Top

Gepubliceerd in:

23-01-2024

Factors associated with improved health-related quality of life due to improvements in physical function and dialysis-related symptoms following intradialytic exercise in outpatients undergoing haemodialysis

Auteurs: Ren Takahashi, Hiroki Yabe, Hideaki Ishikawa, Takashi Hibino, Sayumi Morishita, Kenichi Kono, Yoshifumi Moriyama, Tetsuya Yamada

Gepubliceerd in: Quality of Life Research | Uitgave 4/2024

Abstract

Purpose

Exercise therapy is a crucial intervention for improving health-related quality of life (HRQOL) in patients undergoing haemodialysis. However, factors that improve HRQOL by improving physical function and dialysis-related symptoms remain unknown. This study aimed to examine the physical function parameters and dialysis-related symptoms that improve HRQOL following intradialytic exercise.

Methods

This multicentre cohort study included 596 patients who participated in an intradialytic exercise program three times per week for a period of 6 months, which comprised of stretching and resistance training. EuroQol 5 dimensions 5-level (EQ5D-5L), grip strength, isometric knee extension strength, 10-m walking speed, Short Physical Performance Battery (SPPB), and improvement in dialysis-related symptoms were measured at the baseline and post-intervention. A linear mixed model was used to analyse the effects of improved physical function and dialysis-related symptoms on improvements in EQ5D-5L.

Results

As a physical function index affecting ΔEQ5D-5L, only SPPB showed a significant increase in ΔEQ5D-5L compared with the non-improved group [difference in ΔEQ5D-5L, 0.05 (0.004 to 0.092) point; p < 0.05]). In addition, dialysis-related symptoms with Improved physical conditions [difference in ΔEQ5D-5L, 0.07 (0.02 to 0.13) point] and an Extended walking distance [difference in ΔEQ5D-5L was 0.07 (0.01 to 0.12) point] significantly influenced ΔEQ5D-5L (p < 0.05, both).

Conclusions

The improvements observed in the SPPB scores and self-percieved physical fitness and ambulation range, attributable to intradialytic exercise, may potentially improve HRQOL.

vorige artikel Assessing the interchangeability of linked scores in multivariable statistical analyses

volgende artikel Predictors of persistence of post-chemotherapy symptoms among survivors of solid tumor cancers

Alleen toegankelijk voor geautoriseerde gebruikers

Hu, H., Liu, X., Chau, P. H., & Choi, E. P. H. (2022). Effects of intradialytic exercise on health-related quality of life in patients undergoing maintenance haemodialysis: A systematic review and meta-analysis. Quality of Life Research: An International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation, 31(7), 1915–1932. https://doi.org/10.1007/s11136-021-03025-7CrossRefPubMed

Filipčič, T., Bogataj, Š, Pajek, J., & Pajek, M. (2021). Physical activity and quality of life in hemodialysis patients and healthy controls: A cross-sectional study. International Journal of Environmental Research and Public Health, 18(4), 1978. https://doi.org/10.3390/ijerph18041978CrossRefPubMedPubMedCentral

Wu, Y. H., Hsu, Y. J., & Tzeng, W. C. (2022). Physical activity and health-related quality of life of patients on hemodialysis with comorbidities: A cross-sectional study. International Journal of Environmental Research and Public Health, 19(2), 811. https://doi.org/10.3390/ijerph19020811CrossRefPubMedPubMedCentral

Alencar, S. B. V., de Lima, F. M., Dias, L. D. A., Dias, V. D. A., Lessa, A. C., Bezerra, J. M., Apolinário, J. F., & de Petribu, K. C. (2020). Depression and quality of life in older adults on hemodialysis. Revista Brasileira de Psiquiatria (Sao Paulo, Brazil: 1999), 42(2), 195–200. https://doi.org/10.1590/1516-4446-2018-0345CrossRefPubMed

Vanden Wyngaert, K., Van Craenenbroeck, A. H., Eloot, S., Calders, P., Celie, B., Holvoet, E., & Van Biesen, W. (2020). Associations between the measures of physical function, risk of falls and the quality of life in haemodialysis patients: A cross-sectional study. BMC Nephrology, 21(1), 7. https://doi.org/10.1186/s12882-019-1671-9CrossRefPubMedPubMedCentral

