Evidence map›Paper›PMID 41723366›Full record

Trial reportBMC nephrology2026

Effectiveness of Otago exercise on sleep quality and dialysis adequacy in hemodialysis patients.

Effat Afaghi, Hamid Beigmohammadi, Nahid Rajai, Amir Hosein Pishgooie

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC nephrology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
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

4 authors.

Effat AfaghiCritical Care Nursing Department, Faculty of Nursing, Aja University of Medical Sciences, Tehran, Iran.
Hamid BeigmohammadiCritical Care Nursing Department, Student Research Committee, Aja University of Medical Sciences, Tehran, Iran.
Nahid RajaiCritical Care Nursing Department, Faculty of Nursing, Aja University of Medical Sciences, Tehran, Iran. N.Rajai22@yahoo.com.
Amir Hosein PishgooieMedical-Surgical Nursing Department, Faculty of Nursing, Aja University of Medical Sciences, Tehran, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients undergoing hemodialysis commonly experience complications such as poor sleep quality and inadequate dialysis efficiency. Therefore, effective nursing interventions are essential to mitigate these issues. This study was conducted with the aim of determining the effect of home-based Otago exercise on sleep quality and dialysis adequacy among patients undergoing hemodialysis in selected hospitals affiliated with Iran University of Medical Sciences in Tehran.

methodsIn this randomized controlled clinical trial, 46 hemodialysis patients were recruited from two dialysis centers in Tehran and randomly allocated into intervention and control groups using block randomization. The intervention group performed home-based Otago exercises three sessions per week for eight weeks, following initial training and regular follow-up. The outcome measures included the Pittsburgh Sleep Quality Index (PSQI) questionnaire and dialysis adequacy indices (Kt/V and URR), which were assessed both before and after the intervention in both groups. Data were analyzed using descriptive and inferential statistical tests through SPSS software version 16.

resultsOut of 45 participants, 44 completed the study. The two groups were demographically homogeneous. After the intervention, the intervention group showed significant improvements in sleep quality (P < 0.001), KT/V (P = 0.002), and URR (P = 0.006). Between-group comparisons also showed significant differences in sleep quality (P = 0.006) and KT/V (P = 0.023), but not in URR (P = 0.693).

conclusionHome-based Otago exercise can be used as a safe, low-cost, and effective intervention to improve both sleep quality and dialysis adequacy in patients undergoing hemodialysis. It is recommended that implementation of this home exercise program be taught to patients and followed up regularly.

trial registrationThis trial was registered at the Iranian Registry of Clinical Trials: IRCT20210911052440N1)Date of registration: 2022-02-25) https://irct.behdasht.gov.ir/trial/58681 .

Indexed as

Exercise TherapyKidney Failure, ChronicRenal DialysisSleep QualityAdultAgedFemaleHumansIranMaleMiddle AgedTreatment OutcomeDialysis adequacyHemodialysisOtago exercisePatientSleep quality

Identifiers

PMID41723366
PMCPMC12964798

What OpenQuestion holds

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Registered trials

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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.