The Effects of Resistance Exercise in End Stage Renal Disease Patients Undergoing Hemodialysis: A Systematic Meta-Analysis
DOI:
https://doi.org/10.48048/tis.2022.2869Keywords:
Resistance exercise, Intervention, End stage renal disease, Hemodialysis, Systematic reviewAbstract
End-stage renal disease (ESRD) is a global public health problem as same as in Thailand the number of patients undergoing hemodialysis treatment is getting higher every year. In frequently cases has many impacts and affect the reduction of functional conditions. The objective of this study is to conduct a systematic review and meta-analysis of research into the effects of resistance exercise on end stage renal disease patients undergoing hemodialysis and to analyze the effect size of resistance exercise on patients. A systematic literature search was conducted using the database of Science direct, Wiley Online Library, Scopus, PubMed, EBSSCO host and the Thai-Journal Citation Index Center, looking for randomized controlled trials between 2009 and 2020. Combined effect sizes were calculated using Review Manager Version 5.3. Eight articles met the inclusion criteria and in the effect size analysis. Results showed that resistance exercise improved the ability to function and increased muscle strength, improved body composition and quality of life in chronic renal failure patients undergoing hemodialysis treatment.
HIGHLIGHTS
- The effectiveness of resistance exercise interventions improves physical performance, quality of life (QOL), muscle strength and body composition
- The characteristic of exercise has shown to be high beneficial for many health aspects and easily modifiable lifestyle factor with virtually no negative side effects
- This meta-analysis might help to develop early intervention strategies for physical and psychological outcome both of patients with chronic diseases
GRAPHICAL ABSTRACT
Downloads
Metrics
References
US Renal Data System. Annual data report: Atlas of chronic kidney disease and end-stage renal disease in the United States. National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, MD, United States, 2013.
Nephology Society of Thailand. Project: The study in progress and clinical outcome in patient with CRF in Thai SEEK. Nephology Society of Thailand, 1998.
AC Webster, EV Nagler, RL Morton and P Masson. Chronic kidney disease. Lancet 2017; 389, 1238-52.
M Jhamb, K Liang, J Yabes, JL Steel, MA Dew, N Shah and M Unruh. Prevalence and correlates of fatigue in chronic kidney disease and end-stage renal disease: Are sleep disorders a key to understanding fatigue? Am. J. Nephrol. 2013; 38, 489-95.
S Senanayake, N Gunawardena, P Palihawadana, P Bandara, R Haniffa, R Karunarathna and P Kumara. Symptom burden in chronic kidney disease: A population based cross sectional study. BMC Nephrol. 2017; 18, 228.
NG Kutner, R Zhang, Y Huang and P Painter. Gait speed and mortality, hospitalization, and functional status change among hemodialysis patients: A US renal data system special study. Am. J. Kidney Dis. 2015; 66, 297-304.
SY Wang, XY Zang, SH Fu, J Bai, JD Liu, L Tian, YY Feng and Y Zhao. Factors related to fatigue in Chinese patients with end-stage renal disease receiving maintenance hemodialysis: A multi-center cross-sectional study. Ren. Fail. 2016; 38, 442-50.
JC Kim, BB Shapiro, M Zhang, Y Li, J Porszasz, R Bross, U Feroze, R Upreti, K Kalantar-Zadeh and JD Kopple. Daily physical activity and physical function in adult maintenance hemodialysis patients. J. Cachexia Sarcopenia Muscle 2014; 5, 209-20.
M Bossola, E Di Stasio, M Antocicco, G Pepe, L Tazza, G Zuccalà and A Laudisio. Functional impairment is associated with an increased risk of mortality in patients on chronic hemodialysis. BMC Nephrol. 2016; 17, 72.
AE Horigan. Fatigue in hemodialysis patients: A review of current knowledge. J. Pain Symptom Manag. 2012; 44, 715-24.
KY Sohng and WJ Song. Effects of progressive resistance training on body composition, physical
fitness and quality of life of patients on hemodialysis. J. Korean Acad. Nurs. 2012; 42, 947-56.
R Bullani, Y El-Housseini, F Giordano, A Larcinese, L Ciutto, PC Bertrand, G Wuerzner, M Burnier and D Teta. Effect of intradialytic resistance band exercise on physical function in patients on maintenance hemodialysis: A pilot study. J. Ren. Nutr. 2011; 21, 61-5.
YY Song, RJ Hu, YS Diao, L Chen and XL Jiang. Effects of exercise training on restless legs syndrome, depression, sleep quality and fatigue among hemodialysis patients: A systematic review and meta-analysis. J. Pain Symptom Manag. 2017; 55, 1184-95.
