Related Experiment Videos
Intradialytic Exercise Training Versus Cognitive Training to Reduce Sedentary Behavior in Patients Undergoing
Kohji Iwai1, Tomoharu Okubo2, Takahiro Okumura3
1Division of Physical Therapy, Faculty of Rehabilitation and Care, Seijoh University, Tokai, Aichi, Japan.
Summary
Intradialytic exercise training (IET) significantly reduced sedentary behavior in hemodialysis patients. Cognitive training did not impact sedentary time, highlighting IET
Area of Science:
- Nephrology
- Geriatrics
- Exercise Physiology
Background:
- Reduced physical activity and prolonged sedentary behavior (SB) are linked to poor outcomes in hemodialysis patients.
- Intradialytic exercise training (IET) is increasingly used, but its impact on SB requires clarification.
Purpose of the Study:
- To compare the effects of intradialytic exercise training (IET) versus intradialytic cognitive training on sedentary behavior in elderly hemodialysis patients.
Main Methods:
- A multicenter pilot crossover study involving 9 patients (70-80 years old) undergoing maintenance hemodialysis.
- Participants completed 12 weeks of IET and 12 weeks of cognitive training, separated by a 2-week washout.
- Sedentary time and step counts were measured using accelerometers before and after each intervention.
Main Results:
- Intradialytic exercise training (IET) significantly reduced sedentary behavior (SB) on all days and non-dialysis days (p=0.02).
- Cognitive training did not result in significant changes in SB.
- Reductions in SB were significantly greater following IET compared to cognitive training.
- Step counts did not show significant changes.
Conclusions:
- Intradialytic exercise training (IET) effectively reduces sedentary behavior in elderly hemodialysis patients.
- Intradialytic cognitive training did not demonstrate a significant effect on sedentary behavior.
- IET shows clinical relevance for managing sedentary behavior in dialysis care.
Related Concept Videos
01:22Heart Failure VI: Adjunct Therapies
Additional therapies for treating patients with heart failure (HF) may include procedural interventions, supplemental oxygen, the management of sleep disorders, and nutritional therapy.Procedural InterventionsImplantable Cardioverter-Defibrillator: For patients at risk of life-threatening arrhythmias due to severe left ventricular dysfunction, an Implantable Cardioverter-Defibrillator (ICD) can detect and terminate these arrhythmias, preventing sudden cardiac death and improving survival rates.
01:25Hemodialysis III: Nursing Management
The nursing management of a patient undergoing hemodialysis includes several critical steps, starting with a thorough assessment before the procedure.Before the Hemodialysis ProcedureFirst, record the patient's vital signs—blood pressure, heart rate, respiratory rate, and temperature—to establish a baseline. This baseline is essential for detecting conditions such as hypotension that could impact the patient's response to dialysis. Document the patient's pre-dialysis weight, as this measurement...
01:27Dialysis
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...
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...
01:25Hemodialysis I: Introduction
Hemodialysis (HD) is a medical treatment that artificially removes waste products, excess fluids, and toxins from the blood when the kidneys are no longer able to perform these functions effectively. In this process, blood is filtered through a semipermeable membrane, allowing for the selective removal of waste while preserving necessary components like blood cells and proteins. Hemodialysis is typically performed in patients with end-stage renal disease (ESRD) or severe kidney...
01:24Hemodialysis II: Procedure and Complications
DialyzersA hemodialysis (HD) dialyzer is a plastic cartridge containing thousands of parallel hollow fibers, which serve as semipermeable membranes. These fibers are typically made from cellulose-based or other synthetic materials. During HD, blood is pumped into the top of the cartridge and distributed among these fibers. Simultaneously, dialysis fluid, known as dialysate, is introduced into the bottom of the cartridge, bathing the outside of the fibers. Across the semipermeable membrane,...