Intradialytic Aerobic Exercise in CKD Patient

Intradialytic Aerobic Exercise in CKD Patient

Intradialytic aerobic exercise is not effective in increasing hemodialysis adequacy but is effective in improving physical performance in twice-weekly hemodialysis patients.

Uremic myopathy occurs in 60-75% of Chronic Kidney Disease (CKD) patients undergoing hemodialysis, which causes a decrease in muscle strength and physical performance. Increasing dialysis adequacy is beneficial in reducing the impact of uremia on muscles. Intradialytic aerobic exercise in thrice-weekly hemodialysis patients has improved dialysis adequacy and physical performance. This study aims to determine the effect of intradialytic aerobic exercise on improving dialysis adequacy and physical performance in twice-weekly hemodialysis patients.

Inclusion Criteria:

• End Stage Renal Disease Patient stage 5 with Glomerular Filtration Rate <15mL/minute/1.73m2 aged 25-54 years undergoing hemodialysis two times per week for three months to five years
• Hemoglobin levels > 8mg/dl
• Mini-Mental State Examination (MMSE) score of ≥24
• Hamilton Depression Rating Scale (HDRS) score <25

Exclusion Criteria:

• Received aerobic exercise in the last 3 months
• History of hospitalization in the last 3 months
• Access for hemodialysis circulation via the femoral vein.
• IMT <18,5 (underweight) dan ≥35 (obese class II)
• Non-stable cardiovascular disease, uncontrolled glucose, acute infection disease