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http://dx.doi.org/10.5392/JKCA.2020.20.11.511

Effects of Ingressed Physical Activity in Hemodialysis Patients on Health-related Quality of Life and Nutritional Intake  

Park, Young-Joo (경주대학교 간호학과)
Publication Information
The Journal of the Korea Contents Association / v.20, no.11, 2020 , pp. 511-524 More about this Journal
Abstract
Purpose: This study aims to examine the effect of increased physical activity (PA) regarding health-related quality of life (QOL) and nutrition intake in hemodialysis patients. Methods: The research was quasi-experimental using pre-test and posttest design. The participants were 60 patients, 30 each in the experimental and control group. The program was up to eight weeks long and involved two kinds of aerobic exercises: intradialytic aerobic exercise to be performed thrice a week and walking for up to seven days a week. The 60 patients undergoing hemodialysis for end-stage renal disease underwent assessment of International Physical Activity Questionnaires (IPAQ), 24-hour diet recall and a 12-item short-form health survey (SF-12; physical component summary score(PCS) and mental component summary score(MCS)) before and after the exercise program. Nutrition intake was assessed using CAN-2.0. Data were analyzed using descriptive statistics, independent t-test, 𝑥2 test, and Mann-Whitney U test. Results: In the experimental group, PA post-test scores were also significantly higher than the pre-test scores and the levels of physical component summary score (PCS) in QOL were significantly improved post-test, but the scores on nutrient intake did not improve. The levels of PCS were significant correlations animal protein, manganese, selenium, and Vitamin C. Although there was no group effect, total calorie of nutrition intake was higher than the comparison group. Conclusion: Combined intradialytic exercise and walking was found to be effective on PA, and PCS in QOL. Therefore, the findings of the current study may provide an appropriate guidance for encouraging exercise by hemodialysis patient.
Keywords
Physical Activity; Exercise; Quality of Life; Nutrition Status; Renal Dialysis;
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1 R. Matsuzawa, A. Matsunaga, G. Wang, T. Kutsuna, A. Ishii, Y. Abe, Y. Takagi, A. Yoshida, and N. Takahira, "Habitual physical activity measured by accelerometer and survival in maintenance hemodialysis patients," Clinical Journal of the American Society of Nephrology, Vol.7, No.12, pp.2010-2016, 2012.   DOI
2 S. Bogataj, M. Pajek, J. Pajek, J. Buturovic Ponikvar, and A. H. Paravlic, "Exercise-Based Interventions in Hemodialysis Patients: A Systematic Review with a Meta-Analysis of Randomized Controlled Trials," Journal of Clinical Medicine, Vol.9, No.1, p.43, 2020.   DOI
3 A. S. Musavian, A. Soleimani, N. M. Alavi, A. Baseri, and F. Savari, "Comparing the Effects of Active and Passive Intradialytic Pedaling Exercises on Dialysis Efficacy, Electrolytes, Hemoglobin, Hematocrit, Blood Pressure and Health-Related Quality of Life," Nursing and midwifery studies, Vol.4, No.1, 2015.
4 C. D. Giannaki, G. M. Hadjigeorgiou, C. Karatzaferi, M. D. Maridaki, Y. Koutedakis, P. Founta, N. Tsianas, L. stefanidis, and G. K. Sakkas, "A single-blind randomized controlled trial to evaluate the effect of 6 months of progressive aerobic exercise training in patients with uraemic restless legs syndrome," Nephrology Dialysis Transplantation, p.288, 2013.
5 E. J. Jang and H. S. Kim, "Effects of Exercise Intervention on Physical Fitness and Health-relalted Quality of Life in Hemodialysis Patients," The Korean Journal of Fundamentals of Nursing, Vol.39, No.4, pp.584-593, 2009.
