Efektivitas Latihan Intradialitik pada Hemodialisis
Abstract
This study aims to systematically review several works of literature that discuss the impact of training or physical activity of Chronic Kidney Disease (CKD) patients undergoing hemodialysis on all factors that can improve the quality of life of CKD patients. The method used is a systematic review by browsing the literature on indexed electronic databases (Scopus, ScienceDirect, CINAHL, Pubmed, Oxford and SAGE). The results showed that the selection of appropriate and safe intradialytic exercises for patients was able to increase physical activity and sleep quality, leg muscle mass, stimulate bone alkaline phosphatase, which can prevent bone loss, lower blood pressure, improve respiratory function and functional capacity, improve physical function, reduce inflammation, improve nutrition, increase bone mineral density, improve exercise tolerance, increase Kt/V and increase the excretion of serum creatinine, blood urea and serum potassium phosphorus. In conclusion, intradialytic exercise during HD will improve the quality of life, decreasing morbidity and mortality of CKD patients undergoing HD.
Keywords: Hemodialysis, Intradialytic, Exercise
References
Fernandes, A. D. O., Sens, Y. A. D. S., Xavier, V. B., Miorin, L. A., & Alves, V. L. D. S. (2019). Functional and Respiratory Capacity of Patients with Chronic Kidney Disease Undergoing Cycle Ergometer Training during Hemodialysis Sessions: A Randomized Clinical Trial. International Journal of Nephrology. https://doi.org/10.1155/2019/7857824
Huang, M., Lv, A., Wang, J., Zhang, B., Xu, N., Zhai, Z., Gao, J., Wang, Y., Li, T., & Ni, C. (2020). The Effect of Intradialytic Combined Exercise on Hemodialysis Efficiency in End-Stage Renal Disease Patients: A Randomized-Controlled Trial. International Urology and Nephrology, 52(5), 969–976. https://doi.org/10.1007/s11255-020-02459-1
Jeong, J. H., Biruete, A., Tomayko, E. J., Wu, P. T., Fitschen, P., Chung, H. R., Ali, M., McAuley, E., Fernhall, B., Phillips, S. A., & Wilund, K. R. (2019). Results from the Randomized Controlled IHOPE Trial Suggest No Effects of Oral Protein Supplementation and Exercise Training on Physical Function in Hemodialysis Patients. Kidney International, 96(3), 777–786. https://doi.org/10.1016/j.kint.2019.03.018
Kirkman, D. L., Scott, M., Kidd, J., & Macdonald, J. H. (2019). The Effects of Intradialytic Exercise on Hemodialysis Adequacy: A Systematic Review. Seminars in Dialysis, 32(4), 368–378. https://doi.org/10.1111/sdi.12785
Lopes, L. C. C., Mota, J. F., Prestes, J., Schincaglia, R. M., Silva, D. M., Queiroz, N. P., Freitas, A. T. V. de S., Lira, F. S., & Peixoto, M. D. R. G. (2019). Intradialytic Resistance Training Improves Functional Capacity and Lean Mass Gain in Individuals on Hemodialysis: A Randomized Pilot Trial. Archives of Physical Medicine and Rehabilitation, 100(11), 2151–2158. https://doi.org/10.1016/j.apmr.2019.06.006
Marinho, S. M. S. d. A., Mafra, D., Pelletier, S., Hage, V., Teuma, C., Laville, M., Carraro Eduardo, J. C., & Fouque, D. (2016). In Hemodialysis Patients, Intradialytic Resistance Exercise Improves Osteoblast Function: A Pilot Study. Journal of Renal Nutrition, 26(5), 341–345. https://doi.org/10.1053/j.jrn.2016.03.002
McGregor, G., Ennis, S., Powell, R., Hamborg, T., Raymond, N. T., Owen, W., Aldridge, N., Evans, G., Goodby, J., Hewins, S., Banerjee, P., Krishnan, N. S., Ting, S. M. S., & Zehnder, D. (2018). Feasibility and Effects of Intra-Dialytic Low-Frequency Electrical Muscle Stimulation and Cycle Training: A Pilot Randomized Controlled Trial. PLoS ONE, 13(7), 1–17. https://doi.org/10.1371/journal.pone.0200354
Suhardjono, S., Umami, V., Tedjasukmana, D., & Setiati, S. (2019). The Effect of Intradialytic Exercise Twice a Week on the Physical Capacity, Inflammation, and Nutritional Status of Dialysis Patients: A Randomized Controlled Trial. Hemodialysis International, 23(4), 486–493. https://doi.org/10.1111/hdi.12764
Wijaya, A., & Padila, P. (2019). Hubungan Dukungan Keluarga, Tingkat Pendidikan dan Usia dengan Kepatuhan dalam Pembatasan Asupan Cairan pada Klien ESRD yang Menjalani Terapi Hemodialisa. Jurnal Keperawatan Silampari, 3(1), 393-404. https://doi.org/10.31539/jks.v3i1.883
Yeh, M. L., Wang, M. H., Hsu, C. C., & Liu, Y. M. (2020). Twelve-Week Intradialytic Cycling Exercise Improves Physical Functional Performance with Gain in Muscle Strength and Endurance: A Randomized Controlled Trial. Clinical Rehabilitation, 34(7), 916–926. https://doi.org/10.1177/0269215520921923