Intradialytic Exercise dan Outcome pada Pasien yang Menjalani Hemodialisis
Abstract
This study aims to study the effect of intradialysis exercise on patients undergoing hemodialysis. The research method used is a literature search. The research results were published in English and Indonesian journals from 2018 to 2022. The literature search used PICO references in several databases, such as ScienceDirect, ProQuest, Scopus, and PubMed. The study's results showed a significant effect of intradialytic exercise on improving physical, cognitive, and sleep quality and quality of life. They could help reduce depression levels in patients undergoing hemodialysis. In conclusion, a structured and adequately monitored intradialysis exercise program is the key to the success of an intradialysis exercise program.
Keywords: Hemodialysis, Intradialysis Exercise
References
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Bogataj, Š., Pajek, J., Buturović Ponikvar, J., & Pajek, M. (2020). Functional Training Added to Intradialytic Cycling Lowers Low-Density Lipoprotein Cholesterol and Improves Dialysis Adequacy: A Randomized Controlled Trial. BMC Nephrology, 21(1), 1–10. https://doi.org/10.1186/s12882-020-02021-2
Cho, J. H., Lee, J. Y., Lee, S., Park, H., Choi, S. W., & Kim, J. C. (2018). Effect of Intradialytic Exercise on Daily Physical Activity and Sleep Quality in Maintenance Hemodialysis Patients. International Urology and Nephrology, 50(4), 745–754. https://doi.org/10.1007/s11255-018-1796-y
Greenwood, S. A., Koufaki, P., Macdonald, J. H., Bhandari, S., Burton, J. O., Dasgupta, I., Farrington, K., Ford, I., Kalra, P. A., Kean, S., Kumwenda, M., Macdougall, I. C., Messow, C. M., Mitra, S., Reid, C., Smith, A. C., Taal, M. W., Thomson, P. C., Wheeler, D. C., & Mercer, T. H. (2021b). Randomized Trial-PrEscription of Intradialytic Exercise to Improve Quality of Life in Patients Receiving Hemodialysis. Kidney International Reports, 6(8), 2159–2170. https://doi.org/10.1016/j.ekir.2021.05.034
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
King, A. C., & Wilund, K. R. (2022). Next Steps for Intradialytic Cycling Research. Kidney and Dialysis, 2(2), 287–295. https://doi.org/10.3390/kidneydial2020027
Lambert, K., Lightfoot, C. J., Jegatheesan, D. K., Gabrys, I., & Bennett, P. N. (2022). Physical Activity and Exercise Recommendations for People Receiving Dialysis: A Scoping Review. PLoS One, 17(4 April), 1–20. https://doi.org/10.1371/journal.pone.0267290
Lee, S. H., Cho, A., Min, Y. K., Lee, Y. K., & Jung, S. (2018). Comparison of the Montreal Cognitive Assessment and the Mini-Mental State Examination as Screening Tests in Hemodialysis Patients Without Symptoms. Renal Failure, 40(1), 323–330. https://doi.org/10.1080/0886022X.2018.1455589
Lin, C. H., Hsu, Y. J., Hsu, P. H., Lee, Y. L., Lin, C. H., Lee, M. S., & Chiang, S. L. (2021). Effects of Intradialytic Exercise on Dialytic Parameters, Healthâ€Related Quality of Life, and Depression Status in Hemodialysis Patients: A Randomized Controlled Trial. International Journal of Environmental Research and Public Health, 18(17), 1–16. https://doi.org/10.3390/ijerph18179205
McAdams-Demarco, M. A., Chu, N. M., Steckel, M., Kunwar, S., González Fernández, M., Carlson, M. C., Fine, D. M., Appel, L. J., Diener-West, M., & Segev, D. L. (2020). Interventions Made to Preserve Cognitive Function Trial (IMPCT) Study Protocol: A Multi-Dialysis Center 2x2 Factorial Randomized Controlled Trial of Intradialytic Cognitive and Exercise Training to Preserve Cognitive Function. BMC Nephrology, 21(1), 1–10. https://doi.org/10.1186/s12882-020-02041-y
McAdams-DeMarco, M. A., Konel, J., Warsame, F., Ying, H., Fernández, M. G., Carlson, M. C., Fine, D. M., Appel, L. J., & Segev, D. L. (2018). Intradialytic Cognitive and Exercise Training May Preserve Cognitive Function. Kidney International Reports, 3(1), 81–88. https://doi.org/10.1016/j.ekir.2017.08.006