6 A. Sabatino, G. Regolisti, T. Karupaiah, S. Sahathevan, B. S. Singh, B. Khor, N. Salhab, M. Karavetian, A. Cupisti, and E. Fiaccadori, "Protein-energy wasting and nutritional supplementation in patients with end-stage renal disease on hemodialysis," Clinical nutrition, Vol.36, No.3, pp.663-671, 2017.   DOI
7 I. Beberashvili, A. Azar, I. Sinuani, G. Shapiro, L. Feldman, J. Sandbank, K. Stav, and S. Efrati, "Geriatric nutritional risk index, muscle function, quality of life and clinical outcome in hemodialysis patients," Clinical Nutrition, Vol.35, No.6, pp.1522-1529, 2016.   DOI
8 B. T. Agganis, D. E. Weiner, L. M. Giang, T. Scott, H. Tighiouart, J. L. Griffith, M. J. Sarnak, "Depression and cognitive function in maintenance hemodialysis patients," American Journal of Kidney Diseases, Vol.56, No.4, pp.704-712, 2010.   DOI
9 S. Ouzouni, E. Kouidi, A. Sioulis, D. Grekas, and A. Deligiannis, "Effects of intradialytic exercise training on health-related quality of life indices in haemodialysis patients," Clinical rehabilitation, Vol.23, No.1, pp.53-63, 2009.   DOI
10 M. De Moura Reboredo, D. M. N. Henrique, R. De Souza Faria, A. Chaoubah, M. G. Bastos, and R. B. De Paula, "Exercise training during hemodialysis reduces blood pressure and increases physical functioning and quality of life," Artificial organs, Vol.34, No.7, pp.586-593, 2010.   DOI
11 A. Bilgic, A. Akgul, S. Sezer, Z. Arat, F. N. Ozdemir, and M. Haberal, "Nutritional status and depression, sleep disorder, and quality of life in hemodialysis patients," Journal of Renal Nutrition, Vol.17, No.6, pp.381-388, 2007.   DOI
12 M. A. Kraus, R. J. Fluck, E. D. Weinhandl, S. Kansal, M. Copland, P. Komenda, and F. O. Finkelstein, "Intensive hemodialysis and health-related quality of life," American Journal of Kidney Diseases, Vol.68, No.5, pp.S33-S42, 2016.   DOI
13 P. Stirling, S. P. MacKenzie, J. F. Maempel, C. McCann, R. Ray, N. D. Clement, T. O. White, and J. F. Keating, "Patient-reported functional outcomes and health-related quality of life following fractures of the talus," The Annals of The Royal College of Surgeons of England, Vol.101, No.6, pp.399-404, 2019.   DOI
14 R. Brigelius-Flohe, Selenium in human health and disease: An overview, Springer, pp.3-26, 2018.
15 J. Alonso, M. Ferrer, B. Gandek, J. E. Ware Jr, N. K. Aaronson, P. Mosconi, N. K. Rasmussen, M. Bullinger, S. Fukuhara, S. Kaasa, and A. Leplege, "Health-related quality of life associated with chronic conditions in eight countries: results from the International Quality of Life Assessment (IQOLA) Project," Quality of life research, Vol.13, No.2, pp.283-298, 2004.   DOI
16 L. Rees, "Protein energy wasting; what is it and what can we do to prevent it?," Pediatric Nephrology, pp.1-8, 2019.
17 T. V. Peres, M. R. C. Schettinger, P. Chen, F. Carvalho, D. S. Avila, A. B. Bowman, and M. Aschner, "Manganese-induced neurotoxicity: a review of its behavioral consequences and neuroprotective strategies," BMC Pharmacology and Toxicology, Vol.17, No.1, p.57, 2016.   DOI
18 M. Aschner, K. M. Erikson, and D. C. Dorman, "Manganese dosimetry: species differences and implications for neurotoxicity," Critical reviews in toxicology, Vol.35, No.1, pp.1-32, 2005.   DOI
19 M. Tonelli, N. Wiebe, A. Bello, C. J. Field, J. S. Gill, B. R. Hemmelgarn, D. T. Holmes, K. Jindal, S. W. Klarenbach, B. J. Manns, R. Thadhani, and D. Kinniburgh, "Concentrations of trace elements and clinical outcomes in hemodialysis patients: a prospective cohort study," Clinical Journal of the American Society of Nephrology, Vol.13, No.6, pp.907-915, 2018.   DOI
20 http://www.ksn.or.kr/rang_board/inc/download.p-hp?nocount=1&code=sinchart&num=2067, 2020.08.15.
