Cargando…

Effect of Intradialytic Exercise on Hyperphosphatemia and Malnutrition

Intradialytic exercise (IDE) is not routinely prescribed in hemodialysis (HD) units despite its potential benefits on patients’ outcomes. This study was the first in the United Arab Emirates to examine the effect of aerobic IDE on hyperphosphatemia, malnutrition, and other health outcomes among HD p...

Descripción completa

Detalles Bibliográficos
Autores principales: Salhab, Nada, Alrukhaimi, Mona, Kooman, Jeroen, Fiaccadori, Enrico, Aljubori, Harith, Rizk, Rana, Karavetian, Mirey
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6836201/
https://www.ncbi.nlm.nih.gov/pubmed/31618888
http://dx.doi.org/10.3390/nu11102464
_version_ 1783466853088100352
author Salhab, Nada
Alrukhaimi, Mona
Kooman, Jeroen
Fiaccadori, Enrico
Aljubori, Harith
Rizk, Rana
Karavetian, Mirey
author_facet Salhab, Nada
Alrukhaimi, Mona
Kooman, Jeroen
Fiaccadori, Enrico
Aljubori, Harith
Rizk, Rana
Karavetian, Mirey
author_sort Salhab, Nada
collection PubMed
description Intradialytic exercise (IDE) is not routinely prescribed in hemodialysis (HD) units despite its potential benefits on patients’ outcomes. This study was the first in the United Arab Emirates to examine the effect of aerobic IDE on hyperphosphatemia, malnutrition, and other health outcomes among HD patients. Participants were chosen from the largest HD unit in Sharjah Emirate for a quasi-experimental intervention with pre and post evaluation. The study lasted for 12 months. Study parameters were collected at baseline, post intervention, and follow-up. The intervention included a moderate-intensity aerobic IDE of 45 min per HD session; intensity was assessed using the Borg Scale. Patients were educated on the importance of exercise. Study outcomes were serum phosphorus (P), malnutrition inflammation score (MIS), quality of life (QOL), and pertinent blood tests. Forty-one eligible consenting HD patients were included in the study. Results at follow-up showed a non-significant reduction in P (p = 0.06) in patients who were hyperphosphatemic at baseline, but not in the sample as whole. MIS did not deteriorate throughout the study (p = 0.97). IDE resulted in a non-significant increase in the QOL visual analogue scale (p = 0.34). To conclude, aerobic IDE for 45 min is safe and could be beneficial, especially for hyperphosphatemic patients.
format Online
Article
Text
id pubmed-6836201
institution National Center for Biotechnology Information
language English
publishDate 2019
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-68362012019-11-25 Effect of Intradialytic Exercise on Hyperphosphatemia and Malnutrition Salhab, Nada Alrukhaimi, Mona Kooman, Jeroen Fiaccadori, Enrico Aljubori, Harith Rizk, Rana Karavetian, Mirey Nutrients Article Intradialytic exercise (IDE) is not routinely prescribed in hemodialysis (HD) units despite its potential benefits on patients’ outcomes. This study was the first in the United Arab Emirates to examine the effect of aerobic IDE on hyperphosphatemia, malnutrition, and other health outcomes among HD patients. Participants were chosen from the largest HD unit in Sharjah Emirate for a quasi-experimental intervention with pre and post evaluation. The study lasted for 12 months. Study parameters were collected at baseline, post intervention, and follow-up. The intervention included a moderate-intensity aerobic IDE of 45 min per HD session; intensity was assessed using the Borg Scale. Patients were educated on the importance of exercise. Study outcomes were serum phosphorus (P), malnutrition inflammation score (MIS), quality of life (QOL), and pertinent blood tests. Forty-one eligible consenting HD patients were included in the study. Results at follow-up showed a non-significant reduction in P (p = 0.06) in patients who were hyperphosphatemic at baseline, but not in the sample as whole. MIS did not deteriorate throughout the study (p = 0.97). IDE resulted in a non-significant increase in the QOL visual analogue scale (p = 0.34). To conclude, aerobic IDE for 45 min is safe and could be beneficial, especially for hyperphosphatemic patients. MDPI 2019-10-15 /pmc/articles/PMC6836201/ /pubmed/31618888 http://dx.doi.org/10.3390/nu11102464 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Salhab, Nada
Alrukhaimi, Mona
Kooman, Jeroen
Fiaccadori, Enrico
Aljubori, Harith
Rizk, Rana
Karavetian, Mirey
Effect of Intradialytic Exercise on Hyperphosphatemia and Malnutrition
title Effect of Intradialytic Exercise on Hyperphosphatemia and Malnutrition
title_full Effect of Intradialytic Exercise on Hyperphosphatemia and Malnutrition
title_fullStr Effect of Intradialytic Exercise on Hyperphosphatemia and Malnutrition
title_full_unstemmed Effect of Intradialytic Exercise on Hyperphosphatemia and Malnutrition
title_short Effect of Intradialytic Exercise on Hyperphosphatemia and Malnutrition
title_sort effect of intradialytic exercise on hyperphosphatemia and malnutrition
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6836201/
https://www.ncbi.nlm.nih.gov/pubmed/31618888
http://dx.doi.org/10.3390/nu11102464
work_keys_str_mv AT salhabnada effectofintradialyticexerciseonhyperphosphatemiaandmalnutrition
AT alrukhaimimona effectofintradialyticexerciseonhyperphosphatemiaandmalnutrition
AT koomanjeroen effectofintradialyticexerciseonhyperphosphatemiaandmalnutrition
AT fiaccadorienrico effectofintradialyticexerciseonhyperphosphatemiaandmalnutrition
AT aljuboriharith effectofintradialyticexerciseonhyperphosphatemiaandmalnutrition
AT rizkrana effectofintradialyticexerciseonhyperphosphatemiaandmalnutrition
AT karavetianmirey effectofintradialyticexerciseonhyperphosphatemiaandmalnutrition