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Effects of Intradialytic Exercise on Dialytic Parameters, Health-Related Quality of Life, and Depression Status in Hemodialysis Patients: A Randomized Controlled Trial

Author

Listed:
  • Chia-Huei Lin

    (Nursing Department, Tri-Service General Hospital, Taipei 11490, Taiwan
    School of Nursing, National Defense Medical Center, Taipei 11490, Taiwan)

  • Yu-Juei Hsu

    (Nephrology Division, Tri-Service General Hospital, Taipei 11490, Taiwan
    School of Medicine, National Defense Medical Center, Taipei 11490, Taiwan)

  • Pi-Hsiu Hsu

    (Dialysis Center, Tri-Service General Hospital, Taipei 11490, Taiwan)

  • Yi-Ling Lee

    (Dialysis Center, Songshan Branch of Tri-Service General Hospital, Taipei 10581, Taiwan)

  • Chueh-Ho Lin

    (Master Program in Long-Term Care & School of Gerontology Health Management, College of Nursing, Taipei Medical University, Taipei 110301, Taiwan
    Center for Nursing and Healthcare Research in Clinical Practice Application, Wan Fang Hospital, Taipei Medical University, Taipei 110301, Taiwan)

  • Meei-Shyuan Lee

    (School of Public Health & Graduated Institute of Medical Science, National Defense Medical Center, Taipei 11490, Taiwan)

  • Shang-Lin Chiang

    (School of Medicine, National Defense Medical Center, Taipei 11490, Taiwan
    Department of Physical Medicine and Rehabilitation, Tri-Service General Hospital, Taipei 11490, Taiwan)

Abstract

Exercise is fundamentally important in managing chronic diseases and improving health-related quality of life (HRQL). However, whether intradialytic exercise is safe through assessment of changes in dialytic parameters and has a positive impact on HRQL and depression status of hemodialysis patients requires further research with diverse racial and cultural populations to identify. This study aimed to evaluate the effects of intradialytic exercise on dialytic parameters, HRQL, and depression status in hemodialysis patients. A randomized controlled trial was conducted at a medical center in Northern Taiwan. Sixty-four hemodialysis patients were recruited using stratified random sampling. Participants were randomized into an experimental group (EG, n = 32) or a control group (CG, n = 32). The EG received a 12-week intradialytic exercise program while the CG maintained their usual lifestyles. Dialytic parameters, HRQL, and depression status were collected at baseline and at 12 weeks. The results indicated no differences in the dialytic parameters from the baseline between both groups. However, the EG had increased HRQL (ß = 22.6, p < 0.001) and reduced depression status (ß = −7.5, p = 0.02) at 12 weeks compared to the CG. Therefore, a 12-week intradialytic exercise regime is safe and effective in improving HRQL and reducing depression status for hemodialysis patients.

Suggested Citation

  • Chia-Huei Lin & Yu-Juei Hsu & Pi-Hsiu Hsu & Yi-Ling Lee & Chueh-Ho Lin & Meei-Shyuan Lee & Shang-Lin Chiang, 2021. "Effects of Intradialytic Exercise on Dialytic Parameters, Health-Related Quality of Life, and Depression Status in Hemodialysis Patients: A Randomized Controlled Trial," IJERPH, MDPI, vol. 18(17), pages 1-16, August.
  • Handle: RePEc:gam:jijerp:v:18:y:2021:i:17:p:9205-:d:626550
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    References listed on IDEAS

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    1. Yu‐Chu Chung & Mei‐Ling Yeh & Yueh‐Min Liu, 2017. "Effects of intradialytic exercise on the physical function, depression and quality of life for haemodialysis patients: a systematic review and meta‐analysis of randomised controlled trials," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(13-14), pages 1801-1813, July.
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    Cited by:

    1. Yu-Hui Wu & Yu-Juei Hsu & Wen-Chii Tzeng, 2022. "Physical Activity and Health-Related Quality of Life of Patients on Hemodialysis with Comorbidities: A Cross-Sectional Study," IJERPH, MDPI, vol. 19(2), pages 1-12, January.
    2. Yu-Hui Wu & Yu-Juei Hsu & Wen-Chii Tzeng, 2022. "Correlation between Physical Activity and Psychological Distress in Patients Receiving Hemodialysis with Comorbidities: A Cross-Sectional Study," IJERPH, MDPI, vol. 19(7), pages 1-16, March.

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