Weisbord, S. D., Fried, L. F., Arnold, R. M., Fine, M. J., Levenson, D. J., Peterson, R. A., & Switzer, G. E. (2005). Prevalence, severity, and importance of physical and emotional symptoms in chronic hemodialysis patients. Journal of the American Society of Nephrology, 16(8), 2487–2494. https://doi.org/10.1681/ASN.2005020157CrossRefPubMed

Perl, J., Karaboyas, A., Morgenstern, H., Sen, A., Rayner, H. C., Vanholder, R. C., Combe, C., Hasegawa, T., Finkelstein, F. O., Lopes, A. A., Robinson, B. M., Pisoni, R. L., & Tentori, F. (2017). Association between changes in quality of life and mortality in hemodialysis patients: Results from the DOPPS. Nephrology, Dialysis, Transplantation: Official Publication of the European Dialysis and Transplant Association - European Renal Association, 32(3), 521–527. https://doi.org/10.1093/ndt/gfw233CrossRefPubMed

Clarkson, M. J., Bennett, P. N., Fraser, S. F., & Warmington, S. A. (2019). Exercise interventions for improving objective physical function in patients with end-stage kidney disease on dialysis: A systematic review and meta-analysis. American Journal of Physiology. Renal Physiology, 316(5), F856–F872. https://doi.org/10.1152/ajprenal.00317.2018CrossRefPubMed

Hargrove, N., El Tobgy, N., Zhou, O., Pinder, M., Plant, B., Askin, N., Bieber, L., Collister, D., Whitlock, R., Tangri, N., & Bohm, C. (2021). Effect of aerobic exercise on dialysis-related symptoms in individuals undergoing maintenance hemodialysis: A systematic review and meta-analysis of clinical trials. Clinical Journal of the American Society of Nephrology: CJASN, 16(4), 560–574. https://doi.org/10.2215/CJN.15080920CrossRefPubMedPubMedCentral

10.

K/DOQI Workgroup. (2005). K/DOQI clinical practice guidelines for cardiovascular disease in dialysis patients. American Journal of Kidney Diseases: The Official Journal of the National Kidney Foundation, 45(4 Suppl 3), S1–S153.

11.

Yamagata, K., Hoshino, J., Sugiyama, H., Hanafusa, N., Shibagaki, Y., Komatsu, Y., Konta, T., Fujii, N., Kanda, E., Sofue, T., Ishizuka, K., Kitagawa, M., Kono, K., Hinamoto, N., Miyai, T., Koike, K., Toda, S., Hasegawa, J., Yamanouchi, M., ... Kohzuki, M. (2019). Clinical practice guideline for renal rehabilitation: Systematic reviews and recommendations of exercise therapies in patients with kidney diseases. Renal Replacement Therapy, 5(1), 28 https://doi.org/10.1186/s41100-019-0209-8

12.

Fang, H. Y., Burrows, B. T., King, A. C., & Wilund, K. R. (2020). A comparison of intradialytic versus out-of-clinic exercise training programs for hemodialysis patients. Blood Purification, 49(1–2), 151–157. https://doi.org/10.1159/000503772CrossRefPubMed

13.

Kim, S., Park, H. J., & Yang, D. H. (2022). An intradialytic aerobic exercise program ameliorates frailty and improves dialysis adequacy and quality of life among hemodialysis patients: a randomized controlled trial. Kidney Research and Clinical Practice, 41(4), 462–472. https://doi.org/10.23876/j.krcp.21.284CrossRefPubMedPubMedCentral

14.

Hang, F., Huang, L., Wang, W., Shen, Q., & Zhang, H. (2020). Effect of intradialytic progressive resistance exercise on physical fitness and quality of life in maintenance haemodialysis patients. Nursing Open, 7(6), 1945–1953. https://doi.org/10.1002/nop2.585CrossRef

15.

Ribeiro, R., Coutinho, G. L., Iuras, A., Barbosa, A. M., Souza, J. A., Diniz, D. P., & Schor, N. (2013). Effect of resistance exercise intradialytic in renal patients chronic in hemodialysis. Jornal Brasileiro de Nefrologia, 35(1), 13–19. https://doi.org/10.5935/01012800.20130003CrossRefPubMed

16.

