@2024 Afarand., IRAN
ISSN: 2252-0805 The Horizon of Medical Sciences 2016;22(1):35-41
ISSN: 2252-0805 The Horizon of Medical Sciences 2016;22(1):35-41
Impact of Isometric and Isotonic Movements during Hemodialysis on Dialysis Adequacy
ARTICLE INFO
Article Type
Original ResearchAuthors
Basiri Moghaddam M. (1)Mohamadpour A. (2)
Mottaghi M.R. (3)
Jahani Maghani F. (*)
(*) Student Research Committee, Nursing & Midwifery Faculty, Gonadad University of Medical Sciences, Gonabad, Iran
(1) Internal Surgery Nursing Department, Nursing & Midwifery Faculty, Gonabad University of Medical Sciences, Gonabad, Iran
(2) “Social Determinants of Health Research Center” and “Internal Surgery Nursing Department, Nursing & Midwifery Faculty”, Gonabad University of Medical Sciences, Gonabad, Iran
(3) Basic Science Department, Paramedical School, Gonabad University of Medical Sciences, Gonabad, Iran
Correspondence
Address: Nursing & Midwifery Faculty, Gonabad University of Medical Sciences, Next to the Asian Road, Gonabad, Iran. Postal Code: 96917-93718Phone: +985157223028
Fax: +985157223814
f.jahani44@yahoo.com
Article History
Received: December 28, 2014Accepted: June 10, 2015
ePublished: December 15, 2015
ABSTRACT
Aims
Long term prognosis of hemodialysis patients are influenced by adequacy treatment. Thus, it is important to study the factors that improve the adequacy dialysis. The aim of this study was to determine the impact of isometric and isotonic movements during hemodialysis on dialysis adequacy.
Materials & Methods In this clinical trial in 2014, 50 patients in the two dialysis centers of Gonabad City and Qaen City, Iran, were selected by simple random sampling method and considering the inclusion criteria. The samples were randomly divided into two equal experimental and control groups. Experimental group patients performed isometric and isotonic movement according to tutorial film for 60 minutes in the first 2 hours of hemodialysis. These sport movement were repeated 3 times a week during hemodialysis session for 6 weeks. Dialysis adequacy was calculated before and after intervention in 2 groups. Data was analyzed by SPSS 14.5 software using independent T, Chi-square, Pearson- and Spearman correlation coefficients tests.
Findings After the intervention, there was a significant difference between two groups in adequacy of dialysis (p=0.01), in a way that before intervention, 80% of patients in experimental group had dialysis adequacy less than 1.2 which was reduced to 40% after intervention. However, the number of patients with less than 1.2 adequacy of dialysis in control group was increased from 72 to 76%.
Conclusion Performing isometric and isotonic movements during hemodialysis improves the adequacy of dialysis in hemodialysis patients.
Materials & Methods In this clinical trial in 2014, 50 patients in the two dialysis centers of Gonabad City and Qaen City, Iran, were selected by simple random sampling method and considering the inclusion criteria. The samples were randomly divided into two equal experimental and control groups. Experimental group patients performed isometric and isotonic movement according to tutorial film for 60 minutes in the first 2 hours of hemodialysis. These sport movement were repeated 3 times a week during hemodialysis session for 6 weeks. Dialysis adequacy was calculated before and after intervention in 2 groups. Data was analyzed by SPSS 14.5 software using independent T, Chi-square, Pearson- and Spearman correlation coefficients tests.
Findings After the intervention, there was a significant difference between two groups in adequacy of dialysis (p=0.01), in a way that before intervention, 80% of patients in experimental group had dialysis adequacy less than 1.2 which was reduced to 40% after intervention. However, the number of patients with less than 1.2 adequacy of dialysis in control group was increased from 72 to 76%.
Conclusion Performing isometric and isotonic movements during hemodialysis improves the adequacy of dialysis in hemodialysis patients.
CITATION LINKS
[1]Shafipour V, Jafari H, Shafipour L. The relationship between stress intensity and life quality in hemodialysis patients hospitalized in Sari Iran. Q J Sabzevar Univ Med Sci. 2009;16(3):155-60. [Persian]
[2]Tayyebi A, Babahaji M, Sadeghi Sherme M, Ebadi A, Eynollahi B. Study of the effect of Hatha Yoga exercises on dialysis adequacy. Iran J Crit Care Nurs. 2012;4(4):183-90. [Persian]
[3]Vahed Parast H, Ravanipour M. Assessing the adequacy of dialysis in patients undergoing hemodialysis in hemodialysis center in Boshehr City. Sci J Hamadan Nurs Midwifery Fac. 2008;16(2):50-4. [Persian]
[4]Chang TI, Li S, Chen SC, Peralta CA, Shlipak MG, Fried LF, et al. Risk factors for ESRD in individuals with preserved estimated GFR with and without albuminuria: results from the Kidney Early Evaluation Program (KEEP). Am J Kidney Dis. 2013;61(4 Suppl 2):S4-11.
