Patients initiating maintenance hemodialysis Hemodialysis, Incident Hemodialysis, Frailty, Exercise Therapy
Conditions
Interventions
Participants in the intervention group will receive a 6-month unsupervised home-based exercise program in addition to usual multidisciplinary care provided by physicians, nurses, pharmacists, register
D015444
Exercise Therapy
Home-Based Exercise
Walking
Resistance Training
Sponsors
Yamaguchi Tomoya
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1.admitted to Hamamatsu University Hospital for hemodialysis initiation 2.able to provide written informed consent for participation in the study; and 3.independently ambulatory before admission.
Exclusion criteria
Exclusion criteria: 1.unable or unwilling to provide written informed consent; 2.judged to be unable to complete study assessments because of poor general condition; 3.unable to complete questionnaires or physical function assessments because of intellectual disability or language difficulties; or 4.judged by the principal investigator or attending physician to be unsuitable for participation in the study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in Clinical Frailty Scale (CFS) score from baseline to 6 months. | — |
Secondary
| Measure | Time frame |
|---|---|
| Changes from baseline to 6 months in frailty assessed using the Japanese version of the Cardiovascular Health Study (J-CHS) criteria, physical activity (mean step count on non-dialysis days), physical function (Short Physical Performance Battery, knee extensor strength, handgrip strength, and walking speed), kidney disease-specific quality of life (KDQOL-SF), sleep quality (Pittsburgh Sleep Quality Index), fear of movement (Tampa Scale for Kinesiophobia), and exercise self-efficacy. Adverse events will be recorded throughout the intervention period. | — |
Contacts
Public ContactTomoya Yamaguchi
Hamamatsu University School of Medicine
Outcome results
None listed