Mélanie, G., Nathalie, R., & Alexandre, G. (2019). Effect of Intradialytic Physical Activity on the Quality of Life, Biological Parameters and Sleep in Hemodialysis Patients. Journal of Clinical Nephrology, 3(3), 168–174. https://doi.org/10.29328/journal.jcn.1001044
Mór Fukushima, R. L., Micali, P. N., Do Carmo, E. G., De Souza Orlandi, F., & Costa, J. L. R. (2019). Cognitive Abilities and Physical Activity in Chronic Kidney Disease Patients Undergoing Hemodialysis. Dementia e Neuropsychologia, 13(3), 329–334. https://doi.org/10.1590/1980-57642018dn13-030010
Paluchamy, T., & Vaidyanathan, R. (2018). Effectiveness of Intradialytic Exercise on Dialysis Adequacy, Physiological Parameters, Biochemical Markers and Quality of Life – A Pilot Study. Saudi Journal of Kidney Diseases and Transplantation, 29(4), 902–910. https://doi.org/10.4103/1319-2442.239661
PERNEFRI. (2018). 11th Report Of Indonesian Renal Registry 2018. Irr, 1–46. https://www.indonesianrenalregistry.org/data/IRR 2018.pdf
Poornzaari, M., Roshanzadeh, M., Mohammadi, S., Tajabadi, A., Dehghani, K., & Parsa, S. (2019). Effect of Isotonic Exercise on the Frequency of Muscle Cramps in Hemodialysis Patients: A Clinical Trial. Medical - Surgical Nursing Journal, In Press(In Press), 1–5. https://doi.org/10.5812/msnj.85770
Pu, J., Jiang, Z., Wu, W., Li, L., Zhang, L., Li, Y., Liu, Q., & Ou, S. (2019). Efficacy and Safety of Intradialytic Exercise in Haemodialysis Patients: A Systematic Review and Meta-Analysis. BMJ Open, 9(1). https://doi.org/10.1136/bmjopen-2017-020633
Rhee, S. Y., Song, J. K., Hong, S. C., Choi, J. W., Jeon, H. J., Shin, D. H., Ji, E. H., Choi, E. H., Lee, J., Kim, A., Choi, S. W., & Oh, J. (2019). Intradialytic Exercise Improves Physical Function and Reduces Intradialytic Hypotension and Depression in Hemodialysis Patients. Korean Journal of Internal Medicine, 34(3), 588–598. https://doi.org/10.3904/kjim.2017.020
Souweine, J. S., Kuster, N., Chenine, L., Rodriguez, A., Patrier, L., Morena, M., Badia, E., Chalabi, L., Raynal, N., Ohresser, I., Leray-Moragues, H., Mercier, J., Hayot, M., Le Quintrec, M., Gouzi, F., & Cristol, J. P. (2018). Physical Inactivity and Protein Energy Wasting Play Independent Roles in Muscle Weakness in Maintenance Haemodialysis Patients. PLoS One, 13(8), 1–15. https://doi.org/10.1371/journal.pone.0200061
Belik, F. S., Silva, V. R. O., Braga, G. P., Bazan, R., Perez Vogt, B., Caramori, J. C. T., Barretti, P., Gonçalves, R. D. S., Bôas, P. J. F. V., Hueb, J. C., Martin, L. C., & Franco, R. J. D. S. (2018). Influence of Intradialytic Aerobic Training in Cerebral Blood Flow and Cognitive Function in Patients with Chronic Kidney Disease: A Pilot Randomized Controlled Trial. Nephron, 140(1), 9–17. https://doi.org/10.1159/000490005
Wayan, D. (2021). Benefits of Intradialytic Exercise to Increase Muscle Strength, Prevent Muscle Mass Loss on Chronic Renal Failure Patients on Hemodialysis: Review. Jurnal Keperawatan Cikini, 2(1), 11–18. https://doi.org/10.55644/jkc.v2i1.44
Wyngaert, K. V., Craenenbroeck, A. H. V., Eloot, S., Calders, P., Celie, B., Holvoet, E., & Van Biesen, W. (2020). Associations between the Measures of Physical Function, Risk of Falls and the Quality of Life in Haemodialysis Patients: A Cross-Sectional Study. BMC Nephrology, 21(1), 1–10. https://doi.org/10.1186/s12882-019-1671-9
Yabe, H., Kono, K., Yamaguchi, T., Ishikawa, Y., Yamaguchi, Y., & Azekura, H. (2021). Effects of Intradialytic Exercise for Advanced-Age Patients Undergoing Hemodialysis: A Randomized Controlled Trial. PLoS One, 16(10 October), 1–11. https://doi.org/10.1371/journal.pone.0257918
