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What specific exercise training is most effective exercise training method for patients on maintenance hemodialysis
Ying Li1, Jingjing Li2, Xiaoan Chen1
1College of Sports Science, Jishou University, Jishou, China.
Frontiers in Nutrition
|December 9, 2024
Summary
Resistance training (RT) significantly improves handgrip strength in patients with sarcopenia undergoing maintenance hemodialysis (MHD). Combined exercise (CE) also enhances skeletal muscle mass index (SMI) in this population.
Area of Science:
- Nephrology
- Geriatrics
- Exercise Physiology
Background:
- Sarcopenia is a common complication in patients undergoing maintenance hemodialysis (MHD).
- Exercise interventions are crucial for managing sarcopenia in this vulnerable population.
- Optimal exercise modalities for sarcopenic MHD patients require further investigation.
Purpose of the Study:
- To evaluate the comparative effectiveness of various exercise interventions for sarcopenia in patients receiving maintenance hemodialysis (MHD).
- To identify the most beneficial exercise methods for improving muscle strength and mass in this cohort.
Main Methods:
- A systematic literature search was conducted across multiple databases (PubMed, Embase, Cochrane, Web of Science, CNKI, Wanfang) up to May 2024.
- Ten relevant articles comparing seven distinct exercise interventions were selected based on predefined inclusion/exclusion criteria.
- A network meta-analysis was performed to synthesize the findings.
Main Results:
- Resistance training (RT) demonstrated a significant improvement in handgrip strength (HGS) compared to Baduanjin exercise (BAE), bicycle exercise (BIE), and combined exercise (CE).
- Combined exercise (CE), RT, and BAE all showed significant improvements in skeletal muscle mass index (SMI) compared to normal care (NC).
Conclusions:
- Resistance training (RT) is effective for enhancing handgrip strength (HGS) in sarcopenic patients undergoing maintenance hemodialysis (MHD).
- Combined exercise (CE) shows promise in improving skeletal muscle mass index (SMI) in this patient group.
- Further randomized controlled trials are needed to elucidate optimal exercise strategies and underlying mechanisms.
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