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One-year intradialytic leg exercises with resistance bands and fat mass increase in elderly hemodialysis patients: a retrospective study

BACKGROUND: Intradialytic exercises are recommended to be available as a treatment for enhancing physical functioning. However, there have been few reports which evaluated the results of long-term mild intradialytic exercises in elderly patients. The purpose of this study is to investigate the chang...

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Autores principales: Kato, Masahiro, Shibata, Masanori, Asai, Kazuaki, Harada, Kumi, Ito, Isao, Tawada, Hisae, Nagai, Kojiro, Taniguchi, Shinkichi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8097127/
https://www.ncbi.nlm.nih.gov/pubmed/33968420
http://dx.doi.org/10.1186/s41100-021-00341-z
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author Kato, Masahiro
Shibata, Masanori
Asai, Kazuaki
Harada, Kumi
Ito, Isao
Tawada, Hisae
Nagai, Kojiro
Taniguchi, Shinkichi
author_facet Kato, Masahiro
Shibata, Masanori
Asai, Kazuaki
Harada, Kumi
Ito, Isao
Tawada, Hisae
Nagai, Kojiro
Taniguchi, Shinkichi
author_sort Kato, Masahiro
collection PubMed
description BACKGROUND: Intradialytic exercises are recommended to be available as a treatment for enhancing physical functioning. However, there have been few reports which evaluated the results of long-term mild intradialytic exercises in elderly patients. The purpose of this study is to investigate the changes in body weight, body composition, and laboratory data in elderly hemodialysis patients after 1-year intradialytic leg exercises with resistance bands. METHODS: A retrospective study. Twenty-one outpatients, aged 65 or older (mean ± SD, 75.2 ± 5.1 years), received intradialytic leg exercises with resistance bands for a year were analyzed. The values of dry weight, body composition, and laboratory data were collected from the year-ago period, at baseline and 1 year after baseline. Fat and muscle mass were evaluated by using a multi-frequency bioimpedance device. RESULTS: Physical performance changed and body weight increased after 1-year resistance band exercises. However, the participants gained fat mass, not muscle mass. Although the changes in biochemical data related to protein intake were equivocal, triglyceride levels increased significantly after 1-year exercises. An elevation in serum creatinine levels was observed, even if solute clearance increased significantly. CONCLUSIONS: One-year intradialytic leg exercises with resistance bands may have a potential clinical benefit for body mass index even in elderly hemodialysis patients. However, optimal dietary modification is needed to achieve a balanced increase of muscle and fat mass. An increase of serum creatinine levels does not always mean muscle mass hypertrophy. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s41100-021-00341-z.
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spelling pubmed-80971272021-05-05 One-year intradialytic leg exercises with resistance bands and fat mass increase in elderly hemodialysis patients: a retrospective study Kato, Masahiro Shibata, Masanori Asai, Kazuaki Harada, Kumi Ito, Isao Tawada, Hisae Nagai, Kojiro Taniguchi, Shinkichi Ren Replace Ther Research BACKGROUND: Intradialytic exercises are recommended to be available as a treatment for enhancing physical functioning. However, there have been few reports which evaluated the results of long-term mild intradialytic exercises in elderly patients. The purpose of this study is to investigate the changes in body weight, body composition, and laboratory data in elderly hemodialysis patients after 1-year intradialytic leg exercises with resistance bands. METHODS: A retrospective study. Twenty-one outpatients, aged 65 or older (mean ± SD, 75.2 ± 5.1 years), received intradialytic leg exercises with resistance bands for a year were analyzed. The values of dry weight, body composition, and laboratory data were collected from the year-ago period, at baseline and 1 year after baseline. Fat and muscle mass were evaluated by using a multi-frequency bioimpedance device. RESULTS: Physical performance changed and body weight increased after 1-year resistance band exercises. However, the participants gained fat mass, not muscle mass. Although the changes in biochemical data related to protein intake were equivocal, triglyceride levels increased significantly after 1-year exercises. An elevation in serum creatinine levels was observed, even if solute clearance increased significantly. CONCLUSIONS: One-year intradialytic leg exercises with resistance bands may have a potential clinical benefit for body mass index even in elderly hemodialysis patients. However, optimal dietary modification is needed to achieve a balanced increase of muscle and fat mass. An increase of serum creatinine levels does not always mean muscle mass hypertrophy. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s41100-021-00341-z. BioMed Central 2021-05-05 2021 /pmc/articles/PMC8097127/ /pubmed/33968420 http://dx.doi.org/10.1186/s41100-021-00341-z Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Kato, Masahiro
Shibata, Masanori
Asai, Kazuaki
Harada, Kumi
Ito, Isao
Tawada, Hisae
Nagai, Kojiro
Taniguchi, Shinkichi
One-year intradialytic leg exercises with resistance bands and fat mass increase in elderly hemodialysis patients: a retrospective study
title One-year intradialytic leg exercises with resistance bands and fat mass increase in elderly hemodialysis patients: a retrospective study
title_full One-year intradialytic leg exercises with resistance bands and fat mass increase in elderly hemodialysis patients: a retrospective study
title_fullStr One-year intradialytic leg exercises with resistance bands and fat mass increase in elderly hemodialysis patients: a retrospective study
title_full_unstemmed One-year intradialytic leg exercises with resistance bands and fat mass increase in elderly hemodialysis patients: a retrospective study
title_short One-year intradialytic leg exercises with resistance bands and fat mass increase in elderly hemodialysis patients: a retrospective study
title_sort one-year intradialytic leg exercises with resistance bands and fat mass increase in elderly hemodialysis patients: a retrospective study
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8097127/
https://www.ncbi.nlm.nih.gov/pubmed/33968420
http://dx.doi.org/10.1186/s41100-021-00341-z
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