Sarcopenia Hemodialysis Intradialytic exercise Sarcopenia Hemodialysis Intradialytic exercise
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Hemodialysis more than 3 months at least 2 times per week 2. Can walk on their own or with a walking aid 3. Able to understand research projects and exercises, including the ability to decide to participate in research on their own. 4. Diagnosed sarcopenia or possible sarcopenia from definition of Asian Working Group for Sarcopenia, AWGS
Exclusion criteria
Exclusion criteria: 1.There are contraindications to muscle mass testing by body composition monitors or Bioelectrical Impedance Analysis, such as cardiovascular implants, pacemakers, metallic implants such as artificial joint implants, except cochlear implants and insulin pumps. 2.History of instability during dialysis (intradialytic hypotension (SBP decrease of more than 20 mmHg) or hypertension (SBP increase of more than 20 mmHg) more than 3 consecutive session in the past 8 weeks. 3.Dementia patients who are unable to understand the research project and cannot decide to participate in the research project themselves. 4.Have any of the following comorbidities that are contraindications to exercise: - History of stroke in the past 3 months - History of acute myocardial infarction or unstable angina in the past 6 months - uncontrolled arrhythmia and causes changes in the circulatory system - uncontrolled heart failure - severe aortic stenosis - myocarditis/pericarditis - Pulmonary embolism - dissecting aortic aneurysm - acute systemic infection - Uncontrolled hypertension is defined as a systolic blood pressure greater than or equal to 200 mmHg and/or a diastolic blood pressure greater than or equal to 120 mmHg. - Have a history of being hospitalized with a serious illness in the past 3 months. - An orthopedic condition that prevents exercise or worsens symptoms, such as an acute flare-up of arthritis, a leg fracture, or leg surgery in the past 6 months. - Vitreous hemorrhage
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Post dialysis recovery time at 6 months Patients were asked to answer the question, How long does it take to recover from a dialysis session?, to assess recovery time in hours unit. | — |
Secondary
| Measure | Time frame |
|---|---|
| sleep quality at 6 months Pittsburgh sleep quality index; PSQI,Quality of life at 6 months Kidney Disease Quality of Life Short Form version 1.3,intradialysis blood pressure instability at 6 months Times of Intradialytic hypotension and hypertension | — |
Countries
Thailand
Contacts
Internal medicine department, Lampang Hospital