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Intradialytic resistance training: an effective and easy-to-execute strategy
Antônio Paulo André de Castro1, Sergio Ribeiro Barbosa2, Henrique Novais Mansur3
1Programa de Pós-graduação em Saúde, Faculdade de Medicina, Universidade Federal de Juiz de Fora, Juiz de Fora, MG, Brasil.
Jornal Brasileiro De Nefrologia
|November 14, 2018
Summary
Intradialytic resistance training (IRT) significantly improves physical capacity and quality of life in chronic kidney disease patients undergoing hemodialysis. This safe and effective low-cost protocol enhances muscle strength and walking speed, benefiting patient well-being.
Area of Science:
- Nephrology
- Exercise Physiology
- Rehabilitation Medicine
Background:
- Chronic kidney disease (CKD) impairs skeletal muscle function, reducing physical capacity (PC) and quality of life (QoL) in patients.
- Intradialytic resistance training (IRT) is a potential intervention to mitigate these effects but lacks widespread adoption.
Purpose of the Study:
- To evaluate the efficacy and safety of a low-cost, user-friendly IRT protocol for CKD patients on hemodialysis.
- To assess improvements in physical capacity (PC) and quality of life (QoL) following IRT.
Main Methods:
- 43 hemodialysis patients (mean age 52.8 years) participated in a 9.3-month study.
- An intradialytic resistance training (IRT) protocol involving moderate-to-high intensity exercises for major muscle groups was implemented three times weekly.
- Efficacy was measured by changes in muscle strength (MS) and preferred walking speed (PWS); safety was monitored via adverse events.
Main Results:
- High compliance (96.5%) with the IRT protocol was observed.
- Significant improvements were noted in muscle strength (27.3 to 34.8 Kgf) and preferred walking speed (0.99 to 1.26 m/s).
- Both physical and emotional aspects of quality of life (QoL) showed significant increases.
Conclusions:
- Intradialytic resistance training (IRT) effectively enhances physical capacity (PC) and quality of life (QoL) in CKD patients.
- The implemented IRT protocol was safe, with no major adverse events reported.
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