[5]Mottahedian Tabrizi E, Najafi Mehri S, Samiey S, Einollahi B, BabaeiGh, Mohammadi E. Effect of programmed nursing cares in prevention of hemodialysis Complications. Iran J Crit Care Nurs. 2009;2(2):55-9. [Persian]
[6]Tayyebi A, Shasti S, Tadrisi D, Eynollahi B, Sadeghi Sherme M. The relationship between blood pressure and dialysis adequacy in dialysis patients. Iran J Crit Care Nurs. 2012;5(1):49-52. [Persian]
[7]Riahi Z, Esfarjani F, Marandi M, Bayat A, Kalani N. The effects of regular exercise program on dialysis efficacy, muscle atrophy and physical performance in hemodialysis patients. J Sharekord Univ Med Sci. 2012;14(5):63-73. [Persian]
[8]Chauveau P, Nguyen H, Combe C, Chêne G, Azar R, Cano N, et al. Dialyzer membrane permeability and survival in hemodialysis patients. Am J Kidney Dis. 2005;45(3):565-71.
[9]Shahdadi H, Badakhsh M, Msynayy N, Heydari M, Rahnema M. The effect ofincreasing blood flow rateon complications and dialysis adequacy in hemodialysis patients with low KT/V. Iran J Nurs Res. 2010;5(17):62-7. [Persian]
[10]Henrich WL. Principles and practice of dialysis. 4th edition. Philadelphia: Lippincott Williams & Wilkins; 2009.
[11]Hojjat M. Hemodialysis adequacy in patients with chronic renal failure. Iran J Crit Care Nurs. 2009;2(2):61-6. [Persian]
[12]Abedi Samakoosh M, Aghaie N, Gholami F, Shirzad M, Yosefi E, Teymoorzadeh Baboli T. Assesment dialysis adequacy in hemodialysis patients of Qaemshar Razi Hospital. J Mazandaran Univ Med Sci. 2013;23(107):20-7. [Persian]
[13]Chojak K, Smolenski O, Milkowski A, Pitrowski W. The effects of 6-month physical training conducted during hemodialysis in ESRD patients. Med Rehabil. 2006;10(2):25-41.
[14]Stack AG, Molony DA, Rives T, Tyson J, Murthy BV. Association of physical activity with mortality in the US dialysis population. Am J Kidney Dis. 2005;45(4):690-701.
[15]Parsons TL, Toffelmire EB, King-VanVlack CE. Exercise training during hemodialysis improves dialysis efficacy and physical performance. Arch Phys Med Rehabil. 2006;87(5):680-7.
[16]Cheema BS, Smith BC, Singh MA. A rationale for intradialytic exercise training as standard clinical practice in ESRD. Am J Kidney Dis. 2005;45(5):912-6.
[17]Kong CH, Tattersall JE, Greenwood RN, Farrington K.. The effect of exercise during hemodialysis on solute removal. Nephrol Dial Transplant. 1999;14(12):2927-31.
[18]Sun Y, Chen B, Jia Q, Wang J. The effect of exercise during hemodialysis on adequacy of dialysis. Zhonghua Nei Ke Za Zhi. 2002;41(2):79-81. [Chinese]
[19]Zaluska A, Zaluska WT, Bednarek-Skublewska A, Ksiazek A. Nutrition and hydration status improve with exercise training using stationary cycling during hemodialysis (HD) in patients with end stage renal disease (ESRD). Ann Univ Mariae Curie Sklodowska Med. 2002;57(2):342-6.
[20]Fallahi MJ, Shahidi Sh, Farajzadegan Z. The effect of intradialytic exercise on dialysis efficacy, serum phosphate, hemoglobin and blood pressure control and comparison between two exercise programs in hemodialysis patients. J Isfahan Med Sch. 2008;26(89):152-61. [Persian]
[21]Tanaka S, Sugiura T, Yamashita S, Dohi Y, Kimura G, Ohte N. Differential response of central blood pressure to isometric and isotonic exercises. Sci Rep. 2014;4:5439.
