Archives of Physical Medicine and Rehabilitation
Volume 87, Issue 5 , Pages 680-687 , May 2006

Exercise Training During Hemodialysis Improves Dialysis Efficacy and Physical Performance

Presented in part to the Canadian Society of Nephrology, May 27–31, 2004, Toronto, ON, Canada; the Canadian Society of Nephrology, May 23–26, 2003, St. John’s, NL, Canada; the McGill Rehabilitation Graduate Student Research Colloquium, April 25, 2003, Montreal, QC, Canada; and the Centre for Studies in Primary Care, Queen’s University, February 27, 2003, Kingston, ON, Canada.

  • Trisha L. Parsons, PhD

      Affiliations

    • School of Rehabilitation Therapy, Queen’s University, Kingston, ON, Canada
    • ,
  • Edwin B. Toffelmire, MD

      Affiliations

    • Division of Nephrology, Kingston General Hospital, Kingston, ON, Canada
    • ,
  • Cheryl E. King-VanVlack, PhD

      Affiliations

    • School of Rehabilitation Therapy, Queen’s University, Kingston, ON, Canada
    • Corresponding Author InformationCorrespondence to Cheryl E. King-VanVlack, PhD, School of Rehabilitation Therapy, Louise D. Acton Bldg, Queen’s University, Kingston, ON K7L 3N6, Canada

