Effects of Exercise on Physical Fitness Among Hemodialysis Patients With Chronic Kidney Disease

NCT ID: NCT03579537

Last Updated: 2018-07-06

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 70 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2014-07-22
• Study Completion Date: 2015-10-30

Brief Summary

Regular physical exercise was adapted to the situation of the patient with hemodialysis to help improve the quality of life of the patient

Detailed Description

It has been observed that programs that combine aerobic and resistance exercise can increase muscular strength and endurance, functional capacity and quality of life of patients in Hemodialysis. Aerobic exercise and muscular endurance during dialysis increase blood flow at the muscular level with an increase in capillary surface area, which dynamizes the flow of urea and toxins from the tissues to the vascular compartment, which could improve the effectiveness of dialysis In addition, moderate regular exercise can modulate the inflammatory response, which would be beneficial in patients with chronic kidney disease

Conditions

Hemolysis

Study Design

• Allocation Method: NA
• Intervention Model: SINGLE_GROUP
• Primary Study Purpose: SUPPORTIVE_CARE
• Blinding Strategy: NONE

Study Groups

Hemodyalisis patients

group of patients in hemodialysis who performs the exercise program

Group Type: EXPERIMENTAL

Intradyalisis without exercise programe

Intervention Type: OTHER

patients on hemodialysis are evaluated with all the variables at first (T1) and without intervening in the treatment for 3 months they are evaluated again (T2).

Intradyalisis with exercise programe

Intervention Type: OTHER

After 3 first month without intervention and also during the time of hemodialysis, the patients star the exercise programe, the first part of the session, an exercise was carried out for cardiovascular work (pedaling on ergometer) and muscle toning, with special attention to the muscular development of the lower limbs (exercises with elastic bands and / or weighted ankles). The session increased in duration and intensity as the physical action program progressed throughout the duration of the permitted period (3 months) and always attending to the individual needs of each subject. In addition, each of the participants will be given a series of recommendations of exercise practice to be carried out during non-hemodialysis days, in order to complement the work done during the sessions.3 month later the investigator evaluated all the variable again (T3)

Interventions

Intradyalisis without exercise programe

patients on hemodialysis are evaluated with all the variables at first (T1) and without intervening in the treatment for 3 months they are evaluated again (T2).

Intervention Type: OTHER

Intradyalisis with exercise programe

After 3 first month without intervention and also during the time of hemodialysis, the patients star the exercise programe, the first part of the session, an exercise was carried out for cardiovascular work (pedaling on ergometer) and muscle toning, with special attention to the muscular development of the lower limbs (exercises with elastic bands and / or weighted ankles). The session increased in duration and intensity as the physical action program progressed throughout the duration of the permitted period (3 months) and always attending to the individual needs of each subject. In addition, each of the participants will be given a series of recommendations of exercise practice to be carried out during non-hemodialysis days, in order to complement the work done during the sessions.3 month later the investigator evaluated all the variable again (T3)

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Famel and male between 55 - 85 year old. in hemodyalisis treatment

Exclusion Criteria

• Younger than 55 years and older than 85 years.
• Presenting myocardial infarction in the previous 6 weeks.
• Unstable angina to exercise or at rest.
• Recent cerebral vascular disease or with risk of recurrence.
• Musculoskeletal, respiratory (COPD with frequent decompensation).
• Hypertensive disorders, patients with peripheral vascular disease,
• Active liver disease.
• Osteoporosis diagnosed, in which the medical criterion is contraindicated physical exercise.
• Solution of problems of the following circumstances:
• Fraction of cardiac ejection <of 45%, Hb <of 10gr / dl.
• Problematic vascular access, both immature fistulas or with risk of extravasation and catheter dysfunctions of postural characteristics.

• Minimum Eligible Age: 55 Years
• Maximum Eligible Age: 85 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Universidad Europea de Madrid

OTHER

Sponsor Role: collaborator

Fundación Renal Iñigo Alvarez De Toledo

OTHER

Sponsor Role: collaborator

Universidad Politecnica de Madrid

OTHER

Sponsor Role: lead

Responsible Party

Marcela Gonzalez Gross

Full Professor for Sport Nutrition and Exercise Physiology

Responsibility Role: PRINCIPAL_INVESTIGATOR

Other Identifiers

MGGross

Identifier Type: OTHER

Identifier Source: secondary_id

Margarita Pérez Ruiz

Identifier Type: OTHER

Identifier Source: secondary_id

Universidad Politécnica Madrid

Identifier Type: -

Identifier Source: org_study_id