Intradialytic Progressive Resistance Training for Maintenance Haemodialysis Patients

NCT ID: NCT01007838

Last Updated: 2012-01-05

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

32 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-01-31

Study Completion Date

2011-10-31

Brief Summary

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The purpose of this study is to investigate the effects of a 12 week progressive resistance training during haemodialysis on muscle quantity and physical functioning in chronic kidney disease patients receiving maintenance haemodialysis.

It is hypothesised, based on previous literature involving similar resistance training protocols in other catabolic conditions, that the resistance training will result in a significant increase in muscle quantity as well a physical function.

Detailed Description

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Muscle wasting is common in patients with chronic kidney disease and has been associated with decreased ability to complete activities of daily living, increased hospitalisation and therefore and decreased quality of life.

In other catabolic conditions, such as cancer or rheumatoid arthritis, exercise is an established treatment to reverse muscle wasting. It is uncertain whether exercise has this effect in the chronic kidney disease population due to an altered hormone system that may prevent the anabolic effects of exercise from occurring. However, progressive resistance training, which is exercise that is most effective at eliciting an anabolic response has not been effectively carried out with haemodialysis patients.

Therefore, this study aims to investigate whether or not a twelve week intradialytic progressive resistance training programme will have an effect on muscle quantity, physical function and quality of life in patients receiving maintenance haemodialysis.

Conditions

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Chronic Kidney Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Chronic kidney disease progressive resistance training group

Progressive resistance training programme using a dialysis specific fitness machine: 80 % of predicted one repetition max, weight lifted will be increased when three sets of ten repetitions can be completed without failure.

Group Type EXPERIMENTAL

Progressive resistance training programme

Intervention Type OTHER

Progressive resistance training programme using a dialysis specific fitness machine: 80 % of predicted one repetition max, weight lifted will be increased when three sets of ten repetitions can be completed without failure.

Chronic kidney disease sham exercise group

Lower body stretching exercise using the easiest rehabilitation elastic Theraband

Group Type SHAM_COMPARATOR

Sham exercise

Intervention Type OTHER

Lower body stretching exercise using the easiest rehabilitation elastic Theraband

Healthy controls progressive resistance training group

Progressive resistance training programme using a dialysis specific fitness machine: 80 % of predicted one repetition max, weight lifted will be increased when three sets of ten repetitions can be completed without failure.

Group Type EXPERIMENTAL

Progressive resistance training

Intervention Type OTHER

Progressive resistance training programme using a dialysis specific fitness machine: 80 % of predicted one repetition max, weight lifted will be increased when three sets of ten repetitions can be completed without failure.

Healthy controls sham exercise group

Lower body stretching exercise using the easiest rehabilitation elastic Theraband

Group Type SHAM_COMPARATOR

Sham exercise

Intervention Type OTHER

Lower body stretching exercise using the easiest rehabilitation elastic Theraband

Interventions

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Progressive resistance training programme

Progressive resistance training programme using a dialysis specific fitness machine: 80 % of predicted one repetition max, weight lifted will be increased when three sets of ten repetitions can be completed without failure.

Intervention Type OTHER

Sham exercise

Lower body stretching exercise using the easiest rehabilitation elastic Theraband

Intervention Type OTHER

Progressive resistance training

Progressive resistance training programme using a dialysis specific fitness machine: 80 % of predicted one repetition max, weight lifted will be increased when three sets of ten repetitions can be completed without failure.

Intervention Type OTHER

Sham exercise

Lower body stretching exercise using the easiest rehabilitation elastic Theraband

Intervention Type OTHER

Other Intervention Names

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Intradialytic resistance exercise

Eligibility Criteria

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Inclusion Criteria

* Chronic kidney diseases stage five requiring maintenance hemodialysis.

Exclusion Criteria

* Patients who have been receiving dialysis for less than 3 months;
* Are under the age of 18years;
* Have medical contradictions to participate in the exercise programs;
* Any uncontrolled medical condition which does not allow participation in exercise;
* Have known neuro-muscular disorders;
* Have any other uncontrolled medical condition, including pregnancy;
* Are not independently ambulant for 50 m;
* Have received anabolic intervention, or had catabolic conditions within the last 3 months;
* Have a cardiac pacemaker or other unsuitable implanted device for magnetic resonance;
* Are vulnerable to heat stress;
* Or are unable to give consent.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Betsi Cadwaladr University Health Board

OTHER_GOV

Sponsor Role collaborator

Bangor University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Jamie H MacDonald, PhD

Role: PRINCIPAL_INVESTIGATOR

Bangor University

Locations

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Renal unit, Ysbyty Gwynedd, North West Wales NHS Trust

Bangor, Gwynedd, United Kingdom

Site Status

Countries

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United Kingdom

Other Identifiers

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R& D Ref no: MACDONALD 07/53

Identifier Type: -

Identifier Source: org_study_id

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