Greenwood, S. A., Koufaki, P., Macdonald, J. H., Bulley, C., Bhandari, S., Burton, J. O., Dasgupta, I., Farrington, K., Ford, I., Kalra, P. A., Kumwenda, M., Macdougall, I. C., Messow, C. M., Mitra, S., Reid, C., Smith, A. C., Taal, M. W., Thomson, P. C., Wheeler, D. C., White, C., … Mercer, T. H. (2021). Exercise programme to improve quality of life for patients with end-stage kidney disease receiving haemodialysis: the PEDAL RCT. Health technology assessment (Winchester, England), 25(40), 1–52 https://doi.org/10.3310/hta25400

17.

Martin-Alemañy, G., Valdez-Ortiz, R., Olvera-Soto, G., Gomez-Guerrero, I., Aguire-Esquivel, G., Cantu-Quintanilla, G., Lopez-Alvarenga, J. C., Miranda-Alatriste, P., & Espinosa-Cuevas, A. (2016). The effects of resistance exercise and oral nutritional supplementation during hemodialysis on indicators of nutritional status and quality of life. Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association—European Renal Association, 31(10), 1712–1720. https://doi.org/10.1093/ndt/gfw297CrossRefPubMed

18.

Kutner, N. G., Zhang, R., Allman, R. M., & Bowling, C. B. (2014). Correlates of ADL difficulty in a large hemodialysis cohort. Hemodialysis International, 18(1), 70–77. https://doi.org/10.1111/hdi.12098CrossRefPubMed

19.

Arenas Jiménez, M. D., Navarro García, M., Serrano Reina, E., & Álvarez-Ude, F. (2019). Disability in instrumental activities of daily living in hemodialysis patients: Influence on quality of life related to health. Nefrología, 39(5), 531–538. https://doi.org/10.1016/j.nefro.2019.03.006CrossRefPubMed

20.

Kutner, N. G., Zhang, R., Huang, Y., & Painter, P. (2015). Gait Speed and Mortality, Hospitalization, and Functional Status Change Among Hemodialysis Patients: A US Renal Data System Special Study. American Journal of Kidney Diseases : The Official Journal of the National Kidney Foundation, 66(2), 297–304. https://doi.org/10.1053/j.ajkd.2015.01.024CrossRefPubMed

21.

Grau-Pellicer, M., Chamarro-Lusar, A., Medina-Casanovas, J., & Serdà Ferrer, B. C. (2019). Walking speed as a predictor of community mobility and quality of life after stroke. Topics in Stroke Rehabilitation, 26(5), 349–358. https://doi.org/10.1080/10749357.2019.1605751CrossRefPubMed

22.

Shiroiwa, T., Fukuda, T., Ikeda, S., Igarashi, A., Noto, S., Saito, S., & Shimozuma, K. (2016). Japanese population norms for preference-based measures: EQ-5D-3L, EQ-5D-5L, and SF-6D. Quality of Life Research : An International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation, 25(3), 707–719. https://doi.org/10.1007/s11136-015-1108-2CrossRefPubMed

23.

Katayama, A., Miyatake, N., Nishi, H., Uzike, K., Sakano, N., Hashimoto, H., & Koumoto, K. (2014). Evaluation of physical activity and its relationship to health-related quality of life in patients on chronic hemodialysis. Environmental Health and Preventive Medicine, 19(3), 220–225. https://doi.org/10.1007/s12199-014-0380-zCrossRefPubMedPubMedCentral

24.

Ito, M., Nawano, T., Masakane, I., Yamaguchi, I., Kudo, K., Nagasawa, J., & Yabuki, K. (2022). Clinical impact of patient-centered care for hemodialysis patients using routine assessment of symptom burden. Therapeutic Apheresis and Dialysis: Official Peer-Reviewed Journal of the International Society for Apheresis, the Japanese Society for Apheresis, the Japanese Society for Dialysis Therapy, 26(2), 417–424. https://doi.org/10.1111/1744-9987.13704CrossRefPubMed

25.

Olofsen, E., & Dahan, A. (2013). Using Akaike’s information theoretic criterion in mixed-effects modeling of pharmacokinetic data: a simulation study. F1000Research. https://doi.org/10.12688/f1000research.2-71.v2CrossRefPubMed

26.

