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Related Concept Videos

Dialysis01:27

Dialysis

261
Renal failure occurs when the kidneys lose their ability to filter waste products from the blood effectively. It can be classified into two types: acute renal failure (ARF) and chronic renal failure (CRF).
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
261

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Supervised vs home-based exercise program in kidney transplant recipients: A pilot pragmatic non-randomized study.

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Home-based walking programs significantly improved exercise capacity in kidney transplant recipients (KTRs) more than supervised gym training. Low-intensity home exercise offers an effective alternative for KTRs to enhance physical function.

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Area of Science:

  • Nephrology
  • Exercise Physiology
  • Transplantation Medicine

Background:

  • Kidney transplant recipients (KTRs) benefit from exercise, but face barriers to structured programs.
  • Identifying accessible and effective exercise interventions is crucial for KTRs.

Purpose of the Study:

  • To compare a supervised moderate-intensity gym-based program with a home-based low-intensity walking program.
  • To assess the impact on exercise capacity in kidney transplant recipients.

Main Methods:

  • KTRs chose between a 6-month home-based exercise (HBex) walking program or a supervised gym (Sgym) program.
  • Outcomes included the 6-minute walking test, VO2peak, 5-time sit-to-stand test, and blood pressure.
  • Patients self-selected into HBex (n=9) or Sgym (n=8) groups.

Main Results:

  • The HBex group showed significantly greater improvements in the primary outcome (walking distance) compared to the Sgym group (52m vs 8m).
  • At baseline, HBex participants were older and had lower exercise capacity.
  • Both groups improved outcomes, with significant VO2 peak variations within groups.

Conclusions:

  • Six-month supervised gym or home-based walking programs effectively enhance exercise capacity in KTRs.
  • Home-based walking may be a suitable option for frail KTRs.
  • Gym programs offer combined aerobic and resistance training, while home programs provide accessibility.