Pengaruh Exercise Intradialytic Terhadap Nilai Adekuasi Hemodialysis
DOI:
https://doi.org/10.30651/jkm.v3i2.1817Keywords:
Review, Exercise Intradialytic, Adequacy dialysis, Kt/V and URRAbstract
People with kidney failure should have hemodialysis therapy to survive. The effectiveness of hemodialysis therapy can be measured by calculating the value of dialysis adequacy: Kt/V and URR values. Intradialytic exercise is an exercise that can improve of dialysis adequacy. The purpose of this review is to report the results of related research on the effect of intradialytic exercise on dialysis adequacy. Relevant articles were search in PubMed, Science Direct and Google Scholar using this keywords intradialytic exercise and dialysis adequacy. Results: 12 articles ware included in the review and found various intradialytic exercises, intradialytic training time and length of intradialytic training. Exercises that can improve the adequacy of dialysis are static bike exercises, airogym and aerobics. While exercise resistance decreases the value of dialysis adequacy. We also found that the initial adequacy varied. Discussion: mild exercise can increase dialysis adequacy, in the first two hours of dialysis and minimum exercise was conducted two month. Currently no literature that recommend type and length of intradialytic exercise. Conclusion: intradialytic exercise can increase the value of dialysis adequacy, although it has increased, the mean value of adequacy before exercise is above standard. To confirm these findings, further research is needed to conducted exercise ware the value of adequacy under standard values.
References
Adam, J. K., Mtech, S. S., & Sbn, M. N. (2017). Impact Of Airogym Exercise On Solute Removal And Oedema On End-Stage Kidney Disease Patients : A Randomised Controlled Trial. Journal Medical Technology SA, 31(1), 1–8.
Armezya, W., Nasrul, E., & Bahar, E. (2014). Pengaruh Hemodialisis terhadap Urea Reduction Ratio pada Pasien Penyakit Ginjal Kronik Stadium V di RSUP Dr . M . Djamil Padang. Jurnal Kesehatan Andalas, 5(2), 300–305.
Baral, S., Pant, V., & Shah, D. (2017). Dialysis Adequacy in ESRD Patients on Maintenance Hemodialysis in a Tertiary Care Center. Journal of Institute of Medicine, 39(2), 29–32.
Barzegar, H., Moosazadeh, M., Jafari, H., & Esmaeili, R. (2016). Evaluation of Dialysis Adequacy in Hemodialysis Patients: A Systematic Review, 13(4), 2744–2749.
Clarkson, M. J., Fraser, S. F., Bennett, P. N., McMahon, L. P., Brumby, C., & Warmington, S. A. (2017). Efficacy of blood flow restriction exercise during dialysis for end stage kidney disease patients: Protocol of a randomised controlled trial. BMC Nephrology, 18(1), 1–9. https://doi.org/10.1186/s12882-017-0713-4
Daugirdas, J. T., Leypoldt, J. K., Akonur, A., Greene, T., & Depner, T. A. (2013). Improved equation for estimating single-pool Kt/V at higher dialysis frequencies. Nephrology Dialysis Transplantation, 28(8), 2156–2160. https://doi.org/10.1093/ndt/gfs115
Ebrahimi, H., Sadeghi, M., & Khatibi, M. (2015). The Relationship Between Quality of Life With Dialysis Efficacy and Laboratory Parameters in Shahroud ’ Hemodialysis Patients. Iran J Crit Care Nurs, 8(2), 109–16.
Groussard, C., Rouchon-Isnard, M., Coutard, C., Romain, F., Malardé, L., Lemoine-Morel, S., … Boisseau, N. (2015). Beneficial effects of an intradialytic cycling training program in patients with end-stage kidney disease. Applied Physiology, Nutrition, and Metabolism, 40(6), 550–556. https://doi.org/10.1139/apnm-2014-0357
Indonesian renal Registry. (2012). 5 th Report Of Indonesian Renal Registry 2012. Program Indonesia Renal Registry, 12–13. https://doi.org/10.2215/CJN.02370316
Kaur, J., Venkateasan, M., Kaur, H., Rawat, P. S., & Massey, H. (2016). Effectiveness of Muscle Stretching Exercise on Quality of Life of Haemodialysis Patients. International Journal of Medical Research & Health Sciences, 5(4), 203–207.