[22]Parsons TL, Toffelmire EB, King-Van Vlack CE. The effect of an exercise program during Hemodialysis on dialysis efficacy, blood pressure, and quality of life in end-stage renal disease patients. Clin Nephrol. 2004;61(4):261-74.
[23]Lakshemi NS. Therapeutic exercise. Daneshmandi H, Shamsi Majelan A, Mobarak Abadi L, translators. Tehran: Nasima; 2005. pp. 44-5.
[24]Yaghobi M, Mohammadi I, Ahmadi F. Effect of Isotonic and Isometric Exercise Box on muscular Cramping pain During Hemodialysis. J Kurdistan Univ Med Sci. 2007;12(2):53-60. [Persian]
[25]Jindal KK, Manuel A, Goldstein MB. Percent reduction in blood urea concentration during hemodialysis (PRU): A simple and accurate method to estimate Kt/V urea. ASAIO Trans. 1987;33(3):286-8.
[26]Borzou R, Ghalyaf M, Amini R, Zandiyan M, Torkaman B. Effect of increased blood flow on the amount of dialysis adequacy in hemodialysis patients. J Shahrkord Univ Med Sci. 2005;8(2):60-6. [Persian]
[27]Mogharab M, Madarshahian F, Rezai N, Mohammadi A. Dialysis adequacy in choronic hemodialysis patients in educational center Vali-Asr in Birjand. J Brijand Univ Med Sci. 2010;17(3):206-14. [Persian]
[28]Raiesifar A, Torabpour M, Mohsenizad P, Sha’bani H, Tayyebi A, Masoumi M. Dialysis adequacy in patients of Abadan hemodialysis center. J Crit Care Nurs. 2009;2(3):87-90. [Persian]
[29]Nadi E, Bashirian S, Khosravi M. Survey dialysis adequacy in Ekbatan hemodialysis part Sci. J Hamedan Univ Med Sci. 2003;10(3):27-33. [Persian]
[2]Tayyebi A, Babahaji M, Sadeghi Sherme M, Ebadi A, Eynollahi B. Study of the effect of Hatha Yoga exercises on dialysis adequacy. Iran J Crit Care Nurs. 2012;4(4):183-90. [Persian]
[3]Vahed Parast H, Ravanipour M. Assessing the adequacy of dialysis in patients undergoing hemodialysis in hemodialysis center in Boshehr City. Sci J Hamadan Nurs Midwifery Fac. 2008;16(2):50-4. [Persian]
[4]Chang TI, Li S, Chen SC, Peralta CA, Shlipak MG, Fried LF, et al. Risk factors for ESRD in individuals with preserved estimated GFR with and without albuminuria: results from the Kidney Early Evaluation Program (KEEP). Am J Kidney Dis. 2013;61(4 Suppl 2):S4-11.
[5]Mottahedian Tabrizi E, Najafi Mehri S, Samiey S, Einollahi B, BabaeiGh, Mohammadi E. Effect of programmed nursing cares in prevention of hemodialysis Complications. Iran J Crit Care Nurs. 2009;2(2):55-9. [Persian]
[6]Tayyebi A, Shasti S, Tadrisi D, Eynollahi B, Sadeghi Sherme M. The relationship between blood pressure and dialysis adequacy in dialysis patients. Iran J Crit Care Nurs. 2012;5(1):49-52. [Persian]
[7]Riahi Z, Esfarjani F, Marandi M, Bayat A, Kalani N. The effects of regular exercise program on dialysis efficacy, muscle atrophy and physical performance in hemodialysis patients. J Sharekord Univ Med Sci. 2012;14(5):63-73. [Persian]
[8]Chauveau P, Nguyen H, Combe C, Chêne G, Azar R, Cano N, et al. Dialyzer membrane permeability and survival in hemodialysis patients. Am J Kidney Dis. 2005;45(3):565-71.
[9]Shahdadi H, Badakhsh M, Msynayy N, Heydari M, Rahnema M. The effect ofincreasing blood flow rateon complications and dialysis adequacy in hemodialysis patients with low KT/V. Iran J Nurs Res. 2010;5(17):62-7. [Persian]
[10]Henrich WL. Principles and practice of dialysis. 4th edition. Philadelphia: Lippincott Williams & Wilkins; 2009.
