Comparación de un programa de ejercicio intradiálisis frente a ejercicio domiciliario sobre capacidad física funcional y nivel de actividad física

Abstract

Introduction: Although exercise training of patients undergoing hemodialysis is generally associated with positive outcomes, few hemodialysis units routinely offer intradialytic exercise therapy. This is often related to financial cost and/or staff limitations. Home-based. The aim of this study was to compare the effects of intradialytic versus home based exercise regarding adherence, functional capacity and physical activity level.
Methods: 17 participants from hemodialysis unit from Valencia were randomized to either intradialytic exercise (n=9,) or home based exercise (n=8). Both programs consisted of a combination of strength training and aerobic exercise during 4 months. We assess functional capacity with different test (Short Physical Performance Battery, one leg stand, Timed Up and Go, Sit To Stand test 10 and 60,handgrip, one leg heel rise, 6 minutes walking test) and two questionnaires to asses physical activity level (Human Activity Profile and Physical Activity Scale for Elderly).
Outcomes: 2 participant from the intradialysis exercise and 5 participants from de home based exercise were analysed. We observed a significant time effect in the Human Activity Profile (P<.017). In the functional capacity test there was not a significant difference. The subjects from the intradilysis exercise completed the 92.7% and the home based group the 68.7% of the total of the sessions.
Conclusions: In both groups was an increment of the physical activity. Nevertheless, it is necessary to modify some factors, both in health professionals and patients, to achieve higher.