21 N. Cano, M. Aparicio, G. Brunori, J. Carrero, B. Cianciaruso, E. Fiaccadori, B. Lindholm, V. Teplan, D. Fouque, G. Guarnieri, "ESPEN Guidelines on Parenteral Nutrition: adult renal failure," Clinical nutrition, Vol.28, No.4, pp.401-414, 2009.   DOI
22 A. A. Ozdemir, E. H. A. Soy, and R. Erdal, "Being a hemodialysis patient. Is it a disruption in life?," Annals of Medical Research, Vol.26, No.5, pp.778-782, 2019.
23 T. Kutsuna, A. Matsunaga, T. Matsumoto, A. Ishii, K. Yamamoto, K. Hotta, N. Aiba, Y. Takagi, A. Yoshida, N. Takarira, and T. Masuda, "Physical activity is necessary to prevent deterioration of the walking ability of patients undergoing maintenance hemodialysis," Therapeutic Apheresis and Dialysis, Vol.14, No.2, pp.193-200, 2010.   DOI
24 Y. Irie, K. Hayashi, and H. Shinozaki, "Health-related Quality of Life and Potential Barriers to Adequate Nutrition among Japanese Hemodialysis Patients," The Kitakanto Medical Journal, Vol.67, No.4, pp.291-298, 2017.   DOI
25 Y. Fujishima, M. Ohsawa, K. Itai, K. Kato, K. Tanno, T. C. Turin, T. E. S. Onoda, A. Okayama, and T. Gujioka, "Serum selenium levels in hemodialysis patients are significantly lower than those in healthy controls," Blood purification, Vol.32, No.1, pp.43-47, 2011.   DOI
26 M. Salehi, Z. Sohrabi, M. Ekramzadeh, M. K. Fallahzadeh, M. Ayatollahi, B. Geramizadeh, J. Hassanzadeh, and M. M. Sagheb, "Selenium supplementation improves the nutritional status of hemodialysis patients: a randomized, double-blind, placebo-controlled trial," Nephrology Dialysis Transplantation, Vol.28, No.3, pp.716-723, 2013.   DOI
27 R. Deicher, F. Ziai, C. Bieglmayer, M. Schillinger, and W. H. and Horl, "Low total vitamin C plasma level is a risk factor for cardiovascular morbidity and mortality in hemodialysis patients," Journal of the American Society of Nephrology, Vol.16, No.6, pp.1811-1818, 2005.   DOI
28 H. Bilo, L. Coentrao, C. Couchoud, A. Covic, J. De Sutter, C. Drechsler, L. Gnudi, D. Goldsmith, J. Heaf, O. Heimburger, K. J. Jager, H. Nacak, M. J. Soler, L. V. Huffel, C. Tomson, S. V. Laecke, L. Weekers, A. Wiecek, D. Bolignano, M. Haller, E. Nagler, L. Nistor, S. Veer, and W. V. Biesen, "Clinical Practice Guideline on management of patients with diabetes and chronic kidney disease stage 3b or higher (eGFR< 45 mL/min)," Nephrology Dialysis Transplantation, Vol.30, No.2, pp.ii1-ii142, 2015.   DOI
29 K. Kalantar-Zadeh, A. R. Tortorici, J. L. Chen, M. Kamgar, W. L. Lau, H. Moradi, C. M. Rhee, E. Sterja, and C. P. Kovesdy, Dietary restrictions in dialysis patients: is there anything left to eat?, Seminars in dialysis, Wiley Online Library, 2015.
