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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.
Takahashi, Ren; Yabe, Hiroki; Ishikawa, Hideaki; Hibino, Takashi; Morishita, Sayumi; Kono, Kenichi; Moriyama, Yoshifumi; Yamada, Tetsuya.
Afiliación
  • Takahashi R; Department of Rehabilitation, Kaikoukai Josai Hospital, Nagoya, Aichi, Japan. 16RP24@g.seirei.ac.jp.
  • Yabe H; Division of Rehabilitation Science, Seirei Christopher University Graduate School, Hamamatsu, Shizuoka, Japan. 16RP24@g.seirei.ac.jp.
  • Ishikawa H; Department of Physical Therapy, School of Rehabilitation Sciences, Seirei Christopher University, Hamamatsu, Shizuka, Japan.
  • Hibino T; Department of Internal Medicine, Kaikoukai Josai Hospital, Nagoya, Aichi, Japan.
  • Morishita S; Department of Rehabilitation, Kaikoukai Josai Hospital, Nagoya, Aichi, Japan.
  • Kono K; Department of Rehabilitation, Kaikoukai Josai Hospital, Nagoya, Aichi, Japan.
  • Moriyama Y; Department of Physical Therapy, International University of Health and Welfare School of Health Science at Narita, Narita, Chiba, Japan.
  • Yamada T; Department of Wellness Center, Nagoya Kyoritsu Hospital, Nagoya, Aichi, Japan.
Qual Life Res ; 33(4): 1133-1142, 2024 Apr.
Article en En | MEDLINE | ID: mdl-38253769
ABSTRACT

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. EuroQol 5 dimensions 5-level (EQ5D-5L), grip strength, isometric knee extension strength, 10-m walking speed, Short Physical Performance Battery (SPPB), and improvement in dialysis-related symptoms were measured at the baseline and post-intervention. A linear mixed model was used to analyse the effects of improved physical function and dialysis-related symptoms on improvements in EQ5D-5L.

RESULTS:

As a physical function index affecting ΔEQ5D-5L, only SPPB showed a significant increase in ΔEQ5D-5L compared with the non-improved group [difference in ΔEQ5D-5L, 0.05 (0.004 to 0.092) point; p < 0.05]). In addition, dialysis-related symptoms with Improved physical conditions [difference in ΔEQ5D-5L, 0.07 (0.02 to 0.13) point] and an Extended walking distance [difference in ΔEQ5D-5L was 0.07 (0.01 to 0.12) point] significantly influenced ΔEQ5D-5L (p < 0.05, both).

CONCLUSIONS:

The improvements observed in the SPPB scores and self-percieved physical fitness and ambulation range, attributable to intradialytic exercise, may potentially improve HRQOL.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Diálisis Renal / Fallo Renal Crónico Tipo de estudio: Diagnostic_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Aspecto: Patient_preference Límite: Humans Idioma: En Revista: Qual Life Res Asunto de la revista: REABILITACAO / TERAPEUTICA Año: 2024 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Países Bajos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Diálisis Renal / Fallo Renal Crónico Tipo de estudio: Diagnostic_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Aspecto: Patient_preference Límite: Humans Idioma: En Revista: Qual Life Res Asunto de la revista: REABILITACAO / TERAPEUTICA Año: 2024 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Países Bajos