The Role of Physical Activity in Improving QOL of Patients Undergoing Hemodialysis
Abstract
Patients undergoing hemodialysis (HD) experience increased mortality rates and decreased physical activity, which has an impact on patients' low quality of life (QOL). Physical activity has positively affected cardiovascular function, strength, and overall health status. On the other hand, physical activity has not been proven to cause any health hazards in HD patients. However, physical activity has not become a routine practice for HD patients, and there are no clear guidelines for physical activity in HD patients. Due to the inherent condition, intradialytic aerobic exercise appears to be the most suitable physical activity method for HD patients. However, research is still needed to assess the effectiveness and safety of intradialytic exercise (IDE) for HD patients in the long term. Research results can be used as a reference in developing the most appropriate IDE guidelines for HD patients.
Downloads
References
O’Hare AM, Tawney K, Bacchetti P, Johansen KL. Decreased survival among sedentary patients undergoing dialysis: Results from the dialysis morbidity and mortality study wave 2. American Journal of Kidney Diseases. 2003;41(2):447-454. doi:10.1053/ajkd.2003.50055
Sietsema KE, Amato A, Adler SG, Brass EP. Exercise capacity as a predictor of survival among ambulatory patients with end-stage renal disease. Kidney Int. 2004;65(2):719-724. doi:10.1111/j.1523-1755.2004.00411.x
van Loon IN, Bots ML, Boereboom FTJ, et al. Quality of life as indicator of poor outcome in hemodialysis: relation with mortality in different age groups. BMC Nephrol. 2017;18(1):217. doi:10.1186/s12882-017-0621-7
Painter P. Physical functioning in end‐stage renal disease patients: Update 2005. Hemodialysis International. 2005;9(3):218-235. doi:10.1111/j.1492-7535.2005.01136.x
Levin A, Stevens PE. Summary of KDIGO 2012 CKD Guideline: behind the scenes, need for guidance, and a framework for moving forward. Kidney Int. 2014;85(1):49-61. doi:10.1038/ki.2013.444
World Health Organization. Global Recommendations on Physical Activity for Health.; 2010.
Chan D, Cheema BS. Progressive Resistance Training in End-Stage Renal Disease: Systematic Review. Am J Nephrol. 2016;44(1):32-45. doi:10.1159/000446847
Salhab N, Karavetian M, Kooman J, Fiaccadori E, El Khoury CF. Effects of intradialytic aerobic exercise on hemodialysis patients: a systematic review and meta-analysis. J Nephrol. 2019;32(4):549-566. doi:10.1007/s40620-018-00565-z
de Lima MC, Cicotoste C de L, Cardoso K da S, Forgiarini Junior LA, Monteiro MB, Dias AS. Effect of Exercise Performed during Hemodialysis: Strength versus Aerobic. Ren Fail. 2013;35(5):697-704. doi:10.3109/0886022X.2013.780977
Parker K, Zhang X, Lewin A, MacRae JM. The association between intradialytic exercise and hospital usage among hemodialysis patients. Applied Physiology, Nutrition, and Metabolism. 2015;40(4):371-378. doi:10.1139/apnm-2014-0326
Sheng K, Zhang P, Chen L, Cheng J, Wu C, Chen J. Intradialytic Exercise in Hemodialysis Patients: A Systematic Review and Meta-Analysis. Am J Nephrol. 2014;40(5):478-490. doi:10.1159/000368722
Cheema BSB, Fiatarone Singh MA. Exercise Training in Patients Receiving Maintenance Hemodialysis: A Systematic Review of Clinical Trials. Am J Nephrol. 2005;25(4):352-364. doi:10.1159/000087184
Chung Y, Yeh M, Liu Y. Effects of intradialytic exercise on the physical function, depression and quality of life for haemodialysis patients: a systematic review and meta‐analysis of randomised controlled trials. J Clin Nurs. 2017;26(13-14):1801-1813. doi:10.1111/jocn.13514
Smart N, Steele M. Exercise Training in Hemodialysis Patients: A Systematic Review and Meta-Analysis. Nephrology. Published online May 2011:no-no. doi:10.1111/j.1440-1797.2011.01471.x
Mcmurray AM, Blazey L, Fetherston CM. The effect of intradialytic foot pedal exercise on blood pressure phosphate removal efficiency and health related quality of life in haemodialysis patients. Renal Society of Australasia Journal. 2008;4(2).