Maksum, M. (2015). The Relations Between Hemodialysis Adequacy And The Life Quality Of Patiens. Medical Journal of Lampung University, 4, 39–43. Retrieved from http://juke.kedokteran.unila.ac.id/index.php/majority/article/view/499
Marinho, S. M., Carraro Eduardo, J. C., & Mafra, D. (2017). Effect of a resistance exercise training program on bone markers in hemodialysis patients. Science & Sports, 32(2), 99–105. https://doi.org/10.1016/j.scispo.2017.01.003
Mohseni, R., Emami Zeydi, A., Ilali, E., Adib-Hajbaghery, M., Makhlough, A., & Student, G. (2013). The Effect of Intradialytic Aerobic Exercise on Dialysis Efficacy in Hemodialysis Patients: A Randomized Controlled Trial Ehteramosadat Ilali Mohsen Adib-Hajbaghery. Oman Medical Specialty Board Oman Medical Journal, 28(5), 345–349. https://doi.org/10.5001/omj.2013.99
Moraes, C., Marinho, S. M., Da Nobrega, A. C., De Oliveira Bessa, B., Jacobson, L. V., Stockler-Pinto, M. B., … Mafra, D. (2014). Resistance exercise: A strategy to attenuate inflammation and protein-energy wasting in hemodialysis patients? International Urology and Nephrology, 46(8), 1655–1662. https://doi.org/10.1007/s11255-014-0712-3
Musavian, A. S., Soleimani, A., Masoudi Alavi, N., Baseri, A., & Savari, F. (2015). Comparing the effects of active and passive intradialytic pedaling exercises on dialysis efficacy, electrolytes, hemoglobin, hematocrit, blood pressure and health-related quality of life. Nursing and Midwifery Studies, 4(1), e25922. Retrieved from http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=4377533&tool=pmcentrez&rendertype=abstract
National Kidney Foundation. (2015). KDOQI Clinical Practice Guideline Hemodialysis Update Update of the KDOQI TM Clinical Practice Guideline for Hemodialysis Adequacy. National Kidney Foundation. Retrieved from https://www.kidney.org/sites/default/files/KDOQI-Clinical-Practice-Guideline-Hemodialysis-Update_Public-Review-Draft-FINAL_20150204.pdf
Orcy, R., Antunes, M. F., Schiller, T., Seus, T., & Böhlke, M. (2014). Aerobic exercise increases phosphate removal during hemodialysis: A controlled trial. Hemodialysis International, 18(2), 450–458. https://doi.org/10.1111/hdi.12123
Paglialonga, F., Lopopolo, A., Scarfia, R. V., Consolo, S., Galli, M. A., Salera, S., … Edefonti, A. (2014). Intradialytic cycling in children and young adults on chronic hemodialysis. Pediatric Nephrology, 29(3), 431–438. https://doi.org/10.1007/s00467-013-2675-5
Parker, K., Zhang, X., Lewin, A., & MacRae, J. M. (2015). The association between intradialytic exercise and hospital usage among hemodialysis patients. Applied Physiology, Nutrition, and Metabolism, 40(4), 371–378. https://doi.org/10.1139/apnm-2014-0326
PERNEFRI. (2015). 8th Report Of Indonesian Renal Registry, 1–45.
Ribeiro, R., Coutinho, G. L., Iuras, A., Barbosa, A. M., Souza, J. A. C. de, Diniz, D. P., & Schor, N. (2013). Effect of resistance exercise intradialytic in renal patients chronic in hemodialysis. Jornal Brasileiro de Nefrologia, 35(1), 13–19. https://doi.org/10.5935/01012800.20130003
Sheng, K., Zhang, P., Chen, L., Cheng, J., Wu, C., & Chen, J. (2014). Intradialytic exercise in hemodialysis patients: A systematic review and meta-analysis. American Journal of Nephrology, 40(5), 478–490. https://doi.org/10.1159/000368722
Smart, N., McFarlane, J., & Cornelissen, V. (2013). The Effect of Exercise Therapy on Physical Function, Biochemistry and Dialysis Adequacy in Haemodialysis Patients: A Systematic Review and Meta-Analysis. Open Journal of Nephrology, 3(1), 25–36. https://doi.org/10.4236/ojneph.2013.31005
Downloads
Published
Issue
Section
License
- Penulis tetap memegang hak atas karyanya dan memberikan hak publikasi pertama kepada jurnal ini yang secara simultan karya tersebut dilisensikan di bawah:Â Creative Commons Attribution-ShareAlike 4.0 International (CC BY-SA 4.0)