Effects Of Supervised Versus Home Based Exercise Training In Hemodialysis Subjects - A Randomized Clinical Trial

Effect Of Exercise In Kidney Disease

Abstract

Introduction: Patients at all stages of CKD have an increased risk of cardiovascular disease, which is the most common cause of death. In stages 3 and 4 CKD, the risk of death from a cardiovascular event increases with worsening renal function and is several fold more than the risk of progression to end-stage renal disease. An exercise based lifestyle is quintessential to their survival and quality of life. However, supervised program is costly and difficult therefore feasibility of a home based exercise program against supervised program is objective of this study. Methods: This study was a randomized clinical trial design administered over 30 subjects in two groups. Group I was supervised program consisting of structured exercise based on American college of sports medicine recommendations for dialysis subjects. While group B performed a home based program mainly with warm ups, walking and a cool down. Results: this study showed that there was significant improvement in the Supervised group related to Physical functioning and HRQOL compared to Home-based group which showed comparatively lesser improvement as compared to supervised group. Conclusion: The main finding of this present study is that supervised exercise training exhibited significantly greater improvement in cardiopulmonary endurance and status as well as HRQOL in CKD hemodialytic subjects compared to the Home based group who showed comparatively lesser changes in all parameters and this result is consistent with previous literatures. However role of home based programs cannot be undermined in view of findings of this study [Lepcha T Natl J Integr Res Med, 2019; 10(5):40-48]