JLT Chen, S Godfrey, TT Ng, R Moorthi, O Liangos, R Ruthazer, BL Jaber, AS Levey and C Castaneda-Sceppa. Effect of intra-dialytic, low-intensity strength training on functional capacity in adult haemodialysis patients: A randomized pilot trial. Nephrol. Dial. Transplant. 2010; 25, 1936-43.
American College of Sports Medicine. ACSM’s guidelines for exercise testing and prescription. Vol X. Wolters Kluwer, Philadelphia, United States, 2018.
N Hongu, MJ Wells, PJ Gallaway and P Bilgic. Resistance training: Health benefits and recommendations. Univ. Arizona Coop. Ext. 2015; 21, 718-28.
C Moraes, SM Marinho, AC da Nobrega, BDO Bessa, LV Jacobson, MB Stockler-Pinto, WSD Silva and D Mafra. Resistance exercise: A strategy to attenuate inflammation and protein-energy wasting in hemodialysis patients? Int. Urol. Nephrol. 2014; 46, 1655-62.
M Saitoh, M Ogawa, MRD Santos, H Kondo, K Suga, H Itoh and Y Tabata. Effects of intradialytic resistance exercise on protein energy wasting, physical performance and physical activity in ambulatory patients on dialysis: A single‐center preliminary study in a Japanese dialysis facility. Ther. Apher. Dial. 2016; 20, 632-8.
DL Kirkman, P Mullins, NA Junglee, M Kumwenda, MM Jibani and JH Macdonald. Anabolic exercise in haemodialysis patients: A randomised controlled pilot study. J. Cachexia Sarcopenia Muscle 2014; 5, 199-207.
MCD Lima, CDL Cicotoste, SD Kelly Cardoso, LA Forgiarini, MB Monteiro and AS Dias. Effect of exercise performed during hemodialysis: Strength versus aerobic. Ren. Fail. 2013; 35, 697-704.
D Chan and BS Cheema. Progressive resistance training in end-stage renal disease: Systematic review. Am. J. Nephrol. 2016; 44, 32-45.
S Marinho, JC Eduardo and D Mafra. Effect of a resistance exercise training program on bone markers in hemodial ysis patients. Sci. Sports 2017; 32, 99-105.
MCV Vilsteren, MHD Greef and RM Huisman. The effects of a low-to-moderate intensity pre-conditioning exercise programme linked with exercise counselling for sedentary haemodialysis patients in the Netherlands: Results of a randomized clinical trial. Nephrol. Dial. Transplant. 2005; 20, 141-6.
RevMan. The nordic cochrane centre, the cochrane collaboration. RevMan, 2014.
WG Cochran. Sampling techniques. Vol III. John Wiley & Sons, New York, 1977.
LCC Lopes, JF Mota, J Prestes, RM Schincaglia, DM Silva, NP Queiroz, ATVD Souza Freitas, FS Lira and MRG Peixoto. Intradialytic resistance training improves functional capacity and lean mass gain in individuals on hemodialysis: A randomized pilot trial. Arch. Phys. Med. Rehabil. 2019; 100, 2151-8.
FMD Valle, BV Pinheiro, AAA Barros, WF Mendonça, ACD Oliveira, GDO Werneck and RBD Paula. Effects of intradialytic resistance training on physical activity in daily life, muscle strength, physical capacity and quality of life in hemodialysis patients: A randomized clinical trial. Disabil. Rehabil. 2020; 42, 3638-44.
CSC Rosa, DY Nishimoto, GD Souza, AP Ramirez, CO Carletti, CGL Daibem, GK Sakkas and HL Monteiro. Effect of continuous progressive resistance training during hemodialysis on body composition, physical function and quality of life in end-stage renal disease patients: A randomized controlled trial. Clin. Rehabil. 2018; 32, 899-908.
Y Chang, SY Cheng, M Lin, FY Gau and YFC Chao. The effectiveness of intradialytic leg ergometry exercise for improving sedentary life style and fatigue among patients with chronic kidney disease: A randomized clinical trial. Int. J. Nurs. Stud. 2010; 47, 1383-8.
ZJ Dong, HL Zhang and LX Yin. Effects of intradialytic resistance exercise on systemic inflammation in maintenance hemodialysis patients with sarcopenia: a randomized controlled trial. Int. Urol. Nephrol. 2019; 51, 1415-24.
E Segura-Orti, E Kouidi and JF Lison. Effect of resistance exercise during hemodialysis on physical function and quality of life: Randomized controlled trial. Clin. Nephrol. 2009; 71, 527-37.
P Painter. Implementing exercise: What do we know? where do we go? Adv. Chron. Kidney Dis. 2009; 16, 536-44.
Downloads
Published
How to Cite
Issue
Section
License
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