Capitanini A, Lange S, D’Alessandro C, et al. Dialysis Exercise Team: The Way to Sustain Exercise Programs in Hemodialysis Patients. Kidney Blood Press Res. 2014;39(2-3):129-133. doi:10.1159/000355787
Filipčič T, Bogataj Š, Pajek J, Pajek M. Physical Activity and Quality of Life in Hemodialysis Patients and Healthy Controls: A Cross-Sectional Study. Int J Environ Res Public Health. 2021;18(4):1978. doi:10.3390/ijerph18041978
Heiwe S, Jacobson SH. Exercise Training in Adults With CKD: A Systematic Review and Meta-analysis. American Journal of Kidney Diseases. 2014;64(3):383-393. doi:10.1053/j.ajkd.2014.03.020
Wang AY, Sherrington C, Toyama T, et al. Muscle strength, mobility, quality of life and falls in patients on maintenance haemodialysis: A prospective study. Nephrology. 2017;22(3):220-227. doi:10.1111/nep.12749
ALTINTEPE L, LEVENDOGLU F, OKUDAN N, et al. Physical disability, psychological status, and health‐related quality of life in older hemodialysis patients and age‐matched controls. Hemodialysis International. 2006;10(3):260-266. doi:10.1111/j.1542-4758.2006.00106.x
Lopes AA, Lantz B, Morgenstern H, et al. Associations of Self-Reported Physical Activity Types and Levels with Quality of Life, Depression Symptoms, and Mortality in Hemodialysis Patients. Clinical Journal of the American Society of Nephrology. 2014;9(10):1702-1712. doi:10.2215/CJN.12371213
Lowrie EG, Curtin RB, LePain N, Schatell D. Medical outcomes study short form-36: a consistent and powerful predictor of morbidity and mortality in dialysis patients. American Journal of Kidney Diseases. 2003;41(6):1286-1292. doi:10.1016/S0272-6386(03)00361-5
Zhang L, Luo H, Kang G, Wang W, Hu Y. The association between physical activity and mortality among patients undergoing maintenance hemodialysis. Int J Nurs Pract. 2017;23(1). doi:10.1111/ijn.12505
Lear SA, Hu W, Rangarajan S, et al. The effect of physical activity on mortality and cardiovascular disease in 130 000 people from 17 high-income, middle-income, and low-income countries: the PURE study. The Lancet. 2017;390(10113):2643-2654. doi:10.1016/S0140-6736(17)31634-3
Beddhu S, Wei G, Marcus RL, Chonchol M, Greene T. Light-Intensity Physical Activities and Mortality in the United States General Population and CKD Subpopulation. Clinical Journal of the American Society of Nephrology. 2015;10(7):1145-1153. doi:10.2215/CJN.08410814
Barcellos FC, Santos IS, Umpierre D, Bohlke M, Hallal PC. Effects of exercise in the whole spectrum of chronic kidney disease: a systematic review. Clin Kidney J. 2015;8(6):753-765. doi:10.1093/ckj/sfv099
Johansen KL, Painter P, Kent-Braun JA, et al. Validation of questionnaires to estimate physical activity and functioning in end-stage renal disease. Kidney Int. 2001;59(3):1121-1127. doi:10.1046/j.1523-1755.2001. 0590031121.x
Zamojska S, Szklarek M, Niewodniczy M, Nowicki M. Correlates of habitual physical activity in chronic haemodialysis patients. Nephrology Dialysis Transplantation. 2006;21(5):1323-1327. doi:10.1093/ndt/gfi323
Makhlough A, Ilali E, Mohseni R, Shahmohammadi S. Effect of intradialytic aerobic exercise on serum electrolytes levels in hemodialysis patients. Iran J Kidney Dis. 2012;6(2):119-123.
Musavian AS, Soleimani A, Masoudi Alavi N, Baseri A, Savari F. Comparing the Effects of Active and Passive Intradialytic Pedaling Exercises on Dialysis Efficacy, Electrolytes, Hemoglobin, Hematocrit, Blood Pressure and Health-Related Quality of Life. Nurs Midwifery Stud. 2015;4(1). doi:10.17795/nmsjournal25922
Painter P, Johansen KL. Improving Physical Functioning: Time to Be a Part of Routine Care. American Journal of Kidney Diseases. 2006;48(1):167-170. doi:10.1053/j.ajkd.2006.05.004
Walters AS, Aldrich MS, Allen R, et al. Toward a better definition of the restless legs syndrome. Movement Disorders. 1995;10(5):634-642. doi:10.1002/mds.870100517
Sakkas GK, Hadjigeorgiou GM, Karatzaferi C, et al. Intradialytic Aerobic Exercise Training Ameliorates Symptoms of Restless Legs Syndrome and Improves Functional Capacity in Patients on Hemodialysis. ASAIO Journal. 2008;54(2):185-190. doi:10.1097/MAT.0b013e3181641b07
Kong CH, Tattersall JE, Greenwood RN, Farrington K. The effect of exercise during haemodialysis on solute removal. Nephrology Dialysis Transplantation. 1999;14(12):2927-2931. doi:10.1093/ndt/14.12.2927
Wu Y, He Q, Yin X, He Q, Cao S, Ying G. Effect of individualized exercise during maintenance haemodialysis on exercise capacity and health-related quality of life in patients with uraemia. Journal of International Medical Research. 2014;42(3):718-727. doi:10.1177/0300060513509037
Bae YH, Lee SM, Jo J Il. Aerobic training during hemodialysis improves body composition, muscle function, physical performance, and quality of life in chronic kidney disease patients. J Phys Ther Sci. 2015;27(5):1445-1449. doi:10.1589/jpts.27.1445
Copyright (c) 2024 Indonesian Journal of Kidney and Hypertension
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with Indonesian Journal of Kidney and Hypertension agree to the following terms:
- Authors retain copyright and grant Indonesian Journal of Kidney and Hypertension right of first publication with the work simultaneously licensed under a Creative Commons Attribution-NonCommercial License that allows others to remix, adapt, build upon the work non-commercially with an acknowledgment of the work’s authorship and initial publication in Indonesian Journal of Kidney and Hypertension.
- Authors are permitted to copy and redistribute the journal's published version of the work non-commercially (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in Indonesian Journal of Kidney and Hypertension.