References 

  1. Zawada ET . Initiation of dialysis . In:  Daugirdas JT ,  Blake PG ,  Ing TS editor. Handbook of dialysis . 3rd ed.. Philadelphia: Lippincott Williams & Wilkins; 2001;p. 3–11
  2. (CORR) Canadian Organ Replacement Register . Preliminary report for dialysis and transplantation 2002 . Ottawa: Canadian Institutes of Health Information; 2002; Available at: http://secure.cihi.ca/cihiweb/dispPage.jsp?cw_page=reports_corr2002prelim_e. Accessed December 27, 2005
  3. Man NK , Zingraff J , Jungers P . Long-term hemodialysis . Boston: Kluwer Academic; 1995;
  4. Diaz-Buxo J , Lowrie E , Lew N , Zhang H , Lazarus J . Quality-of-life evaluation using Short Form 36 (comparison in hemodialysis and peritoneal dialysis patients) . Am J Kidney Dis . 2000;35:293–300
  5. Horl MP , Horl WH . Hemodialysis-associated hypertension (pathophysiology and therapy) . Am J Kidney Dis . 2002;39:227–244
  6. Johansen KL . Physical functioning and exercise capacity in patients on dialysis . Adv Renal Replace Ther . 1999;6:141–148
  7. Koufaki P , Nash PF , Mercer TH . Assessing the efficacy of exercise training in patients with chronic disease . Med Sci Sports Exerc . 2002;34:1234–1241
  8. Deligiannis A , Kouidi E , Tassoulas E , Gigis P , Tourkantonis A , Coats A . Cardiac effects of exercise rehabilitation in hemodialysis patients . Int J Cardiol . 1999;70:253–266
  9. Painter P , Carlson L , Carey S , Paul SM , Myll J . Physical functioning and health-related quality-of-life changes with exercise training in hemodialysis patients . Am J Kidney Dis . 2000;35:482–492
  10. Painter P , Carlson L , Carey S , Paul SM , Myll J . Low-functioning hemodialysis patients improve with exercise training . Am J Kidney Dis . 2000;36:600–608
  11. Cheema BS , Smith BC , Singh MA . A rationale for intradialytic exercise training as standard clinical practice in ESRD . Am J Kidney Dis . 2005;45:912–916
  12. Kong CH , Tattersall JE , Greenwood RN , Farrington K . The effect of exercise during haemodialysis on solute removal . Nephrol Dial Transplant . 1999;14:2927–2931
  13. Sun Y , Chen B , Jia Q , Wang J . [The effect of exercise during hemodialysis on adequacy of dialysis] [Chinese] . Zhonghua Nei Ke Za Z . 2002;41:79–81
  14. Vaithilingam I , Polkinghorne MB , Atkins R , Kerr PG . Time and exercise improve phosphate removal in hemodialysis patients . Am J Kidney Dis . 2004;43:85–89
  15. Cappy CS , Jablonka J , Schroeder ET . The effects of exercise during hemodialysis on physical performance and nutrition assessment . J Renal Nutr . 1999;9:63–70
  16. Zaluska A , Zaluska WT , Bednarek-Skublewska A , Ksiazek A . Nutrition and hydration status improve with exercise training using stationary cycling during hemodialysis (HD) in patients with end-stage renal disease (ESRD) . Ann Univ Mariae Curie Sklodowska [Med] . 2002;57:342–346
  17. Parsons TL , Toffelmire EB , King-Van Vlack CE . The effect of an exercise program during hemodialysis on dialysis efficacy, blood pressure, and quality of life in end-stage renal disease patients . Clin Nephrol . 2004;61:261–274
  18. Moore GE , Painter PL , Brinker KR , Stray-Gundersen J , Mitchell JH . Cardiovascular response to submaximal stationary cycling during hemodialysis . Am J Kidney Dis . 1998;31:631–637
  19. Bregman H . Complications during hemodialysis . In:  Daugirdas J ,  Blake PG ,  Ing TS editor. Handbook of dialysis . 3rd ed.. Philadelphia: Lippincott Williams & Wilkins; 2001;p. 148–168
  20. Jindal KK , Manuel A , Goldstein MB . Percent reduction in blood urea concentration during hemodialysis (PRU). A simple and accurate method to estimate Kt/V urea . ASAIO J . 1987;33:286–288
  21. O’Connor AS , Leon JB , Sehgal AR . The relative predictive ability of four different measures of hemodialysis dose . Am J Kidney Dis . 2002;40:1289–1294
  22. National Kidney Foundation. Kidney Dialysis Outcome Quality Initiative (K/DOQI). Clinical practice guidelines for hemodialysis adequacy: update 2000. Available at: http://www.kidney.org/professionals/kdoqi/guidelines_updates/doqi_uptoc.html#hd. Accessed December 27, 2005.
  23. Frankenfield DL , McClellan WM , Helgerson SD , Lowrie EG , Rocco MV , Owen WF . Relationship between urea reduction ratio, demographic characteristics, and body weight for patients in the 1996 National ESRD Core Indicators Project . Am J Kidney Dis . 1999;33:584–591
  24. American Thoracic Society . ATS statement (guidelines for the six-minute walk test) . Am J Respir Crit Care Med . 2002;166:111–117
  25. Fitts SS , Guthrie MR . Six-minute walk by people with chronic renal failure . Am J Phys Med Rehabil . 1995;74:54–58
  26. Holub C , Lamont M , Lombardo A , et al.   The reliability of the six-minute walk test in patients with end-stage renal disease . Acute Care Perspect . 2002;11:8–11
  27. Headley S , Germain M , Mailloux P , et al.   Resistance training improves strength and functional measures in patients with end-stage renal disease . Am J Kidney Dis . 2002;40:355–364
  28. DePaul V , Moreland J , Eager T , Clase CM . The effectiveness of aerobic and muscle strength training in patients receiving hemodialysis and EPO (a randomized controlled trial) . Am J Kidney Dis . 2002;40:1219–1229
  29. Ridley J , Hoey K , Ballagh-Howes N . The exercise-during-hemodialysis program (report on a pilot study) . CANNT J . 1999;9(3):20–26
  30. Oh-Park M , Fast A , Gopal S , et al.   Exercise for the dialyzed (Aerobic and strength training during hemodialysis) . Am J Phys Med Rehabil . 2002;81:814–821
  31. Hays RD , Kallich JD , Mapes DL , Coons SJ , Carter WB . Development of the kidney disease quality of life (KDQOL) instrument . Qual Life Res . 1994;3:329–338
  32. Painter P , Moore G , Carlson L , et al.   Effects of exercise training plus normalization of hematocrit on exercise capacity and health-related quality of life . Am J Kidney Dis . 2002;39:257–265
  33. Manns BJ , Johnson JA , Taub K , Mortis G , Ghali WA , Donaldson C . Dialysis adequacy and health related quality of life in hemodialysis patients . ASAIO J . 2002;48:565–569
  34. Hopman W , Towheed T , Anastassiades T , et al.  Canadian Multicentre Osteoporosis Study Research Group   Canadian normative data for the SF-36 health survey . CMAJ . 2000;163:265–271

 Supported by the Kidney Foundation of Canada (Allied Health Doctoral Fellowship); Garfield Kelly Research and Development Fund, Queen’s University; and Bedal Foundation, Kingston General Hospital.No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit upon the author(s) or upon any organization with which the author(s) is/are associated.Reprints are not available from the author.

PII: S0003-9993(06)00051-7

doi: 10.1016/j.apmr.2005.12.044

Archives of Physical Medicine and Rehabilitation
Volume 87, Issue 5 , Pages 680-687 , May 2006

Article Tools

* Image Usage & Resolution