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Physical activity and exercise recommendations for people receiving dialysis: A scoping review

INTRODUCTION: Remaining physically active is important to patients undertaking dialysis, however, clinical recommendations regarding exercise type, timing, intensity, and safety precautions vary. The purpose of this scoping review was to analyse and summarise recommendations for physical activity an...

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Autores principales: Lambert, Kelly, Lightfoot, Courtney J., Jegatheesan, Dev K., Gabrys, Iwona, Bennett, Paul N.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9049336/
https://www.ncbi.nlm.nih.gov/pubmed/35482797
http://dx.doi.org/10.1371/journal.pone.0267290
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author Lambert, Kelly
Lightfoot, Courtney J.
Jegatheesan, Dev K.
Gabrys, Iwona
Bennett, Paul N.
author_facet Lambert, Kelly
Lightfoot, Courtney J.
Jegatheesan, Dev K.
Gabrys, Iwona
Bennett, Paul N.
author_sort Lambert, Kelly
collection PubMed
description INTRODUCTION: Remaining physically active is important to patients undertaking dialysis, however, clinical recommendations regarding exercise type, timing, intensity, and safety precautions vary. The purpose of this scoping review was to analyse and summarise recommendations for physical activity and exercise for people undertaking dialysis and identify areas that require further research or clarification. MATERIALS AND METHODS: A scoping review of literature from five bibliographic databases (Medline, Scopus, Web of Science, CINAHL, and SPORTDiscus) was conducted. Eligible articles included consensus guidelines, position statements, reviews, or clinical practice guidelines that included specific physical activity and exercise recommendations for people undertaking dialysis. Key search terms included "kidney disease" OR "kidney failure" OR "chronic kidney disease" OR "end stage kidney disease" AND guideline* OR consensus OR "position statement" OR prescription OR statement AND exercise OR "physical activity". Hand searching for relevant articles in all first twenty quartile 1 journals listed on SCImago under ‘medicine—nephrology’ and ‘physical therapy, sports therapy and rehabilitation’ using the terms ‘exercise and dialysis’ was undertaken. Finally, home pages of key societies and professional organisations in the field of sports medicine and nephrology were searched. RESULTS: The systematic search strategy identified 19 articles met the inclusion criteria. Two were specific to pediatric dialysis and three to peritoneal dialysis. Whilst many publications provided recommendations on aerobic exercise, progressive resistance training and flexibility, few provided explicit guidance. Recommendations for the intensity, duration and frequency of aerobic and resistance training varied. Discrepancies or gaps in guidance about precautions, contraindications, termination criteria, progression, and access site precautions were also apparent. CONCLUSION: Future guidelines should include specific guidance regarding physical activity, safety precautions, and timing and intensity of exercise for individuals who undertake dialysis. Collaborative multidisciplinary guideline development and appropriate exercise counselling may lead to increased participation in physical activity and exercise and facilitate better patient outcomes.
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spelling pubmed-90493362022-04-29 Physical activity and exercise recommendations for people receiving dialysis: A scoping review Lambert, Kelly Lightfoot, Courtney J. Jegatheesan, Dev K. Gabrys, Iwona Bennett, Paul N. PLoS One Research Article INTRODUCTION: Remaining physically active is important to patients undertaking dialysis, however, clinical recommendations regarding exercise type, timing, intensity, and safety precautions vary. The purpose of this scoping review was to analyse and summarise recommendations for physical activity and exercise for people undertaking dialysis and identify areas that require further research or clarification. MATERIALS AND METHODS: A scoping review of literature from five bibliographic databases (Medline, Scopus, Web of Science, CINAHL, and SPORTDiscus) was conducted. Eligible articles included consensus guidelines, position statements, reviews, or clinical practice guidelines that included specific physical activity and exercise recommendations for people undertaking dialysis. Key search terms included "kidney disease" OR "kidney failure" OR "chronic kidney disease" OR "end stage kidney disease" AND guideline* OR consensus OR "position statement" OR prescription OR statement AND exercise OR "physical activity". Hand searching for relevant articles in all first twenty quartile 1 journals listed on SCImago under ‘medicine—nephrology’ and ‘physical therapy, sports therapy and rehabilitation’ using the terms ‘exercise and dialysis’ was undertaken. Finally, home pages of key societies and professional organisations in the field of sports medicine and nephrology were searched. RESULTS: The systematic search strategy identified 19 articles met the inclusion criteria. Two were specific to pediatric dialysis and three to peritoneal dialysis. Whilst many publications provided recommendations on aerobic exercise, progressive resistance training and flexibility, few provided explicit guidance. Recommendations for the intensity, duration and frequency of aerobic and resistance training varied. Discrepancies or gaps in guidance about precautions, contraindications, termination criteria, progression, and access site precautions were also apparent. CONCLUSION: Future guidelines should include specific guidance regarding physical activity, safety precautions, and timing and intensity of exercise for individuals who undertake dialysis. Collaborative multidisciplinary guideline development and appropriate exercise counselling may lead to increased participation in physical activity and exercise and facilitate better patient outcomes. Public Library of Science 2022-04-28 /pmc/articles/PMC9049336/ /pubmed/35482797 http://dx.doi.org/10.1371/journal.pone.0267290 Text en © 2022 Lambert et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Lambert, Kelly
Lightfoot, Courtney J.
Jegatheesan, Dev K.
Gabrys, Iwona
Bennett, Paul N.
Physical activity and exercise recommendations for people receiving dialysis: A scoping review
title Physical activity and exercise recommendations for people receiving dialysis: A scoping review
title_full Physical activity and exercise recommendations for people receiving dialysis: A scoping review
title_fullStr Physical activity and exercise recommendations for people receiving dialysis: A scoping review
title_full_unstemmed Physical activity and exercise recommendations for people receiving dialysis: A scoping review
title_short Physical activity and exercise recommendations for people receiving dialysis: A scoping review
title_sort physical activity and exercise recommendations for people receiving dialysis: a scoping review
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9049336/
https://www.ncbi.nlm.nih.gov/pubmed/35482797
http://dx.doi.org/10.1371/journal.pone.0267290
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