Benefits, Barriers to Exercise Examined for Patients With ESRD
Patients undergoing dialysis would like to be able to exercise to improve energy, strength
(HealthDay News) -- Patients with end-stage renal disease (ESRD) undergoing maintenance dialysis express a desire to exercise to regain energy and strength, but many report barriers to exercise, according to a study published online in the Clinical Journal of the American Society of Nephrology.
Danielle Moorman, MD, from the University of Ottawa in Ontario, Canada, and colleagues surveyed 423 dialysis patients. The authors sought to examine perceived benefits of and barriers to exercise for ESRD patients treated with hemodialysis (HD) or peritoneal dialysis (PD).
The researchers found that across modalities, current activity levels were similar (P=0.35). Overall, 78 and 58% of younger and older patients, respectively, walked at least 10 minutes at a time on 3 or more days/week (P=0.001). Improved energy and strength were the 2 most desired benefits of exercise (18 and 14%, respectively); the third priority was improved sleep, maintenance of independence, and longevity for PD patients, in-center HD patients, and home HD patients, respectively. Improvements in energy, strength, and maintenance of independence most interested older patients, while younger patients were interested in improving energy, longevity, and transplant candidacy. Twenty-five percent of patients were able to exercise without difficulty, while major barriers for other patients included feeling too tired, too weak, or short of breath (55, 49, and 50%, respectively).
"Patients are primarily interested in exercise as a mechanism to improve quality of life as opposed to a reduction in heart disease and hospitalization," the authors write.
Moorman D, Suri R, Hiremath S, Jegatheswaran J, Kumar T, Bugeja A, and Zimmerman D. Benefits and Barriers to and Desired Outcomes with Exercise in Patients with ESKD. Clin J Am Soc Nephrol. January 2019, CJN.09700818; DOI:10.2215/CJN.09700818
Jefferson NM. A Patient's View on Exercise and ESKD. Clin J Am Soc Nephrol. January 2019, CJN.00150119; DOI:10.2215/CJN.00150119