End Stage Kidney Disease
Conditions
Keywords
Chronic kidney failure, 25 hydroxyvitamin D, falls, exercise, quadriceps strength
Brief summary
This study aims to examine the effect of 25 hydroxyvitamin D supplementation and a structured exercise program on the exercise capacity and quality of life of haemodialysis patients with 25 hydroxyvitamin D insufficiency.
Interventions
30 minutes on an exercise bicycle during every dialysis
Cholecalciferol 2000U per day will be given for duration of study to all participants
Participants randomised to this arm at 3 months will continue on their usual exercise routine for the remaining 3 months
Sponsors
Study design
Eligibility
Inclusion criteria
1. Stable on dialysis for at least 3 months 2. Able to obtain informed consent 3. Medically stable 4. Dialysis adequacy at target for small solute clearance (ie Kt/V\>1.2 or Urea reduction ratio\>65%) 5. Serum 25-hydroxyvitamin D levels less than 75nmol/L at baseline
Exclusion criteria
1. Limb Amputation 2. Impaired cognition 3. Impaired vision 4. Haemoglobin concentration \< 110g/L 5. Change in Erythropoiesis stimulating agent dose over the last 2 months 6. Unable or unwilling to comply with exercise program
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Exercise capacity - modified shuttle walk test | Basesline, 3 & 6 months |
Secondary
| Measure | Time frame |
|---|---|
| Quadriceps Strength | Baseline, 3 & 6 months |
| Serum phosphate | baselibe, 3 & 6 months |
| Feeling thermometer | Baseline, 3 & 6 months |
| Quality of life with KDQOL | Baseline, 3 & 6 months |
| Falls | continuous |
| Pulse wave velocity | baseline, 3 & 6 months |
| Bioimpedance | Baseline, 3 & 6 months |
| Timed up and go | baseline, 3 & 6 months |
Countries
Australia