Effects of Intradialytic Exercise on Dialytic Parameters, Health-Related Quality of Life, and Depression Status in Hemodialysis Patients: A Randomized Controlled Trial

Chia-Huei Lin, Yu-Juei Hsu, Pi-Hsiu Hsu, Yi-Ling Lee, Chueh-Ho Lin, Meei-Shyuan Lee and Shang-Lin Chiang
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Chia-Huei Lin: Nursing Department, Tri-Service General Hospital, Taipei 11490, Taiwan
Yu-Juei Hsu: Nephrology Division, Tri-Service General Hospital, Taipei 11490, Taiwan
Pi-Hsiu Hsu: Dialysis Center, Tri-Service General Hospital, Taipei 11490, Taiwan
Yi-Ling Lee: Dialysis Center, Songshan Branch of Tri-Service General Hospital, Taipei 10581, Taiwan
Chueh-Ho Lin: Master Program in Long-Term Care & School of Gerontology Health Management, College of Nursing, Taipei Medical University, Taipei 110301, Taiwan
Meei-Shyuan Lee: School of Public Health & Graduated Institute of Medical Science, National Defense Medical Center, Taipei 11490, Taiwan
Shang-Lin Chiang: School of Medicine, National Defense Medical Center, Taipei 11490, Taiwan

IJERPH, 2021, vol. 18, issue 17, 1-16

Abstract: Exercise is fundamentally important in managing chronic diseases and improving health-related quality of life (HRQL). However, whether intradialytic exercise is safe through assessment of changes in dialytic parameters and has a positive impact on HRQL and depression status of hemodialysis patients requires further research with diverse racial and cultural populations to identify. This study aimed to evaluate the effects of intradialytic exercise on dialytic parameters, HRQL, and depression status in hemodialysis patients. A randomized controlled trial was conducted at a medical center in Northern Taiwan. Sixty-four hemodialysis patients were recruited using stratified random sampling. Participants were randomized into an experimental group (EG, n = 32) or a control group (CG, n = 32). The EG received a 12-week intradialytic exercise program while the CG maintained their usual lifestyles. Dialytic parameters, HRQL, and depression status were collected at baseline and at 12 weeks. The results indicated no differences in the dialytic parameters from the baseline between both groups. However, the EG had increased HRQL (ß = 22.6, p < 0.001) and reduced depression status (ß = −7.5, p = 0.02) at 12 weeks compared to the CG. Therefore, a 12-week intradialytic exercise regime is safe and effective in improving HRQL and reducing depression status for hemodialysis patients.

Keywords: depression status; exercise; hemodialysis; intradialytic exercise; health-related quality of life (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (2)

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