwona Gabrys, Mark Haykowsky, Marcello Tonelli
OBJECTIVES: For people with end-stage renal disease requiring haemodialysis, exercise can improve aspects of quality of life (QoL). However, the relative benefits and risks of different types of exercise in this population are unknown. Therefore, this pilot study aimed to evaluate the feasibility of a main study evaluating the efficacy of cycling and resistance exercise each performed during the haemodialysis treatment on QoL. METHODS: In this factorial (2×2) pilot trial, 31 haemodialysis patients were randomised to cycling, resistance, cycling and resistance, or an attention control...
September 6, 2016: BMJ Open
https://www.readbyqxmd.com/read/27599361/-who-matters-most-clinician-perspectives-of-influence-and-recommendation-on-home-dialysis-uptake
#12
Rachael Walker, Roger Marshall, Kirsten Howard, Rachael L Morton, Mark R Marshall
BACKGROUND: There is little research exploring the association between clinicians' behaviours and home dialysis uptake. This paper aims to better understand the influence of clinicians on home dialysis modality recommendations and uptake. METHODS: On-line survey of all NZ renal units to determine the influence of individuals within pre-dialysis teams. We used the self-declaration scale of influence to rate the identified member's perceived influence on decision-making...
September 6, 2016: Nephrology
https://www.readbyqxmd.com/read/27556272/an-update-on-intradialytic-cardiac-dysfunction
#13
Aghogho Odudu, Christopher W McIntyre
Cardiac dysfunction is a key factor in the high morbidity and mortality rates seen in hemodialysis (HD) patients. Much of the dysfunction is manifest as adverse changes in cardiac and vascular structure prior to commencing dialysis. This adverse vascular remodeling arises as a dysregulation between pro- and antiproliferative signaling pathways in response to hemodynamic and nonhemodynamic factors. The HD procedure itself further promotes cardiomyopathy by inducing hypotension and episodic regional cardiac ischemia that precedes global dysfunction, fibrosis, worsening symptoms, and increased mortality...
November 2016: Seminars in Dialysis
https://www.readbyqxmd.com/read/27547228/evaluation-of-exercise-tolerance-in-dialysis-patients-performing-tai-chi-training-preliminary-study
#14
Wioletta Dziubek, Katarzyna Bulińska, Mariusz Kusztal, Joanna Kowalska, Łukasz Rogowski, Agnieszka Zembroń-Łacny, Tomasz Gołębiowski, Bartosz Ochmann, Weronika Pawlaczyk, Marian Klinger, Marek Woźniewski
UNLABELLED: Introduction. Patients with end-stage renal disease (ESRD) have poor physical performance and exercise capacity due to frequent dialysis treatments. Tai Chi exercises can be very useful in the area of rehabilitation of people with ESRD. OBJECTIVES: The aim of the study was to assess exercise capacity in ESRD patients participating in 6-month Tai Chi training. Patients and Methods. Twenty dialysis patients from Wroclaw took part in the training; at the end of the project, 14 patients remained (age 69...
2016: Evidence-based Complementary and Alternative Medicine: ECAM
https://www.readbyqxmd.com/read/27523574/effects-of-intradialytic-resistance-exercise-on-protein-energy-wasting-physical-performance-and-physical-activity-in-ambulatory-patients-on-dialysis-a-single-center-preliminary-study-in-a-japanese-dialysis-facility
#15
Masakazu Saitoh, Masumi Ogawa, Marcelo Rodrigues Dos Santos, Hisae Kondo, Kiichi Suga, Haruki Itoh, Yoichiro Tabata
Patients under hemodialysis present protein-energy wasting (PEW), which is related with higher mortality rates. The study aimed to determine whether intradialytic resistance exercise training could improve physical performance, physical activity, and PEW in hemodialysis patients. In single center study, 75 hemodialysis patients were enrolled in an intradialytic resistance exercise training consisting of 20 min of adapted leg press, with a gymnastic ball, 3 days/week, during 9 months on the same day of hemodialysis therapy...