Segura-Ortí, E., & Martínez-Olmos, F. J. (2011). Test-retest reliability and minimal detectable change scores for sit-to-stand-to-sit tests, the six-minute walk test, the one-leg heel-rise test, and handgrip strength in people undergoing hemodialysis. Physical Therapy, 91(8), 1244–1252. https://doi.org/10.2522/ptj.20100141CrossRefPubMed

27.

Katoh, M., & Kaneko, Y. (2014). An investigation into reliability of knee extension muscle strength measurements, and into the relationship between muscle strength and means of independent mobility in the ward: Examinations of patients who underwent femoral neck fracture surgery. Journal of Physical Therapy Science, 26(1), 15–19. https://doi.org/10.1589/jpts.26.15CrossRefPubMedPubMedCentral

28.

Ortega-Pérez de Villar, L., Martínez-Olmos, F. J., Junqué-Jiménez, A., Amer-Cuenca, J. J., Martínez-Gramage, J., Mercer, T., & Segura-Ortí, E. (2018). Test-retest reliability and minimal detectable change scores for the short physical performance battery, one-legged standing test and timed up and go test in patients undergoing hemodialysis. PLoS ONE, 13(8), e0201035. https://doi.org/10.1371/journal.pone.0201035CrossRefPubMedPubMedCentral

29.

Peters, D. M., Fritz, S. L., & Krotish, D. E. (2013). Assessing the reliability and validity of a shorter walk test compared with the 10-Meter Walk Test for measurements of gait speed in healthy, older adults. Journal of Geriatric Physical Therapy, 36(1), 24–30. https://doi.org/10.1519/JPT.0b013e318248e20dCrossRefPubMed

30.

Viecelli, A. K., Tong, A., O'Lone, E., Ju, A., Hanson, C. S., Sautenet, B., Craig, J. C., Manns, B., Howell, M., Chemla, E., Hooi, L. S., Johnson, D. W., Lee, T., Lok, C. E., Polkinghorne, K. R., Quinn, R. R., Vachharajani, T., Vanholder, R., Zuo, L., Hawley, C. M., … SONG-HD Vascular Access Workshop Investigators (2018). Report of the Standardized Outcomes in Nephrology-Hemodialysis (SONG-HD) Consensus Workshop on Establishing a Core Outcome Measure for Hemodialysis Vascular Access. American Journal of Kidney Diseases: The Official Journal of the National Kidney Foundation, 71(5), 690–700 https://doi.org/10.1053/j.ajkd.2017.12.003

31.

McClure, N. S., Sayah, F. A., Ohinmaa, A., & Johnson, J. A. (2018). Minimally important difference of the EQ-5D-5L index score in adults with type 2 diabetes. Value in Health: The Journal of the International Society for Pharmacoeconomics and Outcomes Research, 21(9), 1090–1097. https://doi.org/10.1016/j.jval.2018.02.007CrossRefPubMed

32.

Bündchen, D. C., Sousa, H., Afreixo, V., Frontini, R., Ribeiro, O., Figueiredo, D., & Costa, E. (2021). Intradialytic exercise in end-stage renal disease: An umbrella review of systematic reviews and/or meta-analytical studies. Clinical Rehabilitation, 35(6), 812–828. https://doi.org/10.1177/0269215520986784CrossRefPubMed

33.

Esteve Simó, V., Junqué, A., Fulquet, M., Duarte, V., Saurina, A., Pou, M., Moreno, F., Carneiro, J., & Ramírez de Arellano, M. (2014). Complete low-intensity endurance training programme in haemodialysis patients: Improving the care of renal patients. Nephron Clinical Practice, 128(3–4), 387–393. https://doi.org/10.1159/000369253CrossRefPubMed

34.

Halaweh, H. (2020). Correlation between health-related quality of life and hand grip strength among older adults. Experimental Aging Research, 46(2), 178–191. https://doi.org/10.1080/0361073X.2020.1716157CrossRefPubMed

35.

