Original Article(s)
19 September 2022
Vol. 10 (2022)
Nephro Walking: activation of a physical activity program for psychophysical well-being in the dialysed and transplanted patient - a pilot study
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
368
Views
232
Downloads
Authors
Background: Physical inactivity is particularly relevant in patients with chronic renal failure, a category of patients in whom substantial worsening of physical fitness and frailty is strongly associated with adverse prognosis and reduced quality of life. This pilot study aims to implement a physical activity program within the therapeutic path of adult patients in renal replacement treatment (peritoneal and hemodialysis) and transplants to increase physical performance and improve quality of life.
Methods: Pilot, non-pharmacological, single-arm, monocentric, non-profit study on a convenience sample of at least ten nephropathic patients recruited from November 2021 to January 2022. Patients will undergo a therapeutic walk program consisting of 22 sessions. The immediate recovery index, body mass composition, blood parameters and quality of life will be measured.
Conclusions: The application of this small-scale study aims to verify its feasibility and adequacy to obtain information that permits designing future studies.
Altmetrics
Downloads
Download data is not yet available.
Citations
Smith AC, Burton JO. Exercise in kidney disease and diabetes: time for action. J Ren Care. 2012;38:52–8. DOI: https://doi.org/10.1111/j.1755-6686.2012.00279.x
Jha V, Garcia-Garcia G, Iseki K, Li Z, Naicker S, Plattner B, et al. Chronic kidney disease: global dimension and perspectives. Lancet Lond Engl. 2013;382:260–72.
Webster AC, Nagler EV, Morton RL, Masson P. Chronic kidney disease. The Lancet. 2017;389:1238–52. DOI: https://doi.org/10.1016/S0140-6736(16)32064-5
Jha V, Garcia-Garcia G, Iseki K, Li Z, Naicker S, Plattner B, et al. Chronic kidney disease: global dimension and perspectives. Lancet Lond Engl. 2013;382:260–72. DOI: https://doi.org/10.1016/S0140-6736(13)60687-X
Kovesdy CP. Epidemiology of chronic kidney disease: an update - 2022. Kidney Int Suppl. 2022;12:7–11. DOI: https://doi.org/10.1016/j.kisu.2021.11.003
Chen TK, Knicely DH, Grams ME. Chronic kidney disease diagnosis and management. JAMA. 2019;322:1294–304. DOI: https://doi.org/10.1001/jama.2019.14745
Hoshino J. Renal rehabilitation: exercise intervention and nutritional support in dialysis patients. Nutrients. 2021;13:1444. DOI: https://doi.org/10.3390/nu13051444
Zelle DM, Klaassen G, van Adrichem E, Bakker SJL, Corpeleijn E, Navis G. Physical inactivity: a risk factor and target for intervention in renal care. Nat Rev Nephrol. 2017;13:318. DOI: https://doi.org/10.1038/nrneph.2017.44
Headley S, Germain M, Wood R, Joubert J, Milch C, Evans E, et al. Short-term aerobic exercise and vascular function in CKD stage 3: a randomized controlled trial. Am J Kidney Dis Off J Natl Kidney Found. 2014;64:222–9. DOI: https://doi.org/10.1053/j.ajkd.2014.02.022
Viana JL, Kosmadakis GC, Watson EL, Bevington A, Feehally J, Bishop NC, et al. Evidence for anti-inflammatory effects of exercise in CKD. J Am Soc Nephrol JASN. 2014;25:2121–30. DOI: https://doi.org/10.1681/ASN.2013070702
Avesani CM, Trolonge S, Deléaval P, Baria F, Mafra D, Faxén-Irving G, et al. Physical activity and energy expenditure in haemodialysis patients: an international survey. Nephrol Dial Transplant Off Publ Eur Dial Transpl Assoc - Eur Ren Assoc. 2012;27:2430–4. DOI: https://doi.org/10.1093/ndt/gfr692
Hellberg M, Höglund P, Svensson P, Abdulahi H, Clyne N. Decline in measured glomerular filtration rate is associated with a decrease in endurance, strength, balance and fine motor skills. Nephrol Carlton Vic. 2017;22:513–9. DOI: https://doi.org/10.1111/nep.12810
Tentori F, Elder SJ, Thumma J, Pisoni RL, Bommer J, Fissell RB, et al. Physical exercise among participants in the Dialysis Outcomes and Practice Patterns Study (DOPPS): correlates and associated outcomes. Nephrol Dial Transplant Off Publ Eur Dial Transpl Assoc - Eur Ren Assoc. 2010;25:3050–62. DOI: https://doi.org/10.1093/ndt/gfq138
De Smet S, Van Craenenbroeck AH. Exercise training in patients after kidney transplantation. Clin Kidney J. 2021;14:ii15–24. DOI: https://doi.org/10.1093/ckj/sfab022
Hart A, Weir MR, Kasiske BL. Cardiovascular risk assessment in kidney transplantation. Kidney Int. 2015;87:527–34. DOI: https://doi.org/10.1038/ki.2014.335
Stoumpos S, Jardine AG, Mark PB. Cardiovascular morbidity and mortality after kidney transplantation. Transpl Int Off J Eur Soc Organ Transplant. 2015;28:10–21. DOI: https://doi.org/10.1111/tri.12413
Supporting Agencies
NoneHow to Cite
Nephro Walking: activation of a physical activity program for psychophysical well-being in the dialysed and transplanted patient - a pilot study. (2022). Working Paper of Public Health, 10(1). https://doi.org/10.4081/wpph.2022.9538
