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Comparisons of Intradialytic Exercise Versus Home-Based Exercise in Hemodialysis Patients: A Narrative Review
Chao-Lin Lee1, Ping-Chen Wang2, Yi-Ling Chen3
1Division of Neurology, Department of Internal Medicine, Camillian Saint Mary's Hospital Luodong, No. 160, Zhongzheng S. Rd., Luodong 265, Yilan, Taiwan.
Biomedicines
|October 26, 2024
Summary
Intradialytic exercise (IDE) and home-based exercise (HBE) improve physical function, quality of life, and well-being in hemodialysis patients. Integrating these exercises into care enhances patient outcomes despite adherence challenges.
Area of Science:
- Nephrology
- Exercise Physiology
- Public Health
Background:
- End-stage kidney disease and hemodialysis (HD) prevalence are rising.
- HD is linked to adverse effects like muscle loss, fatigue, and reduced quality of life.
- Intradialytic exercise (IDE) and home-based exercise (HBE) show promise in mitigating these effects.
Purpose of the Study:
- To review and compare the effectiveness, implementation, safety, feasibility, and adherence of IDE and HBE in HD patients.
- To consolidate current literature on exercise interventions for HD patients.
- To identify gaps and future research directions.
Main Methods:
- Systematic literature review of studies on IDE and HBE in hemodialysis patients.
- Analysis of findings regarding patient outcomes, exercise protocols, and implementation challenges.
- Synthesis of evidence on effectiveness, safety, feasibility, and adherence.
Main Results:
- IDE and HBE significantly enhance physical function, cardiopulmonary capacity, and health-related quality of life (HRQoL).
- Improvements in cognitive well-being and a potential indirect link to survival rates were noted.
- Challenges include patient adherence and the practical feasibility of routine exercise during HD sessions.
Conclusions:
- Current literature supports the significant benefits of IDE and HBE for improving the health and well-being of HD patients.
- Integrating exercise into routine care can optimize patient outcomes.
- Further research is needed to refine exercise protocols, assess long-term effects, and evaluate cost-effectiveness.
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