The Effects of Nutrition Supplementation and Resistance Exercise During Hemodialysis

The Effects of Nutrition Supplementation and Resistance Exercise During Hemodialysis

To test the hypothesis that an exercise session combined with adequate nutritional supplementation improves skeletal muscle protein accretion during a hemodialysis session.

Inclusion Criteria:

• On hemodialysis for more than 3 months, on a thrice weekly hemodialysis program.
• Adequately dialyzed (Kt/V > 1.2).
• Age 18-75

Exclusion Criteria:

• Pregnant women.
• Patients unable to perform exercise
• Severe unstable underlying disease besides commonly associated with ESRD. Cardiac patients that are stable will be included.
• Patients hospitalized within the last month prior to the study.
• Patients with malfunctioning arterial-venous access (recirculation and/or blood flow < 750 ml/min)
• Patients receiving steroids and/or other immunosuppressive agents.