A structured exercise programme during haemodialysis for patients with chronic kidney disease: clinical benefit and long-term adherence
ObjectiveLong-term studies regarding the effect of a structured physical exercise programme (SPEP) during haemodialysis (HD) assessing compliance and clinical benefit are scarce.Study designA single-centre clinical trial, non-randomised, investigating 46 patients with HD (63.2±16.3 years, male/femal...
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| description | ObjectiveLong-term studies regarding the effect of a structured physical exercise programme (SPEP) during haemodialysis (HD) assessing compliance and clinical benefit are scarce.Study designA single-centre clinical trial, non-randomised, investigating 46 patients with HD (63.2±16.3 years, male/female 24/22, dialysis vintage 4.4 years) performing an SPEP over 5 years. The SPEP (twice/week for 60 min during haemodialysis) consisted of a combined resistance (8 muscle groups) and endurance (supine bicycle ergometry) training. Exercise intensity was continuously adjusted to improvements of performance testing. Changes in endurance and resistance capacity, physical functioning and quality of life (QoL) were analysed over 1 year in addition to long-term adherence and economics of the programme over 5 years. Average power per training session, maximal strength tests (maximal exercise repetitions/min), three performance-based tests for physical function, SF36 for QoL were assessed in the beginning and every 6 months thereafter.Results78% of the patients completed the programme after 1 year and 43% after 5 years. Participants were divided—according to adherence to the programme—into three groups: (1) high adherence group (HA, >80% of 104 training sessions within 12 months), (2) moderate adherence (MA, 60–80%), and 3. Low adherence group (LA, |
| doi_str_mv | 10.1136/bmjopen-2015-008709 |
| format | Article |
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The SPEP (twice/week for 60 min during haemodialysis) consisted of a combined resistance (8 muscle groups) and endurance (supine bicycle ergometry) training. Exercise intensity was continuously adjusted to improvements of performance testing. Changes in endurance and resistance capacity, physical functioning and quality of life (QoL) were analysed over 1 year in addition to long-term adherence and economics of the programme over 5 years. Average power per training session, maximal strength tests (maximal exercise repetitions/min), three performance-based tests for physical function, SF36 for QoL were assessed in the beginning and every 6 months thereafter.Results78% of the patients completed the programme after 1 year and 43% after 5 years. Participants were divided—according to adherence to the programme—into three groups: (1) high adherence group (HA, >80% of 104 training sessions within 12 months), (2) moderate adherence (MA, 60–80%), and 3. Low adherence group (LA, <60%)) with HA and MA evaluated quantitatively. One-year follow-up data revealed significant (p<0.05) improvement for both groups in all measured parameters: exercise capacity (HA: 55%, MA: 45%), strength (HA: >120%, MA: 40–50%), QoL in three scores of SF36 subscales and physical function in the three tests taken between 11% and 31%. Moreover, a quantitative correlation analysis revealed a close association (r=0.8) between large improvement of endurance capacity and weak physical condition (HA).ConclusionsThe exercise programme described improves physical function significantly and can be integrated into a HD routine with a high long-term adherence.</description><identifier>ISSN: 2044-6055</identifier><identifier>EISSN: 2044-6055</identifier><identifier>DOI: 10.1136/bmjopen-2015-008709</identifier><identifier>PMID: 26316654</identifier><language>eng</language><publisher>England: BMJ Publishing Group LTD</publisher><subject>Aged ; Cardiovascular disease ; Endurance ; Exercise ; Exercise Therapy - methods ; Female ; Fitness training programs ; Follow-Up Studies ; Health insurance ; Heart rate ; Hemodialysis ; Humans ; Male ; Middle Aged ; Mortality ; Motivation ; Muscle Strength ; Patient Compliance ; Patients ; Physical Endurance ; Physical fitness ; Quality of Life ; Renal Dialysis ; Renal Insufficiency, Chronic - therapy ; Renal Medicine ; Resistance Training ; Strength training ; Treatment Outcome</subject><ispartof>BMJ open, 2015-08, Vol.5 (8), p.e008709-e008709</ispartof><rights>Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions</rights><rights>Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.