Portal de Periódicos da CAPES

Artigo Produção Nacional Revisado por pares

BIBTEX RIS

Implementing a resistance training programme for patients on short daily haemodialysis: A feasibility study

2022; Wiley; Volume: 49; Issue: 2 Linguagem: Inglês

10.1111/jorc.12423

1755-6686

Heitor S. Ribeiro, Vinícius Albuquerque Cunha, Gustavo Í. Dourado, Marvery P. Duarte, Lucas S. Almeida, Victor M. Baião, Antônio J. Inda‐Filho, João L. Viana, Otávio Tolêdo Nóbrega, Aparecido Pimentel Ferreira,

Central Venous Catheters and Hemodialysis

Kidney failure patients receiving haemodialysis experience protein-energy wasting, muscle mass loss and physical function impairment. Intradialytic exercise interventions seem to modify these features, but they are often not implemented as a clinical routine.To investigate the feasibility of implementing a supervised intradialytic resistance training programme as a clinical routine for patients receiving short daily haemodialysis.A prospective longitudinal study.Eighteen patients in a supervised intradialytic resistance training programme for 8 months.It consisted of a warm-up, lower- and upper-limb resistance exercises and a cool-down. Patients performed the resistance training during the first half of haemodialysis, twice a week, supervised by exercise physiologists and physiotherapists. The feasibility was assessed by the total and partial adherences, the reasons for refusing or for not exercising and the intradialytic complications.From a total of 953 potential exercise sessions, 759 were performed, with a 79.6% adherence rate. In the first 9 weeks, the adherence rate was 86.6% and the lowest rate was in the 19-27 weeks (73.5%). The main intradialytic complication during exercise sessions was hypotension (n = 31; 4.1%). The highest number of complications was reported during the first 9 weeks (n = 27; 9.1%). The main reasons for refusing or for not performing the intradialytic exercise sessions were clinical complications previous to exercise time (n = 63; 32.5%) and self-reported indisposition (n = 62; 32.0%).The intradialytic resistance training programme, supervised by exercise physiologists and physiotherapists, had very low complications, achieved a high long-term adherence rate and showed to be feasible as a clinical routine for patients receiving short daily haemodialysis.