30 X. Moreau-Gaudry, G. Jean, L. Genet, D. Lataillade, E. Legrand, F. Kuentz, and D. Fouque, "A simple protein-energy wasting score predicts survival in maintenance hemodialysis patients," Journal of Renal Nutrition, Vol.24, No.6, pp.395-400, 2014.   DOI
31 J. Y. Oh, Y. J. Yang, B. S. Kim, and J. H. Kang, "Validity and Reliability of Korean Version of International Physical Activity Questionnaire (IPAQ) Short Form," Journal of the Korean Academy of Family Medicine, Vol.28, No.7, pp.532-541, 2007.
32 http://www.kns.or.kr/FileRoom/FileRoom_view.asp?mode=mod&restring=%252FFileRoom%252FFileRoom.asp%253Fxsearch%253D0%253D%253Dxrow%253D10%253D%253DBoardID%253DKdr%253D%253Dpage%253D1&idx=79&page=1&BoardID=Kdr&xsearch=1&cn_search=, 2020.7.30.
33 R. Khanna, K. Jariwala, and D. West-Strum, "Validity and reliability of the Medical Outcomes Study Short-Form Health Survey version 2 (SF-12v2) among adults with autism," Research in developmental disabilities, Vol.43, pp.51-60, 2015.   DOI
34 A. A. Lopes, B. Lantz, H. Morgenstern, M. Wang, B. A. Bieber, B. W. Gillespie, Y. Li, P. Painter, S. H. Jacobson, H. C. Rayner, D. L. Mapes, R. C. Vanholder, T. Hasegawa, B. M. Robinson, and R. L. Pisoni, "Associations of self-reported physical activity types and levels with quality of life, depression symptoms, and mortality in hemodialysis patients: the DOPPS," Clinical journal of the American Society of Nephrology, Vol.9, pp,1702-1712, 2014(10).   DOI
35 K. L. Johansen, G. M. Chertow, A. V. Ng, K. Mulligan, S. Carey, P. Y. Schoenfeld, and J. A. Kent-Braun, "Physical activity levels in patients on hemodialysis and healthy sedentary controls," Kidney international, Vol.57, No.6, pp.2564-2570, 2000.   DOI
36 N. Smart, J. McFarlane, and V. Cornelissen, "The effect of exercise therapy on physical function, biochemistry and dialysis adequacy in haemodialysis patients: a systematic review and meta-analysis," Open Journal of Nephrology, Vol.3, No.1, p.25, 2013.   DOI
37 D. E. Warburton and S. S. Bredin, "Health benefits of physical activity: a systematic review of current systematic reviews," Current opinion in cardiology, Vol.32, No.5, pp.541-556, 2017.   DOI
38 K. L. Piercy, R. P. Troiano, R. M. Ballard, S. A. Carlson, J. E. Fulton, D. A. Galuska, S. M. George, and R. D. Olson, "The physical activity guidelines for Americans," Jama, Vol.320, No.19, pp.2020-2028, 2018.   DOI
39 I. M. Lee, E. J. Shiroma, F. Lobelo, P. Puska, S. N. Blair, and P. T. Katzmarzyk, "Effect of physical inactivity on major non-communicable diseases worldwide: an analysis of burden of disease and life expectancy," The lancet, Vol.380, No.9838, pp.219-229, 2012.   DOI
40 I. M. Lee and D. M. Buchner, "The importance of walking to public health," Medicine and science in sports and exercise, Vol.40, No.7, pp.S512-518, 2008.   DOI
41 Y. M. Liu, Y. C. Chung, J. S. Chang, and M. L. Yeh, "Effects of aerobic exercise during hemodialysis on physical functional performance and depression," Biological research for nursing, Vol.17, No.2, pp,214-221, 2014.   DOI