Evidence map›Paper›PMID 26316654›Full record

Trial reportBMJ open2015

A structured exercise programme during haemodialysis for patients with chronic kidney disease: clinical benefit and long-term adherence.

Kirsten Anding, Thomas Bär, Joanna Trojniak-Hennig, Simone Kuchinke, Rolfdieter Krause, Jan M Rost, Martin Halle

2 registry-linked trialsAbstract readClinical Trial
In one paragraph

Trial report in BMJ open, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 43 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03944824 nacompletednot on this mapstarted 2019, after this paper: background citation

The Effect of Intradialytic Resistance Exercises Using Resistance Bands With Exercise Physiologist Consultation on the Physical Function of People Undergoing Hemodialysis: a Proof of Concept Study

TypeinterventionalSponsorSatellite HealthcareRan2019 to 2019Enrolled46ConditionsEnd Stage Renal Failure on Dialysis, Frail Elderly SyndromeArmsExercise Plan using resistance bands, Modified Fried Frailty Scale
NCT05207527 nanot yet recruitingnot on this mapstarted 2025, after this paper: background citation

Design and Effectiveness of Different Physical Exercise-based Interventions About Health Indicators and Quality of Life in Patients With Chronic Kidney Disease in Hemodialysis

TypeinterventionalSponsorUniversidad del RosarioRan2025 to 2028Enrolled120ConditionsChronic Kidney DiseasesArmscardiovascular exercise, Muscle strength, Mixed
3 · Its place in the literature

Who cites it

43 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Kirsten AndingKfH Kidney Center, Bischofswerda, Germany ReNi-German Society of Sports Rehabilitation in CKD, Berlin, Germany.
Thomas BärKfH Kidney Center, Bischofswerda, Germany.
Joanna Trojniak-HennigKfH Kidney Center, Bischofswerda, Germany.
Simone KuchinkeKfH Kidney Center, Bischofswerda, Germany.
Rolfdieter KrauseReNi-German Society of Sports Rehabilitation in CKD, Berlin, Germany.
Jan M RostMax Planck-Institute for the Physics of Complex Systems, Dresden, Germany PULSE Institute, Stanford University, Palo Alto, USA.
Martin HalleDepartment of Prevention, Rehabilitation and Sports Medicine, Klinikum rechts der, Isar, Technische Universität München, Munich, Germany Partner site Munich Heart Alliance, DZHK (German Center for Cardiovascular Research), Munich, Germany Else-Kröner-Fresenius-Zentrum, Munich, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveLong-term studies regarding the effect of a structured physical exercise programme (SPEP) during haemodialysis (HD) assessing compliance and clinical benefit are scarce. STUDY

designA single-centre clinical trial, non-randomised, investigating 46 patients with HD (63.2 ± 16.3 years, male/female 24/22, dialysis vintage 4.4 years) performing an SPEP over 5 years. The SPEP (twice/week for 60 min during haemodialysis) consisted of a combined resistance (8 muscle groups) and endurance (supine bicycle ergometry) training. Exercise intensity was continuously adjusted to improvements of performance testing. Changes in endurance and resistance capacity, physical functioning and quality of life (QoL) were analysed over 1 year in addition to long-term adherence and economics of the programme over 5 years. Average power per training session, maximal strength tests (maximal exercise repetitions/min), three performance-based tests for physical function, SF36 for QoL were assessed in the beginning and every 6 months thereafter.

results78% of the patients completed the programme after 1 year and 43% after 5 years. Participants were divided--according to adherence to the programme--into three groups: (1) high adherence group (HA, >80% of 104 training sessions within 12 months), (2) moderate adherence (MA, 60-80%), and 3. Low adherence group (LA, <60%)) with HA and MA evaluated quantitatively. One-year follow-up data revealed significant (p<0.05) improvement for both groups in all measured parameters: exercise capacity (HA: 55%, MA: 45%), strength (HA: >120%, MA: 40-50%), QoL in three scores of SF36 subscales and physical function in the three tests taken between 11% and 31%. Moreover, a quantitative correlation analysis revealed a close association (r=0.8) between large improvement of endurance capacity and weak physical condition (HA).

conclusionsThe exercise programme described improves physical function significantly and can be integrated into a HD routine with a high long-term adherence.

Indexed as

Patient ComplianceRenal DialysisAgedExercise TherapyFemaleFollow-Up StudiesHumansMaleMiddle AgedMotivationMuscle StrengthPhysical EnduranceQuality of LifeRenal Insufficiency, ChronicResistance TrainingTreatment OutcomeDialysis < NEPHROLOGYSPORTS MEDICINE

Identifiers

PMID26316654
PMCPMC4554901

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.