Effect of Intradialytic cycling exercise on 2 minutes walking test and VO2max in chronic kidney disease patients

https://doi.org/10.53730/ijhs.v6nS4.5780

Authors

  • Vina Amalia Resident of Department of Physical Medicine and Rehabilitation, Faculty of Medicine Universitas Airlangga/Dr. Soetomo Academic Medical Center Hospital, Surabaya, Indonesia
  • Sri Mardjiati Mei Wulan Physiatrist of Department of Physical Medicine and Rehabilitation, Faculty of Medicine Universitas Airlangga/Dr. Soetomo Academic Medical Center Hospital, Surabaya, Indonesia
  • Nur Sulastri Physiatrist of Department of Physical Medicine and Rehabilitation, Faculty of Medicine Universitas Airlangga/Universitas Airlangga Teaching Hospital, Surabaya, Indonesia
  • Djoko Santoso Department of Internal Medicine, Faculty of Medicine, Airlangga University, Dr. Soetomo Teaching Hospital, Surabaya, Indonesia
  • Soenarnatalina Melaniani Department of Epidemiology, Biostatistics, Population Studies, and Health Promotion, Faculty of Public Health Universitas Airlangga, Surabaya, Indonesia

Keywords:

hemodialysis, chronic kidney disease, rehabilitation, intradialytic cycling exercise, 2 minute walking test, VO2max

Abstract

Patients with end stage CKD are characterized by low levels of physical activity and ongoing decline in physical function, especially with routine hemodialysis (HD). Physical inactivity significantly increases the risk of morbidity and mortality in patients with HD. Two Minute Walking Test (2MWT) and VO2 max are parameters that can be used to evaluate functional capacity and cardiopulmonary fitness. Exercise can improve cardiovascular ability, dialysis effectiveness, physical function, and health-related quality of life in patients undergoing HD. This study aimed to investigate the effect of intradialytic cycling exercise on the 2MWT and VO2max in CKD patients undergoing hemodialysis Thirty CKD patients participated in this study. From the total, 4 subjects dropped out, leaving twenty-six CKD patients. Subjects divided into exercise and control groups were able to follow the study until the end. The exercise group did a low-intensity intradialytic cycling exercise program for 12 weeks. Both groups were given education about physical function and cardiopulmonary fitness in CKD patients and continued drug therapy and diet as before. 2MWT and VO2max were evaluated before and after the intervention.

Downloads

Download data is not yet available.

References

Abdelaal, A., & Abdulaziz, E. (2019). Effect of exercise therapy on physical performance and functional balance in patients on maintenance renal hemodialysis: randomized controlled study. Journal of Exercise Rehabilitation, 15(3), 472–480.

Anding, K., Bar, T., Hennig, J., Kuchinke, S., Krause, R., Rost, J., & Halle, M. (2015). A structured exercise programme during haemodialysis for patients with chronic kidney disease: clinical benefit and long-term adherence. BMJ Open.

Bohm, C., Stewart, K., Marcus, J., Esliger, D., Kriellaars, D., & Rigatto, C. (2014). Effects of intradialytic cycling compared with pedometry on physical function in chronic outpatient hemodialysis: a prospective randomized trial. Oxford University Press.

Capritto, A. (2019). VO2 max: Everything you need to know : What does VO2 max mean for fitness and how can you increase it? Diambil 13 Februari 2022, dari https://www.cnet.com/health/your-vo2-max-explained/

Cheema, B., Abas, H., Smith, B., O’Sullivan, A., Chan, M., Patwardhan, A., … Singh, M. (2007). Progressive exercise for anabolism in Kidney disease (PEAK): a randomized, controlled trial of Resistance Training during hemodialysis. J Am Soc Nephrol, 18, 1594–1601.

Elmonem, A., Al-Tohamy, A., Galal, R., & Abd-Elhalim, F. (2019). Effects of progressive resistance exercises on quality of life and functional capacity in pediatric patients with chronic kidney disease: a randomized trail. J Musculoskelet Neuronal Interact, 19(2), 187–195.

Ernawati, E., Baso, Y. S., Hidayanty, H., Syarif, S., Aminuddin, A., & Bahar, B. (2022). The effects of anemia education using web-based she smart to improve knowledge, attitudes, and practice in adolescent girls. International Journal of Health & Medical Sciences, 5(1), 44-49. https://doi.org/10.21744/ijhms.v5n1.1831

Farida, L. S., Thaha, M., & Susanti, D. (2018). Characteristics of Patients with End-Stage Renal Disease at Dialysis Unit Dr . Soetomo General Hospital Surabaya, 01(02).