</rights><rights>Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions 2015 This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions 2015</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b472t-4a601583e7f23e137422bb882cd8ffcc90383fc998ddd255062e5d9f4795d0693</citedby><cites>FETCH-LOGICAL-b472t-4a601583e7f23e137422bb882cd8ffcc90383fc998ddd255062e5d9f4795d0693</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttp://bmjopen.bmj.com/content/5/8/e008709.full.pdf$$EPDF$$P50$$Gbmj$$Hfree_for_read</linktopdf><linktohtml>$$Uhttp://bmjopen.bmj.com/content/5/8/e008709.full$$EHTML$$P50$$Gbmj$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,27548,27549,27923,27924,53790,53792,77372,77403</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26316654$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Anding, Kirsten</creatorcontrib><creatorcontrib>Bär, Thomas</creatorcontrib><creatorcontrib>Trojniak-Hennig, Joanna</creatorcontrib><creatorcontrib>Kuchinke, Simone</creatorcontrib><creatorcontrib>Krause, Rolfdieter</creatorcontrib><creatorcontrib>Rost, Jan M</creatorcontrib><creatorcontrib>Halle, Martin</creatorcontrib><title>A structured exercise programme during haemodialysis for patients with chronic kidney disease: clinical benefit and long-term adherence</title><title>BMJ open</title><addtitle>BMJ Open</addtitle><description>ObjectiveLong-term studies regarding the effect of a structured physical exercise programme (SPEP) during haemodialysis (HD) assessing compliance and clinical benefit are scarce.Study designA single-centre clinical trial, non-randomised, investigating 46 patients with HD (63.2±16.3 years, male/female 24/22, dialysis vintage 4.4 years) performing an SPEP over 5 years. The SPEP (twice/week for 60 min during haemodialysis) consisted of a combined resistance (8 muscle groups) and endurance (supine bicycle ergometry) training. Exercise intensity was continuously adjusted to improvements of performance testing. Changes in endurance and resistance capacity, physical functioning and quality of life (QoL) were analysed over 1 year in addition to long-term adherence and economics of the programme over 5 years. Average power per training session, maximal strength tests (maximal exercise repetitions/min), three performance-based tests for physical function, SF36 for QoL were assessed in the beginning and every 6 months thereafter.Results78% of the patients completed the programme after 1 year and 43% after 5 years. Participants were divided—according to adherence to the programme—into three groups: (1) high adherence group (HA, >80% of 104 training sessions within 12 months), (2) moderate adherence (MA, 60–80%), and 3. Low adherence group (LA, <60%)) with HA and MA evaluated quantitatively. One-year follow-up data revealed significant (p<0.05) improvement for both groups in all measured parameters: exercise capacity (HA: 55%, MA: 45%), strength (HA: >120%, MA: 40–50%), QoL in three scores of SF36 subscales and physical function in the three tests taken between 11% and 31%. Moreover, a quantitative correlation analysis revealed a close association (r=0.8) between large improvement of endurance capacity and weak physical condition (HA).ConclusionsThe exercise programme described improves physical function significantly and can be integrated into a HD routine with a high long-term adherence.</description><subject>Aged</subject><subject>Cardiovascular disease</subject><subject>Endurance</subject><subject>Exercise</subject><subject>Exercise Therapy - methods</subject><subject>Female</subject><subject>Fitness training programs</subject><subject>Follow-Up Studies</subject><subject>Health insurance</subject><subject>Heart rate</subject><subject>Hemodialysis</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Mortality</subject><subject>Motivation</subject><subject>Muscle Strength</subject><subject>Patient Compliance</subject><subject>Patients</subject><subject>Physical Endurance</subject><subject>Physical fitness</subject><subject>Quality of Life</subject><subject>Renal Dialysis</subject><subject>Renal Insufficiency, Chronic - therapy</subject><subject>Renal Medicine</subject><subject>Resistance Training</subject><subject>Strength training</subject><subject>Treatment Outcome</subject><issn>2044-6055</issn><issn>2044-6055</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>9YT</sourceid><sourceid>ACMMV</sourceid><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNqNkc1u3CAUha2qVRMleYJIFVI33TgFDBi6qBRF_ZMiZdOsEYbrMVMbXLDTzhP0tctoplHaVdmALud8ukenqi4JviKkEW-7aRtnCDXFhNcYyxarZ9UpxYzVAnP-_Mn7pLrIeYvLYVxxTl9WJ1Q0RAjOTqtf1ygvabXLmsAh-AnJ-gxoTnGTzDQBcmvyYYMGA1N03oy77DPqY0KzWTyEJaMffhmQHVIM3qJv3gXYIVcgJsM7ZEdfxmZEHQTo_YJMcGiMYVMvkCZk3AAJgoXz6kVvxgwXx_usuv_44evN5_r27tOXm-vbumMtXWpmRAksG2h72gBpWkZp10lJrZN9b63CjWx6q5R0zlHOsaDAnepZq7jDQjVn1fsDd167CZwtCZIZ9Zz8ZNJOR-P13z_BD3oTHzTjnClMCuDNEZDi9xXyoiefLYyjCRDXrEmLpVRKEFakr_-RbuOaQomniRRYYo7pfqPmoLIp5pygf1yGYL3vWh-71vuu9aHr4nr1NMej50-zRXB1EBT3fxF_A6smuHo</recordid><startdate>20150827</startdate><enddate>20150827</enddate><creator>Anding, Kirsten</creator><creator>Bär, Thomas</creator><creator>Trojniak-Hennig, Joanna</creator><creator>Kuchinke, Simone</creator><creator>Krause, Rolfdieter</creator><creator>Rost, Jan M</creator><creator>Halle, Martin</creator><general>BMJ Publishing Group LTD</general><general>BMJ Publishing Group</general><scope>9YT</scope><scope>ACMMV</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20150827</creationdate><title>A structured exercise programme during haemodialysis for patients with chronic kidney disease: clinical benefit and long-term