Efektivitas Latihan Intradialitik pada Hemodialisis

  • Ratu Izza Auwah Mairo Universitas Airlangga


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


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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

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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

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How to Cite
Mairo, R. (2022). Efektivitas Latihan Intradialitik pada Hemodialisis. Journal of Telenursing (JOTING), 4(2), 467-476. https://doi.org/https://doi.org/10.31539/joting.v4i2.3838
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