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Randomized Controlled Trial
. 2019 Mar 19;20(1):96.
doi: 10.1186/s12882-019-1276-3.

"Exercise during hemodialysis and health promoting behaviors: a clinical trial"

Alireza Dashtidehkordi  1 , Nahid Shahgholian  2 , Fatemeh Attari  3
Affiliations
Randomized Controlled Trial

"Exercise during hemodialysis and health promoting behaviors: a clinical trial"

Alireza Dashtidehkordi et al. BMC Nephrol. .

Abstract

Background: Health promoting behaviors are among the determinants of health. Hemodialysis causes significant changes in the lives of patients and affects their health promoting behaviors. Accordingly, this study aimed at investigating the effect of exercise during hemodialysis on health promotion behaviors in patients undergoing hemodialysis.

Methods: This study was a two-stage (before and after) clinical trial. The sample of the study consisted of 60 hemodialysis patients in two hospitals in Isfahan who were selected randomly and divided into two groups of control and intervention using random allocation method. A 8-week exercise program by stationary bicycles (Mini-bike) was designed for the intervention group, while the control group underwent a 10-min limbering exercise for 8 weeks. Data were collected using demographic questionnaire and the Health Promoting Lifestyle Profile II (HPLP-II) questionnaire before and after the intervention and were analyzed using SPSS21 software.

Results: Based on the independent t-test results, no significant difference was observed between the mean score of health promoting behaviors and its areas before the intervention (P > 0.05). However, the results of this test showed that the mean score of health promoting behaviors and its areas, except for the areas of responsibility (P = 0.052) and spirituality (P = 0.211), was significantly different between the two groups after the intervention (p < 0.05).

Conclusions: The results of this study showed that exercise with stationary bicycle during hemodialysis could promote health promoting behaviors. Thus, this exercise is recommended to be considered as part of the therapeutic protocol of these patients in hemodialysis departments.

Trial registration: The clinical trial was found to be in accordance to the ethical principles and the national norms and standards for conducting medical research in Iran. IRCT registration number: IRCT20150116020675N3 . Registration date: 2019-01-18, 1397/10/28 Approval ID: IR.MUI.

Research: REC.1397.014 Approval Date: 2018-07-01 Evaluated by: Vice-Chancellor in Research Affairs -Medical University of Isfahan.

Keywords: Exercise; Health promotion; Hemodialysis.

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Conflict of interest statement

Ethics approval and consent to participate

The clinical trial was found to be in accordance to the ethical principles and the national norms and standards for conducting medical research in Iran. This research was approved by the Ethics Committee of Isfahan University of Medical Sciences No .1397.014, Approval Date: 2018-07-01. The purpose of the research was explained for participants in the study and written informed consent was obtained from them.

Consent for publication

Not applicable.

Competing interests

The authors declare that they have no competing interests.

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Figures

Fig. 1
Fig. 1
Participant flow and follow up
See this image and copyright information in PMC

References

    1. Mousa I, Ataba R, Al-ali K, Alkaiyat A, Zyoud S. Dialysis-related factors affecting self-efficacy and quality of life in patients on hemodialysis: a cross-sectional study from Palestine. Renal Replace Ther. 2018;4:1–12.
    1. Iranian Consortium of Dialysis. Calendar of Dialysis by the End of 2016. Annual Data Report: Atlas of Chronic Kidney Disease and End-Stage Renal Disease in Islamic Repoblic Of Iran 1395. Available From http://www.icdgroup.org. Accessed 9 Mar 2019
    1. Rayner HC, Zepel L, Fuller DS, Morgenstern H, Karaboyas A, Culleton BF, et al. Recovery time, quality of life, and mortality in hemodialysis patients: the dialysis outcomes and practice patterns study (DOPPS) Am J Kidney Dis. 2014;64(1):86–94. doi: 10.1053/j.ajkd.2014.01.014. - DOI - PMC - PubMed
    1. Rostami F, Ramezani BF, Amini K, Pezeshki A. Effect of a self care educational program based on Orem's model on stress in patients undergoing hemodialysis. Prev Care Nurs Midwifery J. 2015;5(1):13–22.
    1. Collins AJ, Foley RN, Gilbertson DT, Chen SC. United States renal data system public health surveillance of chronic kidney disease and end-stage renal disease. Kidney Int Suppl. 2015;5(1):2–7. doi: 10.1038/kisup.2015.2. - DOI - PMC - PubMed

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