August 15, 2016: Therapeutic Apheresis and Dialysis
https://www.readbyqxmd.com/read/27391774/design-and-methods-of-cycle-hd-improving-cardiovascular-health-in-patients-with-end-stage-renal-disease-using-a-structured-programme-of-exercise-a-randomised-control-trial
#16
M P M Graham-Brown, D S March, D R Churchward, H M L Young, M Dungey, S Lloyd, N J Brunskill, A C Smith, G P McCann, J O Burton
BACKGROUND: There is emerging evidence that exercise training could positively impact several of the cardiovascular risk factors associated with sudden cardiac death amongst patients on haemodialysis. The primary aim of this study is to evaluate the effect of an intradialytic exercise programme on left ventricular mass. METHOD AND DESIGN: Prospective, randomised cluster open-label blinded endpoint clinical trial in 130 patients with end stage renal disease on haemodialysis...
2016: BMC Nephrology
https://www.readbyqxmd.com/read/27361911/kidney-disease-how-do-we-implement-exercise-in-the-dialysis-clinic-3465-june-4-9-55-am-10-10-am
#17
Kenneth Wilund
No abstract text is available yet for this article.
May 2016: Medicine and Science in Sports and Exercise
https://www.readbyqxmd.com/read/27347425/needs-assessment-towards-a-more-responsive-canadian-society-of-nephrology-annual-general-meeting-csn-agm-program
#18
Barry A Cohen, Mark J Courtney, Louise M Moist, James Barton
BACKGROUND: A critical feature of any continuing medical education (CME) program is the inclusion of a needs assessment for its target audience. This assessment must identify both perceived and unperceived needs, so as to best capture the entire spectrum of learning opportunities for the group. OBJECTIVE: We describe the process developed by the Canadian Society of Nephrology (CSN) to enhance the educational effectiveness of its Annual General Meeting program. DESIGN: The design of this study is the analysis of a survey questionnaire and of the Canadian Organ Replacement Registry (CORR) database...
2016: Canadian Journal of Kidney Health and Disease
https://www.readbyqxmd.com/read/27334146/-exercise-as-medicine-in-chronic-kidney-disease
#19
REVIEW
T J Wilkinson, N F Shur, A C Smith
Exercise and physical activity are increasingly becoming key tools in the treatment and prevention of several medical conditions including arthritis and diabetes; this notion has been termed "exercise as medicine". Exercise has favorable effects on reducing cardiovascular risk, inflammation, cachexia, and hypertension, in addition to increasing physical functioning, strength, and cardio-respiratory capacity. Chronic kidney disease, a condition that affects around 10% of the population, is often overlooked as a target for exercise-based therapy...
August 2016: Scandinavian Journal of Medicine & Science in Sports
https://www.readbyqxmd.com/read/27312989/respiratory-muscle-impairment-in-dialysis-patients-can-minimal-dose-of-exercise-limit-the-damage-a-preliminary-study-in-a-sample-of-patients-enrolled-in-the-excite-trial
#20
Luca Pomidori, Nicola Lamberti, Anna Maria Malagoni, Fabio Manfredini, Enrico Pozzato, Michele Felisatti, Luigi Catizone, Antonio Barillà, Alessandro Zuccalà, Giovanni Tripepi, Francesca Mallamaci, Carmine Zoccali, Annalisa Cogo
AIM: Skeletal muscle atrophy and dysfunction with associated weakness may involve the respiratory muscles of dialysis patients. We evaluated the effect of moderate-intensity exercise on lung function and respiratory muscle strength. METHODS: Fifty-nine patients (25 F, aged 65 ± 13 years) from two centers participating in the multicenter randomized clinical trial EXerCise Introduction To Enhance Performance in Dialysis (EXCITE) were studied. Subjects were randomized into a prescribed exercise group (E), wherein subjects performed two 10-min walking sessions every second day at an intensity below the self-selected speed, or a control group (C) with usual care...
June 16, 2016: Journal of Nephrology
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