Characteristics and Frequency of Physical Activity and Exercise-Related Side Effects in People Receiving Peritoneal Dialysis

IF 3.4 3区 医学 Q2 NUTRITION & DIETETICS
Brett Tarca PhD , Shilpanjali Jesudason MD, PhD , Paul N. Bennett PhD , Thomas P. Wycherley PhD , Katia E. Ferrar PhD
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Abstract

Objective

People receiving peritoneal dialysis may receive health benefits from physical activity or exercise. However, on-going uncertainty and fear regarding safety may result in this population missing out on the health benefits of participation. The aim of this study was to explore the characteristics and frequency of physical activity and/or exercise-related side effects (e.g., symptoms such as pain or shortness of breath) and negative health events (e.g., stroke or hyper/hypoglycemia) experienced by people receiving peritoneal dialysis.

Methods

An international online survey involving adults receiving peritoneal dialysis was conducted with questions related to nature, occurrence, and impact of side effects and/or negative health events experienced during or soon after participation in physical activity or exercise.

Results

Fifty-two people completed the survey reporting 151 side effects that were related to physical activity and exercise and 67 that were possibly related. Fatigue (58% of respondents), muscle/joint soreness or pain (54%), and dizziness (43%) were the most frequently reported side-effect types. The majority occurred occasionally (58% of all side effects), if not rarely (24%) and participation in on-going physical activity or exercise was typically prevented only occasionally (39%) or not at all (31%). Side effects were mainly self-managed (54% of all side effects) or did not require treatment (19%) and had low (38%) or no effect (30%) on ability to do daily activities.

Conclusions

People receiving peritoneal dialysis generally experience side effects that can be considered a normal response to physical activity or exercise engagement. Furthermore, the risk of serious or peritoneal dialysis-specific side effects as a result of physical activity or exercise appears to be low. The results add to the emerging evidence suggesting physical activity and exercise appear to be safe for people receiving peritoneal dialysis.

腹膜透析患者体育锻炼的特点和频率以及与锻炼有关的副作用
目的接受腹膜透析的人可能会从体育活动或锻炼中获得健康益处。然而,对安全性的持续不确定性和恐惧可能会导致这类人群错失参与体育锻炼所带来的健康益处。本研究旨在探讨体育锻炼和/或运动相关副作用(如疼痛或气短等症状)和负面健康事件(如中风或高/低血糖)的特征和频率、方法 对接受腹膜透析的成人进行了一项国际在线调查,调查问题涉及在参加体育锻炼期间或之后不久出现的副作用和/或负面健康事件的性质、发生率和影响。结果 52 人完成了调查,报告了 151 种与体育锻炼有关的副作用,67 种可能与体育锻炼有关。疲劳(58% 的受访者)、肌肉/关节酸痛(54%)和头晕(43%)是最常报告的副作用类型。大多数副作用偶尔发生(占所有副作用的 58%),即使不是很少发生(24%),通常也只是偶尔(39%)或根本没有(31%)妨碍参加正在进行的体力活动或锻炼。副作用主要由患者自行处理(占所有副作用的 54%)或无需治疗(19%),对日常活动能力的影响较小(38%)或没有影响(30%)。此外,体力活动或运动导致严重副作用或腹膜透析特有副作用的风险似乎很低。这些研究结果补充了新出现的证据,即体力活动和锻炼似乎对腹膜透析患者是安全的。
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来源期刊
Journal of Renal Nutrition
Journal of Renal Nutrition 医学-泌尿学与肾脏学
CiteScore
5.70
自引率
12.50%
发文量
146
审稿时长
6.7 weeks
期刊介绍: The Journal of Renal Nutrition is devoted exclusively to renal nutrition science and renal dietetics. Its content is appropriate for nutritionists, physicians and researchers working in nephrology. Each issue contains a state-of-the-art review, original research, articles on the clinical management and education of patients, a current literature review, and nutritional analysis of food products that have clinical relevance.
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