Endurance exercise training during haemodialysis improves strength, power, fatigability and physical performance in maintenance haemodialysis patients

Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association
Thomas W StorerJoel D Kopple

Abstract

Endurance training improves cardiopulmonary fitness in maintenance haemodialysis (MHD). Because many MHD patients are profoundly deconditioned and exhibit significant muscle weakness, endurance training may also improve muscle strength and physical performance in these patients. This study assessed this possibility. Twelve MHD patients performed incremental and constant work rate cycle exercise tests to determine peak work rate, VO(2)peak and endurance time (ET). Lower extremity strength, power and fatigability, stair-climbing time, 10 m walk time and a timed up-and-go were assessed before and after 8.6+/-2.3 weeks of thrice weekly, progressive, semi-recumbent, leg-cycle training during haemodialysis. Initial training intensity and duration targets were set at 50% peak work rate (WR) and 20 min, respectively, with a goal of progressing to 40 min at the highest WR tolerable. Non-exercising MHD patients and healthy volunteers with similar age, gender and race/ethnicity served as comparison groups. None of the subjects tolerated the initial target intensity. Therefore, WR was reduced to 19+/-9 watts (30% of peak WR) for 19.9 min/session. At end of training, subjects cycled at 29+/-25 watts (46% initial peak WR; P = 0.01) for 38+/-...Continue Reading

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