Original scientific paper
THE EFFECT OF INTRADIALYTIC EXERCISE PROGRAM ON THE QUALITY OF LIFE AND PHYSICAL PERFORMANCE IN HEMODIALYSIS PATIENTS
HALIMA RESIĆ
orcid.org/0000-0003-3215-5982
; University of Sarajevo Clinical Center, Department of Hemodialysis and Department of Physical Medicine and Rehabilitation, Sarajevo, Bosnia and Herzegovina
NARCISA VAVRA-HADŽIAHMETOVIĆ
; Department of Physical Medicine and Rehabilitation, Sarajevo, Bosnia and Herzegovina
DAMIR ČELIK
; Department of Physical Medicine and Rehabilitation, Sarajevo, Bosnia and Herzegovina
AMRA KABLAR
; University of Sarajevo Clinical Center, Department of Hemodialysis and Department of Physical Medicine and Rehabilitation, Sarajevo, Bosnia and Herzegovina
NIHAD KUKAVICA
; University of Sarajevo Clinical Center, Department of Hemodialysis and Department of Physical Medicine and Rehabilitation, Sarajevo, Bosnia and Herzegovina
SELMA AJANOVIĆ
; University of Sarajevo Clinical Center, Department of Hemodialysis and Department of Physical Medicine and Rehabilitation, Sarajevo, Bosnia and Herzegovina
AMELA BEĆIRAGIĆ
; University of Sarajevo Clinical Center, Department of Hemodialysis and Department of Physical Medicine and Rehabilitation, Sarajevo, Bosnia and Herzegovina
AIDA ĆORIĆ
; University of Sarajevo Clinical Center, Department of Hemodialysis and Department of Physical Medicine and Rehabilitation, Sarajevo, Bosnia and Herzegovina
Abstract
Aim: To determine the effect of a 16-week intradialytic exercise program consisting of 30 minutes of exercise during the first two hours of dialysis with three times a week frequency, on the quality of life (QoL), level of depression/anxiety and physical performance in hemodialysis (HD) patients. Methods: The clinical, longitudinal, prospective study with one-group repeated measures design was conducted during a 16-week period. A convenience sample of 52 HD patients, who had been on HD for a minimum of 6 months, were included. QoL, level of depression and anxiety (questionnaires: SF-36, Back Depression Inventory (BDI) and Back Anxiety Inventory (BAI)) and physical performance (modifying Visual Analogue Scale (VAS) and Manual Muscle Testing (MMT)) were assessed at baseline and after 4-month exercise program. Results: The following scales of SF-36 questionnaire were improved after 16-week exercise program: role functioning/emotional (P=0.018), energy/fatigue (P=0.002) and social functioning (P=0.030). Level of depression and anxiety were significantly decreased in males (P=0.007 and P=0.022, respectively) and females (P=0.001 and P=0.000, respectively). VAS scale and MMT were significantly increased in males (P=0.000 and P=0.001, respectively) and females (P=0.019 and P=0.001, respectively) after 16-week exercise program. Conclusion: Exercise program improves some aspects of QoL and physical performance, and decreases the level of depression and anxiety in HD patients.
Keywords
hemodialysis; exercise; quality of life; depression; anxiety; physical performance
Hrčak ID:
126785
URI
Publication date:
14.9.2014.
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