Influence of Physical Exercise on the Dialytic Adequacy Parameters of Patients on Hemodialysis.
Alicia García TestalRafael García MasetDavid Hervás MarínBorja Pérez-DomínguezPilar Royo MaicasInmaculada Soledad Rico SalvadorErika Meléndez-OlivaJavier Molina AracilMªJosé Murgui ChivaOlga Del Pozo BlancoPau Olagüe DíazJose Enrique Fernández NajeraEduardo Torregrosa De JuanCaterina Benedito CarreraEva Segura-OrtíPublished in: Therapeutic apheresis and dialysis : official peer-reviewed journal of the International Society for Apheresis, the Japanese Society for Apheresis, the Japanese Society for Dialysis Therapy (2018)
It has been suggested that physical exercise in chronic hemodialysis could improve dialysis dose and reduce postdialysis rebound. A randomized controlled trial was performed to compare a group of patients doing physical exercise during the first 2 h of hemodialysis sessions and another group doing physical exercise at home. The descriptive variables, dialysis doses measured by KtV, and rebounds (urea, creatinine, potassium, phosphorus), were recorded. For 69 patients: the mean KtV was 1.84; the 30-min rebound of creatinine was 32.37%, urea 24.39%, potassium 15.31%, and phosphorus 51.29%. For each patient, the basal measurement was compared with those determined when performing physical exercise; no statistically significant differences were observed between the changes determined to dose and rebound in the group with hemodialysis exercise compared to those of the home exercise group. In conclusion, performing physical exercise during the first 2 hours of hemodialysis sessions neither lowered postdialysis molecules rebound nor improved dialysis dose.