[11]Hojjat M. Hemodialysis adequacy in patients with chronic renal failure. Iran J Crit Care Nurs. 2009;2(2):61-6. [Persian]
[12]Abedi Samakoosh M, Aghaie N, Gholami F, Shirzad M, Yosefi E, Teymoorzadeh Baboli T. Assesment dialysis adequacy in hemodialysis patients of Qaemshar Razi Hospital. J Mazandaran Univ Med Sci. 2013;23(107):20-7. [Persian]
[13]Chojak K, Smolenski O, Milkowski A, Pitrowski W. The effects of 6-month physical training conducted during hemodialysis in ESRD patients. Med Rehabil. 2006;10(2):25-41.
[14]Stack AG, Molony DA, Rives T, Tyson J, Murthy BV. Association of physical activity with mortality in the US dialysis population. Am J Kidney Dis. 2005;45(4):690-701.
[15]Parsons TL, Toffelmire EB, King-VanVlack CE. Exercise training during hemodialysis improves dialysis efficacy and physical performance. Arch Phys Med Rehabil. 2006;87(5):680-7.
[16]Cheema BS, Smith BC, Singh MA. A rationale for intradialytic exercise training as standard clinical practice in ESRD. Am J Kidney Dis. 2005;45(5):912-6.
[17]Kong CH, Tattersall JE, Greenwood RN, Farrington K.. The effect of exercise during hemodialysis on solute removal. Nephrol Dial Transplant. 1999;14(12):2927-31.
[18]Sun Y, Chen B, Jia Q, Wang J. The effect of exercise during hemodialysis on adequacy of dialysis. Zhonghua Nei Ke Za Zhi. 2002;41(2):79-81. [Chinese]
[19]Zaluska A, Zaluska WT, Bednarek-Skublewska A, Ksiazek A. Nutrition and hydration status improve with exercise training using stationary cycling during hemodialysis (HD) in patients with end stage renal disease (ESRD). Ann Univ Mariae Curie Sklodowska Med. 2002;57(2):342-6.
[20]Fallahi MJ, Shahidi Sh, Farajzadegan Z. The effect of intradialytic exercise on dialysis efficacy, serum phosphate, hemoglobin and blood pressure control and comparison between two exercise programs in hemodialysis patients. J Isfahan Med Sch. 2008;26(89):152-61. [Persian]
[21]Tanaka S, Sugiura T, Yamashita S, Dohi Y, Kimura G, Ohte N. Differential response of central blood pressure to isometric and isotonic exercises. Sci Rep. 2014;4:5439.
[22]Parsons TL, Toffelmire EB, King-Van Vlack CE. The effect of an exercise program during Hemodialysis on dialysis efficacy, blood pressure, and quality of life in end-stage renal disease patients. Clin Nephrol. 2004;61(4):261-74.
[23]Lakshemi NS. Therapeutic exercise. Daneshmandi H, Shamsi Majelan A, Mobarak Abadi L, translators. Tehran: Nasima; 2005. pp. 44-5.
[24]Yaghobi M, Mohammadi I, Ahmadi F. Effect of Isotonic and Isometric Exercise Box on muscular Cramping pain During Hemodialysis. J Kurdistan Univ Med Sci. 2007;12(2):53-60. [Persian]
[25]Jindal KK, Manuel A, Goldstein MB. Percent reduction in blood urea concentration during hemodialysis (PRU): A simple and accurate method to estimate Kt/V urea. ASAIO Trans. 1987;33(3):286-8.
[26]Borzou R, Ghalyaf M, Amini R, Zandiyan M, Torkaman B. Effect of increased blood flow on the amount of dialysis adequacy in hemodialysis patients. J Shahrkord Univ Med Sci. 2005;8(2):60-6. [Persian]
[27]Mogharab M, Madarshahian F, Rezai N, Mohammadi A. Dialysis adequacy in choronic hemodialysis patients in educational center Vali-Asr in Birjand. J Brijand Univ Med Sci. 2010;17(3):206-14. [Persian]
[28]Raiesifar A, Torabpour M, Mohsenizad P, Sha’bani H, Tayyebi A, Masoumi M. Dialysis adequacy in patients of Abadan hemodialysis center. J Crit Care Nurs. 2009;2(3):87-90. [Persian]
[29]Nadi E, Bashirian S, Khosravi M. Survey dialysis adequacy in Ekbatan hemodialysis part Sci. J Hamedan Univ Med Sci. 2003;10(3):27-33. [Persian]