The Effect of Exercise on Dialysis Patients' Survival

NCT ID: NCT04898608

Last Updated: 2023-03-28

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

74 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-01-25

Study Completion Date

2021-08-09

Brief Summary

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The purpose of this study is to check if patients' exercise during their dialysis sessions can prevent their early deaths.

Detailed Description

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Dialysis patients suffer from a number of problems, one of which is reduced ability, decreased functional capacity, and consequently reduced physical capability. Forced inactivity due to immobility in dialysis sessions and the need to rest and relieve fatigue for a few hours after each session cause patients to become more inactive day by day, and according to various studies, inactivity in these patients along with reduced physical capabilities increase the risk of cardiovascular disease, which is a risk factor for mortality in these patients.

On the other hand, inactivity is an independent predictor of hospitalization and mortality in these patients.

Studies have shown that exercise can produce many different effects in these patients. However, exercise interventions are often short-term, and even in long-term cases, the aim of studies is only to examine a number of hematological factors or factors such as functional capacity in these patients.

A study is currently being designed to directly evaluate the impact of exercise on patients' survival.

To test this hypothesis, patients do exercise for 6 months during dialysis. And then will be monitored for a year to determine patients' survival.

During 6 months of intervention, hematological parameters, nutrition index and functional capacity of patients are evaluated.

In the analyzes, the survival rate of patients in one year follow-up period is compared between patients who took part in intradialytic sessions (intervention group) and patients who did not do any physical activity during dialysis (control group). In addition, by analyzing the variables measured during the 6 months of the intervention, the effect of exercise on parameters relating to survival is evaluated.

Conditions

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Kidney Disease, Chronic End Stage Renal Disease Hemodialysis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Participants will be randomly allocate to intervention group or control group and will be examined in the same way.
Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

SINGLE

Outcome Assessors
The lab tech will be blind to whether the sample under evaluation belongs to the intervention group or the control group. A research project collaborator who is not informed about grouping of participants will obtain outcome measurements of the functional test. Outcome adjudicators, and data analysts will be kept blinded to the allocation. Moreover, all investigators, staff, and participants will be kept masked to outcome measurements and trial results.

Study Groups

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Exercise group

The patients will participate in intradialytic exercise 3 times a week for 24 weeks.

Group Type EXPERIMENTAL

Intradialytic Exercise

Intervention Type OTHER

Participants will do concurrent exercise (a combination of aerobic exercise and resistance training) for 30-60 minutes during the second hour of their routine hemodialysis sessions.

To determine the intensity of the prescribed exercise, maximum heart rate is used for aerobic workout and 1RM for resistance protocols.

Exercises will be performed at a moderate exercise intensity (12-14 on the Borg RPE Scale).

All protocols are tailor-made based on each individual's needs and physical abilities.

Control group

The patients will receive regular care and treatment in every dialysis sessions without any intradialytic exercise.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Intradialytic Exercise

Participants will do concurrent exercise (a combination of aerobic exercise and resistance training) for 30-60 minutes during the second hour of their routine hemodialysis sessions.

To determine the intensity of the prescribed exercise, maximum heart rate is used for aerobic workout and 1RM for resistance protocols.

Exercises will be performed at a moderate exercise intensity (12-14 on the Borg RPE Scale).

All protocols are tailor-made based on each individual's needs and physical abilities.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Dialysis history ≥ 1 year
* Without myocardial infarction within past 3 months
* Regular dialysis 3 times a week
* Ability to consent
* Doctor's consent

Exclusion Criteria

* Unstable cardiac status (angina, decompensated congestive heart failure, severe arteriovenous stenosis, uncontrolled arrhythmias, etc.)
* Active infection or acute medical illness
* Hemodynamic instability
* Labile glycemic control
* Unable to exercise (lower extremity amputation with no prosthesis)
* having severe musculoskeletal pain at rest or with minimal activity
* Unable to sit, stand or walk unassisted (walking device such as cane or walker allowed)
* Having shortness of breath at rest or with activities of daily living (NYHA Class IV)
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Pardis Specialized Wellness Institute

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Mohammad Ali Tabibi, Dr

Role: PRINCIPAL_INVESTIGATOR

Pardis Specialized Wellness Institute

Locations

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Abolfazl medical center

Isfahan, , Iran

Site Status

Pardis specialized wellness institute

Isfahan, , Iran

Site Status

Countries

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Iran

References

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Reference Type BACKGROUND
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Tabibi MA, Cheema B, Salimian N, Correa HL, Ahmadi S. The effect of intradialytic exercise on dialysis patient survival: a randomized controlled trial. BMC Nephrol. 2023 Apr 17;24(1):100. doi: 10.1186/s12882-023-03158-6.

Reference Type DERIVED
PMID: 37069527 (View on PubMed)

Other Identifiers

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PA20HD-2-01

Identifier Type: -

Identifier Source: org_study_id

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