Chronic kidney disease Urological and Genital Diseases Chronic kidney disease
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Male and female aged between 18 and 100 years 2. Established Chronic kidney disease (Stages 3b-5) 3. Attending Nephrology outpatient clinics in the Leicester region
Exclusion criteria
Exclusion criteria: 1. Age 9%), advanced cerebral or peripheral vascular disease) 3. Insufficient command of English to give informed consent or comply with the testing and training protocol. If the results indicate that the intervention is useful, future larger studies will include provision for those whose first language is not English. 4. BMI> 40 with waist circumference >102cm for males and >88 for females. Two measures of obesity have been included here to allow for the inclusion of individuals with a high BMI due to a larger muscle mass, as BMI is unable to discriminate between fat mass and fat free mass.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Muscle strength (total weight lifted during training sessions and estimated 1 repetition maximum of quadriceps extension) measured at 6 weeks, 12 weeks, 18 weeks | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Quadriceps Muscle size: Magnetic Resonance Imaging & 3D Ultrasonography. Measured at baseline, 6 weeks, 18 weeks 2. Exercise Capacity: VO2peak. Measured at baseline, 6 weeks, 18 weeks 3. Physical Function: Shuttle walk tests; sit to stand tests. Measured at baseline, 6 weeks, 12 weeks, 18 weeks 4. Daily Physical Activity: 7 day Accelerometry. Measured at baseline, 6 weeks, 18 weeks 5. Body composition: Weight, height, waist circumference. Measured at baseline, 6 weeks, 12 weeks, 18 weeks 6. Arterial Stiffness: Pulse Wave Velocity. Measured at baseline, 6 weeks, 18 weeks 7. Clinical parameters: Extracted from medical records. Measured at baseline, 6 weeks, 18 weeks 8. Muscle metabolism: Muscle biopsy. Measured at 6 weeks, 18 weeks 9. Plasma markers of inflammation and oxidative stress, Venous blood sample. Measured at baseline, 6 weeks, 18 weeks 10. Quality of Life: SF36 and EQ5D questionnaires. Measured at baseline, 6 weeks, 12 weeks, 18 weeks 11. Symptom perception: Chronic Kidney Disease Symptom Score. Measured at baseline, 6 weeks, 12 weeks, 18 weeks 12. Physical Activity habits and attitudes: Leicester Kidney Patient Physical Activity Questionnaire (comprising Duke Activity Status Index; GP Physical Activity Questionnaire; Leisure Time Exercise Questionnaire; Stage of Change Questionnaire; Self Efficacy Questionnaire). Measured at baseline, 6 weeks, 12 weeks, 18 weeks 13. Fatigue: FACIT-Fatigue Questionniare & Visual Analogue Scale. Measured at baseline, 6 weeks, 12 weeks, 18 weeks 14. Appetite: Visual Analogue Scale. Measured at baseline, 6 weeks, 12 weeks, 18 weeks | — |
Countries
United Kingdom