Evidence map›Paper›PMID 37730530›Full record

Trial reportBMC nephrology2023

The effect of intradialytic exercise on calcium, phosphorus and parathyroid hormone: a randomized controlled trial.

Mohammad Ali Tabibi, Kenneth R Wilund, Nasrin Salimian, Saghar Nikbakht, Mahsa Soleymany, Zahra Roshanaeian, Farzad Nazemi, Saghar Ahmadi

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC nephrology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04916743 (The Effect of Intradialytic Exercise on Calcium, Phosphorus and Parathyroid Hormone), which is not on this map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 19% of its field
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.

NCT04916743 nacompletednot on this map

The Effect of Intradialytic Exercise on Calcium, Phosphorus and Parathyroid Hormone: A Randomized Controlled Trial

TypeinterventionalSponsorPardis Specialized Wellness InstituteRan2021 to 2022Enrolled44ConditionsChronic Kidney Diseases, End Stage Renal Disease, HemodialysisArmsIntradialytic exercise group
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Effect of Exercise on Parathyroid Hormone Levels in Dialysis Patients: A Systematic Review and Meta-Analysis.Hemodialysis international. International Symposium on Home Hemodialysis · 2026
    Pooled it
  2. Trial
  3. Blood Flow Restriction Training in Hemodialysis Patients: Clinical Benefits, Challenges, and Future Perspectives.Hemodialysis international. International Symposium on Home Hemodialysis · 2026
    Review
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
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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

8 authors at 2 institutions in 2 countries.

Mohammad Ali TabibiDepartment of Exercise Physiology, Pardis Specialized Wellness Institute, Isfahan, Iran. m.tabibi@ut.ac.ir.
Kenneth R WilundDepartment of Kinesiology and Community Health, Division of Nutritional Sciences, University of Illinois, Urbana-Champaign, USA.
Nasrin SalimianDepartment of Research and Development, Pardis Specialized Wellness Institute, Isfahan, Iran.
Saghar NikbakhtDepartment of Kinesiology, Pardis Specialized Wellness Institute, Isfahan, Iran.
Mahsa SoleymanyDepartment of Exercise Physiology, Pardis Specialized Wellness Institute, Isfahan, Iran.
Zahra RoshanaeianDepartment of Sport Nutrition, Pardis Specialized Wellness Institute, Isfahan, Iran.
Farzad NazemiDepartment of Exercise Physiology, Pardis Specialized Wellness Institute, Isfahan, Iran.
Saghar AhmadiDepartment of Health and Palliative Care, Pardis Specialized Wellness Institute, Isfahan, Iran.
Ragheb Esfahani Institute · IRUniversity of Illinois Urbana-Champaign · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients with kidney failure experience derangements of circulating markers of mineral metabolism and dysregulation of skeletal and cardiovascular physiology which results in high mortality rate in these patients. This study aimed to evaluate the effect of intradialytic exercise on regulation of these abnormalities in patients receiving chronic hemodialysis (HD).

methodsIn this randomized controlled trial conducted in an HD center in Iran, adult patients receiving chronic HD were randomized to intradialytic exercise (60 min) in the second hour of thrice weekly dialysis for 6 months (intervention) or no intradialytic exercise (control). The primary outcomes were serum calcium, serum phosphorous and parathyroid hormone levels. Secondary outcomes were serum alkaline phosphatase and calcium-phosphorous product.

resultsThe study included 44 participants randomized to intervention (n = 22) or control (n = 22). During the 6-month intervention period, significant between-group changes were observed in all primary and secondary outcomes between the intervention and control groups. Statistical analyses reveal a significant increase in serum calcium (P < 0.05) as well as a significant decrease in serum phosphorous, parathyroid hormone, alkaline phosphatase and calcium-phosphorous product (P < 0.05).

conclusionIntradialytic exercise performed for at least 60 min during thrice weekly dialysis sessions improves bone mineral metabolism in adult patients receiving HD. Further studies should focus on observing and comparing the effect of different types of exercise on bone mineral disorders and all-cause mortality in HD patients.

trial registrationClinicalTrials.gov Identifier: NCT04916743, Registered on 08/06/2021. Registered trial name: The Effect of Intradialytic Exercise on Calcium, Phosphorous and Parathyroid Hormone: A Randomized Controlled Trial.

Indexed as

Bone DiseasesCalciumAdultAlkaline PhosphataseCalcium, DietaryHumansParathyroid HormonePhosphorusRenal DialysisAlkaline PhosphataseCalciumCalcium, DietaryParathyroid HormonePhosphorusBone mineral disordersCardiovascular diseaseExercise during dialysisHematological parametersMortality

Identifiers

PMID37730530
PMCPMC10512624
OpenAlexW4386897134

What OpenQuestion holds

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LicenceCC BY
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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.