Zhang, F., Huang, L., Wang, W., Shen, Q., & Zhang, H. (2020). Effect of Intradialytic Progressive Resistance Exercise on Physical Fitness and Quality of Life in Maintenance Haemodialysis Patients. Nursing Open, 7(6), 1945–1953. https://doi.org/10.1002/nop2.585
Amatneeks, T. M., & Hamdan, A. C. (2019). Montreal Cognitive Assessment for Cognitive Assessment in Chronic Kidney Disease: A Systematic Review. Jornal Brasileiro de Nefrologia : ’Orgao Oficial de Sociedades Brasileira e Latino-Americana de Nefrologia, 41(1), 112–123. https://doi.org/10.1590/2175-8239-JBN-2018-0086
Bello, A. K., Okpechi, I. G., Osman, M. A., Cho, Y., Htay, H., Jha, V., Wainstein, M., & Johnson, D. W. (2022). Epidemiology of Haemodialysis Outcomes. Nature Reviews Nephrology, 18(6), 378–395. https://doi.org/10.1038/s41581-022-00542-7
Bogataj, Š., Pajek, J., Buturović Ponikvar, J., & Pajek, M. (2020). Functional Training Added to Intradialytic Cycling Lowers Low-Density Lipoprotein Cholesterol and Improves Dialysis Adequacy: A Randomized Controlled Trial. BMC Nephrology, 21(1), 1–10. https://doi.org/10.1186/s12882-020-02021-2
Cho, J. H., Lee, J. Y., Lee, S., Park, H., Choi, S. W., & Kim, J. C. (2018). Effect of Intradialytic Exercise on Daily Physical Activity and Sleep Quality in Maintenance Hemodialysis Patients. International Urology and Nephrology, 50(4), 745–754. https://doi.org/10.1007/s11255-018-1796-y
Greenwood, S. A., Koufaki, P., Macdonald, J. H., Bhandari, S., Burton, J. O., Dasgupta, I., Farrington, K., Ford, I., Kalra, P. A., Kean, S., Kumwenda, M., Macdougall, I. C., Messow, C. M., Mitra, S., Reid, C., Smith, A. C., Taal, M. W., Thomson, P. C., Wheeler, D. C., & Mercer, T. H. (2021b). Randomized Trial-PrEscription of Intradialytic Exercise to Improve Quality of Life in Patients Receiving Hemodialysis. Kidney International Reports, 6(8), 2159–2170. https://doi.org/10.1016/j.ekir.2021.05.034
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
King, A. C., & Wilund, K. R. (2022). Next Steps for Intradialytic Cycling Research. Kidney and Dialysis, 2(2), 287–295. https://doi.org/10.3390/kidneydial2020027
Lambert, K., Lightfoot, C. J., Jegatheesan, D. K., Gabrys, I., & Bennett, P. N. (2022). Physical Activity and Exercise Recommendations for People Receiving Dialysis: A Scoping Review. PLoS One, 17(4 April), 1–20. https://doi.org/10.1371/journal.pone.0267290
Lee, S. H., Cho, A., Min, Y. K., Lee, Y. K., & Jung, S. (2018). Comparison of the Montreal Cognitive Assessment and the Mini-Mental State Examination as Screening Tests in Hemodialysis Patients Without Symptoms. Renal Failure, 40(1), 323–330. https://doi.org/10.1080/0886022X.2018.1455589
Lin, C. H., Hsu, Y. J., Hsu, P. H., Lee, Y. L., Lin, C. H., Lee, M. S., & Chiang, S. L. (2021). Effects of Intradialytic Exercise on Dialytic Parameters, Healthâ€Related Quality of Life, and Depression Status in Hemodialysis Patients: A Randomized Controlled Trial. International Journal of Environmental Research and Public Health, 18(17), 1–16. https://doi.org/10.3390/ijerph18179205
McAdams-Demarco, M. A., Chu, N. M., Steckel, M., Kunwar, S., González Fernández, M., Carlson, M. C., Fine, D. M., Appel, L. J., Diener-West, M., & Segev, D. L. (2020). Interventions Made to Preserve Cognitive Function Trial (IMPCT) Study Protocol: A Multi-Dialysis Center 2x2 Factorial Randomized Controlled Trial of Intradialytic Cognitive and Exercise Training to Preserve Cognitive Function. BMC Nephrology, 21(1), 1–10. https://doi.org/10.1186/s12882-020-02041-y
McAdams-DeMarco, M. A., Konel, J., Warsame, F., Ying, H., Fernández, M. G., Carlson, M. C., Fine, D. M., Appel, L. J., & Segev, D. L. (2018). Intradialytic Cognitive and Exercise Training May Preserve Cognitive Function. Kidney International Reports, 3(1), 81–88. https://doi.org/10.1016/j.ekir.2017.08.006
