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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

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  • Yu‐Chu Chung
  • Mei‐Ling Yeh
  • Yueh‐Min Liu

Abstract

Aims and objectives To determine the efficacy and safety of intradialytic exercises for haemodialysis patients, this study conducted a systematic review and meta‐analysis of randomised controlled trials. Background Patients receiving haemodialysis have poor physical function, psychological status and quality of life than the general population. Exercise training may improve these parameters for haemodialysis patients. Design Systemic review was performed, and a meta‐analysis was conducted. Methods Medline, PubMed, Cochrane Central Register of Controlled Trials, SPORTDiscus, Cumulative Index to Nursing and Allied Health Literature and Airiti Library were systematically searched for studies up to January 2015. In addition, the reference lists of eligible studies and relevant reviews were assessed. Results Seventeen studies with a total of 651 participants were included. Compared with no resistance exercise, nonexercise and walks at home, intradialytic exercises significantly improved the peak oxygen consumption (SMD = 0·50, 95% CI: 0·26–0·74), haemoglobin (SMD = 0·34, 95% CI: 0·13–0·55), depression (SMD = −0·80, 95% CI: −1·10 to −0·50) and physical component of the quality of life (SMD = 0·46, 95% CI: 0·20–0·73). Intradialytic exercises are safe with no adverse events. However, significant improvements were not observed in the albumin level and mental component of the quality of life. Conclusions The study results facilitate selecting intradialytic exercise that improves and provides safety with respect to the peak oxygen consumption, haemoglobin, depression and physical component of the quality of life. Furthermore, regular exercise should be considered a crucial therapeutic modality for patients undergoing haemodialysis. Relevance to clinical practice This study suggests that performing intradialytic exercises for 30 minutes per session three times a week for at least ≥8 weeks is beneficial. Regular exercise should be considered as a crucial therapeutic modality of managing patients undergoing haemodialysis, thus guiding in clinical practice.

Suggested Citation

  • 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.
  • Handle: RePEc:wly:jocnur:v:26:y:2017:i:13-14:p:1801-1813
    DOI: 10.1111/jocn.13514
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    References listed on IDEAS

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    1. Gülseren Keskin & Esra Engin, 2011. "The evaluation of depression, suicidal ideation and coping strategies in haemodialysis patients with renal failure," Journal of Clinical Nursing, John Wiley & Sons, vol. 20(19‐20), pages 2721-2732, October.
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    Cited by:

    1. 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.
    2. Pernille Maria Wodskou & Sasha Maria Reinhardt & Marie Borring Andersen & Stig Molsted & Lone Helle Schou, 2021. "Motivation, Barriers, and Suggestions for Intradialytic Exercise—A Qualitative Study among Patients and Nurses," IJERPH, MDPI, vol. 18(19), pages 1-12, October.

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