adherence</title><author>Anding, Kirsten ; Bär, Thomas ; Trojniak-Hennig, Joanna ; Kuchinke, Simone ; Krause, Rolfdieter ; Rost, Jan M ; Halle, Martin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b472t-4a601583e7f23e137422bb882cd8ffcc90383fc998ddd255062e5d9f4795d0693</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Aged</topic><topic>Cardiovascular disease</topic><topic>Endurance</topic><topic>Exercise</topic><topic>Exercise Therapy - methods</topic><topic>Female</topic><topic>Fitness training programs</topic><topic>Follow-Up Studies</topic><topic>Health insurance</topic><topic>Heart rate</topic><topic>Hemodialysis</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Mortality</topic><topic>Motivation</topic><topic>Muscle Strength</topic><topic>Patient Compliance</topic><topic>Patients</topic><topic>Physical Endurance</topic><topic>Physical fitness</topic><topic>Quality of Life</topic><topic>Renal Dialysis</topic><topic>Renal Insufficiency, Chronic - therapy</topic><topic>Renal Medicine</topic><topic>Resistance Training</topic><topic>Strength training</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Anding, Kirsten</creatorcontrib><creatorcontrib>Bär, Thomas</creatorcontrib><creatorcontrib>Trojniak-Hennig, Joanna</creatorcontrib><creatorcontrib>Kuchinke, Simone</creatorcontrib><creatorcontrib>Krause, Rolfdieter</creatorcontrib><creatorcontrib>Rost, Jan M</creatorcontrib><creatorcontrib>Halle, Martin</creatorcontrib><collection>BMJ Open Access Journals</collection><collection>BMJ Journals:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>BMJ open</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Anding, Kirsten</au><au>Bär, Thomas</au><au>Trojniak-Hennig, Joanna</au><au>Kuchinke, Simone</au><au>Krause, Rolfdieter</au><au>Rost, Jan M</au><au>Halle, Martin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A structured exercise programme during haemodialysis for patients with chronic kidney disease: clinical benefit and long-term adherence</atitle><jtitle>BMJ open</jtitle><addtitle>BMJ Open</addtitle><date>2015-08-27</date><risdate>2015</risdate><volume>5</volume><issue>8</issue><spage>e008709</spage><epage>e008709</epage><pages>e008709-e008709</pages><issn>2044-6055</issn><eissn>2044-6055</eissn><abstract>ObjectiveLong-term studies regarding the effect of a structured physical exercise programme (SPEP) during haemodialysis (HD) assessing compliance and clinical benefit are scarce.Study designA single-centre clinical trial, non-randomised, investigating 46 patients with HD (63.2±16.3 years, male/female 24/22, dialysis vintage 4.4 years) performing an SPEP over 5 years. The SPEP (twice/week for 60 min during haemodialysis) consisted of a combined resistance (8 muscle groups) and endurance (supine bicycle ergometry) training. Exercise intensity was continuously adjusted to improvements of performance testing. Changes in endurance and resistance capacity, physical functioning and quality of life (QoL) were analysed over 1 year in addition to long-term adherence and economics of the programme over 5 years. Average power per training session, maximal strength tests (maximal exercise repetitions/min), three performance-based tests for physical function, SF36 for QoL were assessed in the beginning and every 6 months thereafter.Results78% of the patients completed the programme after 1 year and 43% after 5 years. Participants were divided—according to adherence to the programme—into three groups: (1) high adherence group (HA, >80% of 104 training sessions within 12 months), (2) moderate adherence (MA, 60–80%), and 3. Low adherence group (LA, <60%)) with HA and MA evaluated quantitatively. One-year follow-up data revealed significant (p<0.05) improvement for both groups in all measured parameters: exercise capacity (HA: 55%, MA: 45%), strength (HA: >120%, MA: 40–50%), QoL in three scores of SF36 subscales and physical function in the three tests taken between 11% and 31%. Moreover, a quantitative correlation analysis revealed a close association (r=0.8) between large improvement of endurance capacity and weak physical condition (HA).ConclusionsThe exercise programme described improves physical function significantly and can be integrated into a HD routine with a high long-term adherence.</abstract><cop>England</cop><pub>BMJ Publishing Group LTD</pub><pmid>26316654</pmid><doi>10.1136/bmjopen-2015-008709</doi><oa>free_for_read</oa></addata></record> |
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| subjects | Aged Cardiovascular disease Endurance Exercise Exercise Therapy - methods Female Fitness training programs Follow-Up Studies Health insurance Heart rate Hemodialysis Humans Male Middle Aged Mortality Motivation Muscle Strength Patient Compliance Patients Physical Endurance Physical fitness Quality of Life Renal Dialysis Renal Insufficiency, Chronic - therapy Renal Medicine Resistance Training Strength training Treatment Outcome |
| title | A structured exercise programme during haemodialysis for patients with chronic kidney disease: clinical benefit and long-term adherence |
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