End Stage Renal Disease Clinical Trial
Official title:
Combined Resistance and Aerobic Exercise is Better Than Resistance Training Alone to Improve Functional Performance of Hemodialysis Patients - Results of a Randomized Trial
This is a randomized trial with participants recruited from one dialysis unit of a Brazilian
university hospital. Hemodialysis patients were assigned to receive the resistance exercise
combined with an aerobic training or the resistance training alone for a period of 10 weeks.
The functional performance of patients was assessed before and after the intervention
through the six-minute walk test (6MWT). The difference over time of the 6MWT was compared
between the groups through multivariate linear regression.
Thirteen patients were allocated for each group of intervention. The difference in distance
walked before and after intervention in the combined training group was of +39.7 (61.4)
meters, and this difference in the resistance training group was of -19.2 (53.9) meters,
p=0.01. In multivariate analysis with adjustment for age, skin color, gender, hematocrit,
time since starting dialysis, Kt/V and baseline values of 6MWT, the type of training
remained significantly associated with the amount of increase in walked distance.
Although the best protocol of exercise for patients on dialysis is not yet clear, in the
investigators sample of hemodialysis patients the combination of aerobic and resistance
training was more effective to improve functional performance.
n/a
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Supportive Care
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