Greenwood, S., & Koufaki, P. (2017). Handbook of Dialysis Therapy (5 ed.). Philadelphia: Elsevier, Inc.

Groussard, C., Rouchon-Isnard, M., Coutard, C., Romain, F., Malardé, L., Lemoine-Morel, S., … Boisseau, N. (2015). Beneficial effects of an intradialytic cycling training program in patients with end-stage kidney disease. Appl Physiol Nutr Metab, 40(6).

Hristea, D., Deschamps, T., Paris, A., Lefrancois, G., Collet, V., Savoiu, C., … Magnard, J. (2016). Combining Intra-dialytic exercise and nutritional supplementation in malnourished older hemodialysis patients: Towards better quality of life and autonomy. Nephrology.

Herliah, A., Baso, Y. S., Hidayanty, H., Syarif, S., Aminuddin, A., & Bahar, B. (2022). Effect of web-based she smart education models on adolescent girl’s knowledge, attitudes, and practice about obesity. International Journal of Health & Medical Sciences, 5(1), 50-55. https://doi.org/10.21744/ijhms.v5n1.1832

Kohl, L., Signori, L., Ribeiro, R., & Silva, A. (2012). Prognostic value of the six minute walk test in end stage renal disease life expectancy: a prospective cohort study. Clinics, 67(6), 581–586.

Liao, M., Liu, W., Lin, F., Huang, C., Chen, S., Liu, C., … Wu, C. (2016). Intradialytic aerobic cycling exercise alleviates inflammation and improves endothelial progenitor cell count and bone density in hemodialysis patients. Medicine, 95(27).

Luyckx, V., Tonelli, M., & Stanifer, J. (2017). The global burden of kidney disease and the sustainable development goals. Bulletin of the World Health Organization, 96.

Ouzouni, S., Kouidi, E., Grekas, D., & Deligiannis, A. (2008). Effects of intradialytic exercise training on health-related quality of life indices in haemodialysis patients. Clinical Rehabilitation, 23, 53–63.

Pratiwi, N., Satyawati, R., Tinduh, D., Melaniani, S., Mahmuddah, M. (2019). Validity and Reliability of 2 Minutes Walking Test in Frailty Elderly. In Proceeding of the 11th National Congress and the 18th Annual Scientific Meeting of Indonesian Physical Medicine and Rehabilitation Assosiation, 242-247

Riebe, Deborah., Ehrman, Jonathan K., Liguori, Gary., Magal, M. (2018). American College of Sports Medicine’s guidelines for exercise testing and prescription 10th edition. Choice Reviews Online (10th ed., Vol. 35). Philadelphia: Wolters Kluwer Health. https://doi.org/10.5860/choice.35-6295

Riebe, D., Ehrman, Jonathan K., Lighouri, G., & Magal, M. (2018). ACSM’s Guidelines for Exercise Testing and Prescription. Philadelphia: Wolters Kluwer Lippincott William and Wilkins.

Sawant, A., House, A., & Overend, T. (2014). Anabolic Effect of Exercise Training in People with End-Stage Renal Disease on Hemodialysis: A Systematic Review with Meta-analysis. Physiotherapy Canada, 66(1).

Smirmaul, B., Bertucci, D., & Teixeira, I. (2013). Is the VO2 max that we measure really maximal? Frontiersin, 4(203).

Wu, Y., He, Q., Yin, X., He, Q., Cao, S., & Ying, G. (2014). Effect of individualized exercise during maintenance haemodialysis on exercise capacity and health related quality of life in patients with uraemia. Journal of International Medical Reasearch, 42(3), 718–727.

Published

09-04-2022

How to Cite

Amalia, V., Wulan, S. M. M., Sulastri, N., Santoso, D., & Melaniani, S. (2022). Effect of Intradialytic cycling exercise on 2 minutes walking test and VO2max in chronic kidney disease patients. International Journal of Health Sciences, 6(S4), 858–868. https://doi.org/10.53730/ijhs.v6nS4.5780

Issue

Section

Peer Review Articles

Most read articles by the same author(s)