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Influence of Physical Exercise on the Dialytic Adequacy Parameters of Patients on Hemodialysis
Author(s) -
García Testal Alicia,
García Maset Rafael,
Hervás Marín David,
PérezDomínguez Borja,
Royo Maicas Pilar,
Rico Salvador Inmaculada Soledad,
MeléndezOliva Erika,
Molina Aracil Javier,
Murgui Chiva MªJosé,
Del pozo Blanco Olga,
Olagüe Díaz Pau,
Fernández Najera Jose Enrique,
Torregrosa De Juan Eduardo,
Benedito Carrera Caterina,
SeguraOrtí Eva
Publication year - 2019
Publication title -
therapeutic apheresis and dialysis
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.415
H-Index - 53
eISSN - 1744-9987
pISSN - 1744-9979
DOI - 10.1111/1744-9987.12762
Subject(s) - medicine , hemodialysis , dialysis , creatinine , physical therapy , dialysis adequacy , urea , physical exercise , urology , chemistry , organic chemistry
Abstract It has been suggested that physical exercise in chronic hemodialysis could improve dialysis dose and reduce postdialysis rebound. A randomized controlled trial was performed to compare a group of patients doing physical exercise during the first 2 h of hemodialysis sessions and another group doing physical exercise at home. The descriptive variables, dialysis doses measured by KtV, and rebounds (urea, creatinine, potassium, phosphorus), were recorded. For 69 patients: the mean KtV was 1.84; the 30‐min rebound of creatinine was 32.37%, urea 24.39%, potassium 15.31%, and phosphorus 51.29%. For each patient, the basal measurement was compared with those determined when performing physical exercise; no statistically significant differences were observed between the changes determined to dose and rebound in the group with hemodialysis exercise compared to those of the home exercise group. In conclusion, performing physical exercise during the first 2 hours of hemodialysis sessions neither lowered postdialysis molecules rebound nor improved dialysis dose.