Effects of a combined aerobic and core stabilization exercise training program on functional capacity, pain, and health-related quality of life in hemodialysis and kidney transplant patients.

IF 3 3区 医学 Q1 UROLOGY & NEPHROLOGY
Renal Failure Pub Date : 2024-12-01 Epub Date: 2024-06-28 DOI:10.1080/0886022X.2024.2370439
Enikő Király, Gergő József Szőllősi, Zoltán Jenei, József Balla, István Kárpáti
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Abstract

Background: Chronic kidney disease (CKD) poses a significant public health challenge globally while impacting patients' physical function and quality of life. Addressing the issues of physical inactivity and pain management is essential during treatment to improve health-related quality of life. The present study investigated the effect of an aerobic training program with core stabilization exercises for hemodialysis (HD) patients on a transplant waiting list and renal transplant (RTx) patients.

Methods: A total of 45 patients with CKD were included in the 12-week study: 25 patients receiving HD (12 HD treatment group, 13 HD control group) and 20 patients with RTx (9 RTx treatment group, 11 RTx control group). Functional capacity was measured using the 6-min walk test, pain was measured using the visual analog scale, and health-related quality of life was measured using the Kidney Disease Quality of Life-Short Form 12 questionnaire. Nonparametric statistical tests were performed at a significance level of 0.05.

Results: Both the HD and RTx treatment groups showed significantly reduced times for the 6-min walking test (p = 0.002 and p = 0.008, respectively), significantly reduced pain severity (p = 0.002 and p = 0.008, respectively), and significantly improved quality of life scores (p = 0.006 and p = 0.041, respectively) by the end of the study compared with control groups.

Conclusion: Based on the results, structured exercise programs could be effective therapies in CKD management. Therefore, health providers should promote their integration into routine care practices to enhance patient outcomes and well-being.

有氧运动和核心稳定运动联合训练计划对血液透析和肾移植患者的功能、疼痛和健康相关生活质量的影响。
背景:慢性肾脏病(CKD)影响患者的身体功能和生活质量,对全球公共卫生构成重大挑战。在治疗过程中,解决缺乏运动和疼痛控制的问题对于改善与健康相关的生活质量至关重要。本研究调查了血液透析(HD)等待移植名单上的患者和肾移植(RTx)患者的有氧训练计划与核心稳定练习的效果:共有 45 名慢性肾脏病患者参加了为期 12 周的研究:25 名接受血液透析的患者(12 名血液透析治疗组,13 名血液透析对照组)和 20 名肾移植患者(9 名肾移植治疗组,11 名肾移植对照组)。功能能力通过 6 分钟步行测试进行测量,疼痛通过视觉模拟量表进行测量,健康相关生活质量通过肾病生活质量短表 12 问卷进行测量。非参数统计检验的显著性水平为 0.05:结果:研究结束时,与对照组相比,HD 组和 RTx 治疗组的 6 分钟步行测试时间明显缩短(分别为 p = 0.002 和 p = 0.008),疼痛严重程度明显减轻(分别为 p = 0.002 和 p = 0.008),生活质量评分明显提高(分别为 p = 0.006 和 p = 0.041):结论:根据研究结果,结构化锻炼计划是治疗慢性肾脏病的有效疗法。结论:根据研究结果,结构化锻炼计划是治疗慢性肾脏病的有效疗法,因此,医疗服务提供者应将其纳入常规护理实践,以提高患者的治疗效果和生活质量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Renal Failure
Renal Failure 医学-泌尿学与肾脏学
CiteScore
3.90
自引率
13.30%
发文量
374
审稿时长
1 months
期刊介绍: Renal Failure primarily concentrates on acute renal injury and its consequence, but also addresses advances in the fields of chronic renal failure, hypertension, and renal transplantation. Bringing together both clinical and experimental aspects of renal failure, this publication presents timely, practical information on pathology and pathophysiology of acute renal failure; nephrotoxicity of drugs and other substances; prevention, treatment, and therapy of renal failure; renal failure in association with transplantation, hypertension, and diabetes mellitus.
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