Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
권호 표지

Effects of Exercise Intervention on Physical Fitness and Health-relalted Quality of Life in Hemodialysis Patients

운동요법이 혈액투석 환자의 체력과 건강관련 삶의 질에 미치는 효과

  • Published : 2009.08.28
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The purpose of this study was to investigate the effect of stretching, muscle strengthening, and walking exercise on the cardiopulmonary function and health-related quality of life in hemodialysis patients. Methods: Twenty-one patients in the intervention and the control group participated in the exercise respectively on maintenance hemodialysis at four university hospitals. The exercise was composed of 20 to 60 min per session, 3 sessions a week for 12 weeks. The effect of exercise was assessed by cardiopulmonary function (peak oxygen uptake, peak ventilation, peak respiration rate, maximal heart rate, and exercise duration) using a cycle ergometer. Grip strength was measured by dynamometer, and flexibility was measured by sit and reach measuring instrument. Health-related quality of life was measured using Medical Outcomes Study Short Form-36. Results: Peak oxygen uptake, peak ventilation, peak respiration rate, exercise duration, grip strength, flexibility, and physical component scale were significantly improved in the intervention group after 12 week's exercise compared to the control group. Conclusion: These findings indicate the exercise can improve cardiopulmonary function, grip strength, flexibility, and physical component scale of health-related quality of life in hemodialysis patients.

