Home-based exercise in dialysis patients with end-stage renal disease: A systematic review and meta-analysis of randomized controlled trials

被引：4
作者：
Chen, Hongshuang [1 ]
Guan, Yuxia [2 ]
Zhou, Zijuan [2 ]
Shi, Jiyuan [1 ]
Li, Lingyu [1 ]
Shi, Jiawei [1 ]
Wang, Qinlu [1 ]
Zou, Haiou [1 ,3 ]
机构：
[1] Chinese Acad Med Sci & Peking Union Med Coll, Sch Nursing, Beijing, Peoples R China
[2] Peking Union Med Coll Hosp, Dept Nephrol, Beijing 100730, Peoples R China
[3] Chinese Acad Med Sci, Peking Union Med Coll, Sch Nursing, 33 Ba da chu St, Beijing 100144, Peoples R China
来源：
COMPLEMENTARY THERAPIES IN CLINICAL PRACTICE | 2024年 / 54卷
关键词：
End -stage renal disease; Dialysis patients; Home -based exercise; Meta; -analysis; C-REACTIVE PROTEIN; QUALITY-OF-LIFE; KIDNEY-DISEASE; MAINTENANCE HEMODIALYSIS; REPORTED OUTCOMES; PHYSICAL-ACTIVITY; AEROBIC EXERCISE; PROGRAM; INDIVIDUALS; CAPACITY;
D O I：
10.1016/j.ctcp.2023.101822
中图分类号：
R [医药、卫生];
学科分类号：
10 ;
摘要：
Background: Lack of exercise may reduce the quality of life, physical capability, and functional capability of dialysis patients. Home-based exercise seems to be a desirable form of low-cost intervention. But the effectiveness of this intervention in the dialysis population is still unclear. The purpose of this meta-analysis is to provide effective evidence to determine the impact of home-based exercise on functional capacity, physical capacity, muscular strength, biochemical parameters, and health-related quality of life among dialysis patients with endstage renal disease (ESRD).Methods: PubMed, Embase, Cochrane Library, and Web of Science were searched from inception to May 2023, to identify potential randomized controlled trials (RCTs) assessing the effectiveness of home-based exercise in dialysis patients with ESRD. Two independent reviewers selected studies, extracted data, and assessed the risk of bias using the Cochrane tool. Evidence summary using fixed or random effects for meta-analysis.Results: Twelve RCTs including 1008 dialysis patients met the inclusion criteria. The meta-analysis showed significant effects of home-based exercise on physical capacity. Seven studies reported the results of the 6-min walking test, compared with short-term (0-3 months) home-based exercise (P = 0.76), long-term (3-6 months) interventions (P < 0.001) can significantly improve the results of the 6-min walking test. The results showed that home-based exercise did significantly improve patients' VO2 peak (P = 0.007). Compared with center-based exercise or usual care, home exercise did not significantly improve handgrip strength, quality of life or CRP and other biochemical parameters (P > 0.05).Conclusion: The results showed that long-term home-based exercise can improve walking ability. In addition, home-based exercise had the benefit on the VO2 peak of ESRD patients receiving dialysis patients. However, there was no statistically significant difference in handgrip strength, health-related quality of life, CRP, and other biochemical parameters.
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页数：9
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