Shota Matsufuji1, Tetsuo Shoji2, Yoshiaki Yano1, Yoshihiro Tsujimoto3, Hiroshi Kishimoto3, Tsutomu Tabata3, Masanori Emoto4, Masaaki Inaba4. 1. Division of Rehabilitation, Inoue Hospital, Suita, Japan. 2. Department of Geriatrics and Vascular Medicine, Graduate School of Medicine, Osaka City University, Osaka, Japan. Electronic address: t-shoji@med.osaka-cu.ac.jp. 3. Division of Internal Medicine, Inoue Hospital, Suita, Japan. 4. Department of Metabolism, Endocrinology and Molecular Medicine, Osaka City University Graduate School of Medicine, Osaka, Japan.
Abstract
OBJECTIVE:Muscle atrophy and weakness impair activity of daily living (ADL). We examined whether chair stand exercise can improve ADL of hemodialysis patients. DESIGN: A randomized controlled trial. SETTING AND PARTICIPANTS: A single center study. SUBJECTS:Outpatients on hemodialysis older than 60 years (61-79 years). INTERVENTION: Twelve weeks of intervention with chair stand exercise, 3 sessions/week versus the control exercise (stretch, 1 session/week). MAIN OUTCOME MEASURE: The primary outcome was the change in functional independence measure (FIM) score from baseline. The secondary outcomes were changes in thigh circumference, muscle strength of quadriceps, 6-minute walking distance, maximum duration of chair stand exercise, health-related quality of life, cognitive function serum albumin, and hemoglobin. RESULTS: Among the 27 patients who were randomized, 17 completed the study. The change in FIM from baseline was greater in the intervention group (1 [1-3] vs. 0 [0-0], median (minimum to maximum), P < .001) due to the significant improvement in the FIM subscales related to mobility (bed/chair/wheel chair) and locomotion (stair). Among the secondary outcomes, significant difference was noticed in the changes in thigh circumference and the physical component summary score of health-related quality of life by Medical Outcome Study 36-Item Short-Form Health Survey (SF-36v2). CONCLUSIONS:Chair stand exercise improved ADL in the hemodialysis patients aged older than 60 years.
RCT Entities:
OBJECTIVE:Muscle atrophy and weakness impair activity of daily living (ADL). We examined whether chair stand exercise can improve ADL of hemodialysis patients. DESIGN: A randomized controlled trial. SETTING AND PARTICIPANTS: A single center study. SUBJECTS: Outpatients on hemodialysis older than 60 years (61-79 years). INTERVENTION: Twelve weeks of intervention with chair stand exercise, 3 sessions/week versus the control exercise (stretch, 1 session/week). MAIN OUTCOME MEASURE: The primary outcome was the change in functional independence measure (FIM) score from baseline. The secondary outcomes were changes in thigh circumference, muscle strength of quadriceps, 6-minute walking distance, maximum duration of chair stand exercise, health-related quality of life, cognitive function serum albumin, and hemoglobin. RESULTS: Among the 27 patients who were randomized, 17 completed the study. The change in FIM from baseline was greater in the intervention group (1 [1-3] vs. 0 [0-0], median (minimum to maximum), P < .001) due to the significant improvement in the FIM subscales related to mobility (bed/chair/wheel chair) and locomotion (stair). Among the secondary outcomes, significant difference was noticed in the changes in thigh circumference and the physical component summary score of health-related quality of life by Medical Outcome Study 36-Item Short-Form Health Survey (SF-36v2). CONCLUSIONS: Chair stand exercise improved ADL in the hemodialysis patients aged older than 60 years.
Authors: Amelie Bernier-Jean; Nadim A Beruni; Nicola P Bondonno; Gabrielle Williams; Armando Teixeira-Pinto; Jonathan C Craig; Germaine Wong Journal: Cochrane Database Syst Rev Date: 2022-01-12
Authors: Ruben Abdala; Elisa Elena Del Valle; Armando Luis Negri; Pablo Bridoux; Luciana Gonzalez Paganti; Marina Bravo; Luis Sintado; Paula Di Rienzo; Omar R Schiavelli; Maria Belén Zanchetta; Adrián Guinsburg Journal: Osteoporos Sarcopenia Date: 2021-05-08