Mélanie, G., Nathalie, R., & Alexandre, G. (2019). Effect of Intradialytic Physical Activity on the Quality of Life, Biological Parameters and Sleep in Hemodialysis Patients. Journal of Clinical Nephrology, 3(3), 168–174. https://doi.org/10.29328/journal.jcn.1001044
Mór Fukushima, R. L., Micali, P. N., Do Carmo, E. G., De Souza Orlandi, F., & Costa, J. L. R. (2019). Cognitive Abilities and Physical Activity in Chronic Kidney Disease Patients Undergoing Hemodialysis. Dementia e Neuropsychologia, 13(3), 329–334. https://doi.org/10.1590/1980-57642018dn13-030010
Paluchamy, T., & Vaidyanathan, R. (2018). Effectiveness of Intradialytic Exercise on Dialysis Adequacy, Physiological Parameters, Biochemical Markers and Quality of Life – A Pilot Study. Saudi Journal of Kidney Diseases and Transplantation, 29(4), 902–910. https://doi.org/10.4103/1319-2442.239661
PERNEFRI. (2018). 11th Report Of Indonesian Renal Registry 2018. Irr, 1–46. https://www.indonesianrenalregistry.org/data/IRR 2018.pdf
Poornzaari, M., Roshanzadeh, M., Mohammadi, S., Tajabadi, A., Dehghani, K., & Parsa, S. (2019). Effect of Isotonic Exercise on the Frequency of Muscle Cramps in Hemodialysis Patients: A Clinical Trial. Medical - Surgical Nursing Journal, In Press(In Press), 1–5. https://doi.org/10.5812/msnj.85770
Pu, J., Jiang, Z., Wu, W., Li, L., Zhang, L., Li, Y., Liu, Q., & Ou, S. (2019). Efficacy and Safety of Intradialytic Exercise in Haemodialysis Patients: A Systematic Review and Meta-Analysis. BMJ Open, 9(1). https://doi.org/10.1136/bmjopen-2017-020633
Rhee, S. Y., Song, J. K., Hong, S. C., Choi, J. W., Jeon, H. J., Shin, D. H., Ji, E. H., Choi, E. H., Lee, J., Kim, A., Choi, S. W., & Oh, J. (2019). Intradialytic Exercise Improves Physical Function and Reduces Intradialytic Hypotension and Depression in Hemodialysis Patients. Korean Journal of Internal Medicine, 34(3), 588–598. https://doi.org/10.3904/kjim.2017.020
Souweine, J. S., Kuster, N., Chenine, L., Rodriguez, A., Patrier, L., Morena, M., Badia, E., Chalabi, L., Raynal, N., Ohresser, I., Leray-Moragues, H., Mercier, J., Hayot, M., Le Quintrec, M., Gouzi, F., & Cristol, J. P. (2018). Physical Inactivity and Protein Energy Wasting Play Independent Roles in Muscle Weakness in Maintenance Haemodialysis Patients. PLoS One, 13(8), 1–15. https://doi.org/10.1371/journal.pone.0200061
Belik, F. S., Silva, V. R. O., Braga, G. P., Bazan, R., Perez Vogt, B., Caramori, J. C. T., Barretti, P., Gonçalves, R. D. S., Bôas, P. J. F. V., Hueb, J. C., Martin, L. C., & Franco, R. J. D. S. (2018). Influence of Intradialytic Aerobic Training in Cerebral Blood Flow and Cognitive Function in Patients with Chronic Kidney Disease: A Pilot Randomized Controlled Trial. Nephron, 140(1), 9–17. https://doi.org/10.1159/000490005
Wayan, D. (2021). Benefits of Intradialytic Exercise to Increase Muscle Strength, Prevent Muscle Mass Loss on Chronic Renal Failure Patients on Hemodialysis: Review. Jurnal Keperawatan Cikini, 2(1), 11–18. https://doi.org/10.55644/jkc.v2i1.44
Wyngaert, K. V., Craenenbroeck, A. H. V., Eloot, S., Calders, P., Celie, B., Holvoet, E., & Van Biesen, W. (2020). Associations between the Measures of Physical Function, Risk of Falls and the Quality of Life in Haemodialysis Patients: A Cross-Sectional Study. BMC Nephrology, 21(1), 1–10. https://doi.org/10.1186/s12882-019-1671-9
Yabe, H., Kono, K., Yamaguchi, T., Ishikawa, Y., Yamaguchi, Y., & Azekura, H. (2021). Effects of Intradialytic Exercise for Advanced-Age Patients Undergoing Hemodialysis: A Randomized Controlled Trial. PLoS One, 16(10 October), 1–11. https://doi.org/10.1371/journal.pone.0257918
Zhang, F., Huang, L., Wang, W., Shen, Q., & Zhang, H. (2020). Effect of Intradialytic Progressive Resistance Exercise on Physical Fitness and Quality of Life in Maintenance Haemodialysis Patients. Nursing Open, 7(6), 1945–1953. https://doi.org/10.1002/nop2.585