Keywords

References

  1. American College of Sports Medicine. (2001). ACSM’s resource mannual for guides for exercise testing and prescription (4th ed). Philadelphia, PA: Lippincott Williams & Wilkins
  2. DeOreo, P. B. (1997). Hemodialysis patient-assessed functional health tatus predicts continued survival, hospitalization, and dialysisattendance compliance. American Journal of Kidney Disease, 30, 204-212 https://doi.org/10.1016/S0272-6386(97)90053-6
  3. Diesel, W., Novakes, T. D., Swanepoel, C., & Lambert, M. (1990). Isokinetics muscle strength predicts maximal exercise tolerance in renal patients on chronic hemodialysis. American Journal of Kidney Disease, 16, 109-114 https://doi.org/10.1016/S0272-6386(12)80563-4
  4. End Stage Renal Disease Registry Committee. (2008). Current renal replacement therapy in Korea -Insan memorial dialysis registry 2007-. Korean Journal of Nephrology, 27 (Suppl. 2), 437-465
  5. Fuhrmann, I., & Krause, R. (2004). Principles of exercising in patients with chronic kidney disease, on dialysis and for kidney transplant recipients. Journal of Clinical Nephrology, 61 (Suppl. 1), 14-25
  6. Grumann, M. M., Noack, E. M., & Hoffmann, I. A. (2001). Comparison of quality of life in patients undergoing abdominoperitoneal extirpation or anterior resection for rectal cancer. Annals of Surgery, 233, 149-156 https://doi.org/10.1097/00000658-200102000-00001
  7. Jun, T. W., Woo, J. H., & Kim, Y. S. (2000). Effect of basic military training on cardiopulmonary function of midshipmen. Journal of Korean Exercise Academy, 9, 347-354
  8. Kim, J. S. (1997). The effect of exercise program on depression and anxiety in hemodialysis. Unpublished master’s thesis, Korea University, Seoul
  9. Konstantinidou, E., Koukouvou, G., Kouidi, E., Deligiannis, A., & Tourkantonis, A. (2002). Exercise training in patients with endstage renal disease on hemodialysis: Comparison of three rehabilitation programs. Journal of Rehabilitation Medicine, 34, 40-45 https://doi.org/10.1080/165019702317242695
  10. Kopple, J. D., Storer, T., & Casaburi, R. (2005). Impaired exercise capacity and exercise training in maintenance on hemodialysis patients. Journal of Renal Nutrition, 15, 44-48 https://doi.org/10.1053/j.jrn.2004.09.022
  11. Kouidi, E. (2002). Exercise training in dialysis patients: Why, when, and how? Artificial Organs, 26, 1009-1013 https://doi.org/10.1046/j.1525-1594.2002.00937.x
  12. Kouidi, E., Grekas, D., Deligiannis, A., & Tourkantonis, A. (2004). Outcomes of long-term exercise training in dialysis patients: Comparison of two training programs. Journal of Clinical Nephrology, 61 (Suppl. 1), 31-38
  13. Lee, S. J., & Yoo, J. S. (2004). The effects of a physical activity reinforcement program on exercise compliance, depression, and anxiety in continuous ambulatory peritoneal dialysis patients. Journal of Korean Academy of Nursing, 34, 440-448 https://doi.org/10.4040/jkan.2004.34.3.440
  14. Lee, Y. K., Kim, C., Pyo, J. H., Kim, C. H., & Ji, J. W. (2001). Endurance exercise training before hemodialysis: An effective therapeutic modality for end stage renal disease patients. Korean Journal of Nephrology, 20, 290-297
  15. Moinuddin, I., & Leehey, D. J. (2008). A comparison of aerobic exercise and resistance training in patients with and without chronic kidney disease. Advances in Chronic Kidney Disease, 15, 83-96 https://doi.org/10.1053/j.ackd.2007.10.004
  16. Molsted, S., Eidemak, I., Sorensen, H. T., & Kristensen, J. H. (2004). Five months of physical exercise in hemodialysis patients: Effects on aerobic capacity, physical function and self-rated health. Nephron Clinical Practice, 96(3), 76-81 https://doi.org/10.1159/000076744
  17. Oh, S. H., & Yoo, E. K. (2006). Comparison of quality of life between kidney transplant and hemodialysis patients. Journal of Korean Academy of Nursing, 36, 1145-1153
  18. Painter, P., Carlson, L., Carey, S., Paul, S. M., & Myll, J. (2000). Low functioning hemodialysis patients improve with exercise training. American Journal of Kidney Disease, 36, 600-608 https://doi.org/10.1053/ajkd.2000.16200
  19. Painter, P., Moore, G., Carlson, L., Paul, S., Myll, J., Phillips, W., et al. (2002). Effects of exercise training plus normalization of hematocrit on exercise capacity and health-related quality of life. American Journal of Kidney Disease, 39, 257-265 https://doi.org/10.1053/ajkd.2002.30544
  20. Park, O. M., Fast, S., Lynn, R., Frei, G., Drenth, R., & Zohman, L. (2002). Exercise for the dialyzed: Aerobic and strength training during hemodialysis. American Journal of Physical Medicine &Rehabilitation, 81, 814-821 https://doi.org/10.1097/00002060-200211000-00003
  21. Shankar, K. (1999). Exercise prescription. Philadelphia, PA: Hanley & Belfus Inc
  22. Sietsema, K. E., Hiatt, W. R., Enne, E., Adler, S., Amato, A., & Brass, E. P. (2002). Clinical and demographic predictors of exercise capacity in end-stage renal disease. American Journal of Kidney Disease, 39, 76-85 https://doi.org/10.1053/ajkd.2002.29884
  23. Suh, M. R., Jung, H. H., Kim, S. B., Park, J. S., & Yang, W. S. (2002). Effects of regular exercise on anxiety, depression, and quality of life in maintenance hemodialysis patients. Renal Failure, 24, 337-345 https://doi.org/10.1081/JDI-120005367
  24. The Life Options Rehabilitation Advisory Council. (1995). Exercise:A prescribing guide. Madison, WI: Amgen Inc
  25. The Life Options Rehabilitation Advisory Council. (2000). Exercise:A guide for the people on dialysis. Madison, WI: Amgen Inc
  26. The Society of Korean Language and Literature. (2004). Korean Language Dictionary. Seoul: Minjungeogwan
  27. Tsuyuki, K., Kimura, Y., Chiashi, K., Matsushita, C., Ninomiya, K., Choh, K., et al. (2003). Oxygen uptake efficiency slope as monitoring tool for physical training in chronic hemodialysis patients. Therapeutic Apheresis and Dialysis, 7, 461-467 https://doi.org/10.1046/j.1526-0968.2003.00084.x
  28. Ware, J. E., Snow K. K., Kosinski, M., & Gandek, B. (1993). SF-36 health survey manual and interpretation guide. Boston, MA: New England Medical Center, The Health Institute
  29. Yang, J. S. (2001). A trial for development of health profile (KHP1.0) to measure the self-perceived health status of Korean. Unpublished doctoral dissertation, Inje University, Gimhae
  30. Yurtkuran, M., Alp, A., Yurtkuran, M., & Dilek, K. (2007). A Modified yoga-based exercise program on hemodialysis patients: A randomized controlled study. Complementary Therapies in Medicine, 15, 164-171 https://doi.org/10.1016/j.ctim.2006.06.008