Tabata, A., Yabe, H., Katogi, T., Yamaguchi, T., Mitake, Y., Shunta, O., Shirai, T., & Fujii, T. (2022). Factors affecting health-related quality of life in older patients with chronic kidney disease: A single-center cross-sectional study. International Urology and Nephrology, 54(10), 2637–2643. https://doi.org/10.1007/s11255-022-03180-xCrossRefPubMed

36.

Hessels, A. C., van der Hoeven, J. H., Sanders, J. S. F., Brouwer, E., Rutgers, A., & Stegeman, C. A. (2019). Leg muscle strength is reduced and is associated with physical quality of life in Antineutrophil cytoplasmic antibody-associated vasculitis. PLoS ONE, 14(2), e0211895. https://doi.org/10.1371/journal.pone.0211895CrossRefPubMedPubMedCentral

37.

Larsen, P., Elsoe, R., Laessoe, U., Graven-Nielsen, T., Eriksen, C. B., & Rasmussen, S. (2016). Decreased QOL and muscle strength are persistent 1 year after intramedullary nailing of a tibial shaft fracture: A prospective 1-year follow-up cohort study. Archives of Orthopaedic and Trauma Surgery, 136(10), 1395–1402. https://doi.org/10.1007/s00402-016-2537-2CrossRefPubMed

38.

Shimizu, U., Aoki, H., Sakagami, M., & Akazawa, K. (2018). Walking ability, anxiety and depression, significantly decrease EuroQol 5-dimension 5-level scores in older hemodialysis patients in Japan. Archives of Gerontology and Geriatrics, 78, 96–100. https://doi.org/10.1016/j.archger.2018.06.006CrossRefPubMed

39.

Welch, S. A., Ward, R. E., Beauchamp, M. K., Leveille, S. G., Travison, T., & Bean, J. F. (2021). The short physical performance battery (SPPB): A quick and useful tool for fall risk stratification among older primary care patients. Journal of the American Medical Directors Association, 22(8), 1646–1651. https://doi.org/10.1016/j.jamda.2020.09.038CrossRefPubMed

40.

Noce, A., Marrone, G., Ottaviani, E., Guerriero, C., Di Daniele, F., Pietroboni Zaitseva, A., & Di Daniele, N. (2021). Uremic sarcopenia and its possible nutritional approach. Nutrients, 13(1), 147. https://doi.org/10.3390/nu13010147CrossRefPubMedPubMedCentral

41.

Garcia, R. S. A., Lucinda, L. M. F., Ramos, F. A., Bueno, G. S., de Oliveira, G. M. R., Bonisson, L. S., Silva, M. A., Zolli, T. I., Pinheiro, B. V., Paula, R. B., Pazeli, J. M., & Reboredo, M. M. (2017). Factors associated with functional capacity in hemodialysis patients. Artificial Organs, 41(12), 1121–1126. https://doi.org/10.1111/aor.12938CrossRefPubMed

Titel: Factors associated with improved health-related quality of life due to improvements in physical function and dialysis-related symptoms following intradialytic exercise in outpatients undergoing haemodialysis
Auteurs: Ren Takahashi
Hiroki Yabe
Hideaki Ishikawa
Takashi Hibino
Sayumi Morishita
Kenichi Kono
Yoshifumi Moriyama
Tetsuya Yamada
Publicatiedatum: 23-01-2024
Uitgeverij: Springer International Publishing
Gepubliceerd in: Quality of Life Research / Uitgave 4/2024
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI: https://doi.org/10.1007/s11136-023-03593-w

Bohn Stafleu van Loghum

Deel dit onderdeel of sectie (kopieer de link)

Abstract

Purpose

Methods

Results

Conclusions

Log in om toegang te krijgen

Andere artikelen Uitgave 4/2024

Correction: Understanding experiences of cancer-related fatigue in patients with lung cancer after their cancer treatment: a qualitative content analysis

Psychosocial predictors of quality of life among women living with HIV/AIDS: a cross-sectional study in a VCT centre in Shiraz, Iran

Development of standard computerised adaptive test (CAT) settings for the EORTC CAT Core

Administering selected subscales of patient-reported outcome questionnaires to reduce patient burden and increase relevance: a position statement on a modular approach

Is well-becoming important for children and young people? Evidence from in-depth interviews with children and young people and their parents

Life’s Essential 8 in relation to self-rated health and health-related quality of life in a large population-based sample: the SCAPIS project