Skip to main content
Download PDF
  • Original article
  • Open access
  • Published:

Evaluation of the effect of exercise training program on work capacity, functional mobility, and quality of life in hemodialysis patients

Egyptian Rheumatology and Rehabilitation volume 40, pages 181–187 (2013)Cite this article

Abstract

Introduction

Patients with chronic renal failure are restricted in physical and social dimensions of life because of their treatment and their comorbid medical conditions.

Aim of the work

The aim of this study was to evaluate the effect of exercise training programs on functional work capacity, functional mobility, and quality of life in patients with renal failure on hemodialysis.

Patients and methods

Thirty patients with chronic renal failure on maintenance hemodialysis participated in a regular exercise training program three times per week for 12 weeks.

Each exercise session consisted of warm up, cycle or treadmill exercises, stretching exercises, and cool down. All patients underwent the cardiovascular graded exercise tolerance test, the sit-to-stand-to-sit test, and the 6-min walk test. Questionnaires were used to assess the quality of life of the study group 1 week before and after the exercise training program. A total of 15 normal individuals who were age-matched and sex-matched with our patients were used as controls to compare the respiratory function.

Results

There was significant improvement in work capacity after the training exercise program compared with that before the program (from 7.24 ± 0.90 to 9.62 ± 1.1; P < 0.001); in addition, there was also a highly significant improvement in functional mobility. The quality of life was improved after the exercise training program according to four of five scales of 36 questionnaires.

Conclusion

A suitable exercise training program is an important method for improvement of work capacity, mobility, psychological status, and quality of life.

References

  1. Levendoğlu F, Altintepe L, Okudan N, Uğurlu H, Gökbel H, Tonbul Z, et al. A twelve week exercise program improves the psychological status, quality of life and work capacity in hemodialysis patients. J Nephrol 2004; 17:826–832.

    PubMed  Google Scholar 

  2. Segura Ortí E, Rodilla Alama V, Lisón JF. Physiotherapy during hemodialysis: results of a progressive resistance-training program. Nefrologia 2008; 28:67–72.

    PubMed  Google Scholar 

  3. Bartels M. Exercise tolerance testing. In: Tan C, editor. Practical manual of physical medicine and rehabilitation 2nd ed. British Library Catalogue: Elsevier Inc.; 2006. p. 83.

  4. Van Vilsteren MCBA, de Greet MHG, Huisman RM. The effects of a low-to-moderate intensity pre-conditioning exercise programme linked with exercise counselling for sedentary haemodialysis patients in The Netherlands: results of a randomized clinical trial. Nephrol Dial Transpl 2005;20:141–146.

    Article  Google Scholar 

  5. Sakkas GK, Sargeant AJ, Mercer TH, Ball D, Koufaki P, Karatzaferi C, et al. Changes in muscle morphology in dialysis patients after 6 months of aerobic exercise training. Nephrol Dial Transpl 2003; 18:1854–1861.

    Article  Google Scholar 

  6. Tiedemann A, Shimada H, Sherrington C, Murray S, Lord S. The comparative ability of eight functional mobility tests for predicting falls in community-dwelling older people. Age Ageing 2008; 37:430–435.

    Article  Google Scholar 

  7. Cheema B, Abas H, Smith B, O’Sullivan A, Chan M, Patwardhan A, et al. Progressive Exercise for Anabolism in Kidney disease (PEAK): a randomized, controlled trial of resistance training during hemodialysis. J Am Soc Nephrol 2007; 18:1594–1601.

    Article  Google Scholar 

  8. Gorodetskaya I, Zenios S, McCulloch CE, Bostrom A, Hsu CY, Bindman AB, et al. Health-related quality of life and estimates of utility in chronic kidney disease. Kidney Int 2005; 68:2801–2808.

    Article  Google Scholar 

  9. Blake C, Codd MB, Cassidy A, O’Meara YM. Physical function, employment and quality of life in end-stage renal disease. J Nephrol 2000; 13:142–149.

    CAS  PubMed  Google Scholar 

  10. American College of Sports Medicine (ACSM). Guidelines for exercise testing and prescription. Med & Sci in Sports & Excercise 2009; 41:50.

    Google Scholar 

  11. Parsons TL, Toffelmire EB, King Van Vlack CE. The effect of an exercise program during hemodialysis efficacy, blood pressure and quality of life in end-stage renal disease (ESRD) patients. Clin Nephrol 2004; 61:261–274.

    Article  CAS  Google Scholar 

  12. Kouidi E, Grekas D, Deligiannis A, Tourkantonis A. Outcomes of long-term exercise training in dialysis patients: comparison of two training programs. Clin Nephrol 2004; 61 (Suppl 1): S31–S38.

    PubMed  Google Scholar 

  13. Goldberg AP, Geltman EM, Hagberg JM, Gavin JR 3rd, Delmez JA, Carney RM, et al. Therapeutic benefits of exercise training for hemodialysis patients. Kidney Int Suppl 1983; 16:S303–S309.

    CAS  PubMed  Google Scholar 

  14. Segura Ortí E. Exercise in hemodialysis patients: a literature systematic review. Nefrologia 2010; 30:236–246.

    PubMed  Google Scholar 

  15. Fitts SS, Guthrie MR, Blagg CR. Exercise coaching and rehabilitation counseling improve quality of life for predialysis and dialysis patients. Nephron 1999;82:115–121.

    Article  CAS  Google Scholar 

  16. Johansen KL. Exercise in the end-stage renal disease population. J Am Soc Nephrol 2007; 18:1845–1854.

    Article  CAS  Google Scholar 

  17. Heiwe S, Tollbäck A, Clyne N. Twelve weeks of exercise training increases muscle function and walking capacity in elderly predialysis patients and healthy subjects. Nephron 2001; 88:48–56.

    Article  CAS  Google Scholar 

  18. Painter P, Moore G, Carlson L, Paul S, Myll J, Phillips W, 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.

    Article  Google Scholar 

  19. Casaburi R. Rehabilitative exercise training in patients undergoing dialysis. In: Kopple J, Massry S, editors. Nutritional management of renal disease Baltimore: Lippincott Williams and Wilkins; 2004. pp. 605–620.

    Google Scholar 

  20. Crapo RO, Casaburi R, Coates AL, Enright PL, Maclntyre NR, McKay RT, et al. ATS statement: guidelines for the six-minute walk test. Am J Respir Crit Care Med 2002; 166:111–117.

    Article  Google Scholar 

  21. Tawney KW, Tawney PJW, Hladik G, Hogan SL, Falk RJ, Weaver C, et al. The Life Readiness Program: a physical rehabilitation program for patients on hemodialysis. Am J Kidney Dis 2000; 36:581–591.

    Article  CAS  Google Scholar 

  22. Johansen KL, Painter P, Kent Braun JA, Ng AV, Carey S, Da Silva M, et al. Validation of questionnaires to estimate physical activity and functioning in end-stage renal disease. Kidney Int 2001; 59:1121–1127.

    Article  CAS  Google Scholar 

  23. Bennett PN, Breugelmans L, Agius M, Simpson Gore K, Barnard B. A haemodialysis exercise programme using novel exercise equipment: a pilot study. J Renal Care 2007; 33:153–158.

    Article  Google Scholar 

  24. Oh Park M, Fast A, Gopal S, Lynn R, Frei G, Drenth R, et al. Exercise for the dialyzed: aerobic and strength training during hemodialysis. Am J Phys Med Rehabil 2002; 81:814–821.

    Article  Google Scholar 

  25. 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.

    Article  CAS  Google Scholar 

  26. Ridley J, Hoey K, Ballagh Howes N. The exercise-during-hemodialysis program: report on a pilot study. CANNT J 1999; 9:20–26.

    CAS  PubMed  Google Scholar 

  27. Headley S, Germain M, Mailloux P, Mulhern J, Ashworth B, Burris J, et al. Resistance training improves strength and functional measures in patients with end-stage renal disease. Am J Kidney Dis 2002; 40:355–364.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Rheumatology and Rehabilitation, Faculty of Medicine, Zagazig University, Helwan Cairo, Egypt

    Amany M. Abo EI-Saoud, Omayma Z. Shehata & Ahmad A. Emerah

  2. Department of Rheumatology and Rehabilitation, Geriatric Rehabilitation Center, Helwan-Ministry of Health, Helwan Cairo, Egypt

    Elsayed F. Sayed

Authors
  1. Amany M. Abo EI-Saoud
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Omayma Z. Shehata
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Ahmad A. Emerah
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Elsayed F. Sayed
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Ahmad A. Emerah.

Rights and permissions

This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.

Reprints and permissions

About this article

Cite this article

Abo EI-Saoud, A.M., Shehata, O.Z., Emerah, A.A. et al. Evaluation of the effect of exercise training program on work capacity, functional mobility, and quality of life in hemodialysis patients. Egypt Rheumatol Rehabil 40, 181–187 (2013). https://doi.org/10.4103/1110-161X.123794

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.4103/1110-161X.123794

Keywords