Turkiye Klinikleri Journal of Health Sciences

.: ORIGINAL RESEARCH
Effect of Calisthenic Exercise on Aerobic Capacity, Grip Strength and Quality of life of Patients Undergoing Haemodialysis: A Single-Blind Placebo-Controlled Randomized Trial
Hemodiyaliz Hastalarında Kalistenik Egzersizin Aerobik Kapasite, Kavrama Kuvveti ve Yaşam Kalitesi Üzerindeki Etkisi: Tek Kör Plasebo Kontrollü Randomize Çalışma
Nazan ÖZTÜRKa , Ayşegül KAHRAMANb , Hakan AKDAMc, Fatma ÜNVERd
aAydın Adnan Menderes University Söke Vocational School of Health Services, Department of Health Care Services, Aydın, Türkiye
bAydın Adnan Menderes University Nazilli Vocational School of Health Services, Department of Health Care Services, Aydın, Türkiye
cAydın Adnan Menderes University Faculty of Medicine, Division of Nephrology, Aydın, Türkiye
dPamukkale University Faculty of Physiotherapy and Rehabilitation, Department of Physiotherapy and Rehabilitation, Denizli, Türkiye
Turkiye Klinikleri J Health Sci. 2025;10(1):85-96
doi: 10.5336/healthsci.2024-104098
Article Language: EN
Full Text
ABSTRACT
 Objective: Although hemodialysis (HD) has increased patients' life expectancy, physical limitations have emerged. As a result of adopting a physically inactive lifestyle, the aerobic capacity, overall health, and quality of life of this patient group are negatively affected. This study aims to fill the gap in understanding the specific benefits of different physical activities for this population. While the benefits of physical activity for HD patients are known, there is no consensus on which activity has what kind of effect. This randomized controlled trial aimed to demonstrate the effects of calisthenic exercise on aerobic capacity, grip strength, and quality of life in HD patients. Material and Methods: The study included 47 hemodialysis patients divided into control (n=23) and exercise (n=24) groups. Calisthenic exercise was given to the exercise group three times a week for eight weeks. The 6-Minute Walk Test (6MWT), the 30-Second Sit-and-Stand Test (30-SSST), a handgrip hand dynamometer and the Kidney Disease Quality of Life Questionnaire (KDQOL-SF) were used. Results: The 30-Second Sit-and-Stand Test (30-SSST) (p=0.008); clinical parameters, such as creatinine (p=0.04), albumin (p=0.003) and haemoglobin levels (p=0.019); Kidney Disease Quality of Life Questionnaire (KDQOL-SF) physical component subdimensions (p=0.01); symptoms and problems (p=0.042); effect of kidney disease (p=0.017) and total quality of life (p=0.021) increased in the exercise group. The 30-SSST (p=0.009) and KDQOL-SF physical component subdimensions (p=0.021) increased in the control group. Conclusion: Postexercise measurements of the given parameters of patients undergoing HD that participated in the calisthenic exercise programme improved compared with pre-exercise measurements.

Keywords: Exercise; dialysis; quality of life
ÖZET
 Amaç: Hemodiyaliz (HD) tedavisi, hastaların yaşam beklentisini artırmış olsa da, fiziksel kısıtlamalar ortaya çıkmaktadır. Fiziksel olarak aktif olmayan bir yaşam tarzının benimsenmesi sonucunda, bu hasta grubunun aerobik kapasitesi, genel sağlık durumu ve yaşam kalitesi olumsuz etkilenmektedir. Bu çalışma, bu popülasyon için farklı fiziksel aktivitelerin spesifik faydalarını anlama konusundaki boşluğu doldurmayı amaçlamaktadır. Fiziksel aktivitenin HD hastaları için faydaları bilinmekte olsa da, hangi aktivitenin ne tür bir etki yarattığı konusunda bir fikir birliği yoktur. Bu randomize kontrollü çalışma, kalistenik egzersizin HD hastalarında aerobik kapasite, kavrama gücü ve yaşam kalitesi üzerindeki etkilerini göstermeyi hedeflemiştir. Gereç ve Yöntemler: Çalışmaya 47 hemodiyaliz hastası dahil edilmiştir ve hastalar kontrol (n=23) ve egzersiz (n=24) gruplarına ayrılmıştır. Egzersiz grubuna sekiz hafta boyunca haftada üç kez kalistenik egzersiz uygulanmıştır. Değerlendirmelerde 6 Dakika Yürüyüş Testi (6MWT), 30 Saniye Otur-Kalk Testi (30-SSST), el kavrama dinamometresi ve Böbrek Hastalığı Yaşam Kalitesi Anketi (KDQOL-SF) kullanılmıştır. Bulgular: Egzersiz grubunda 30-SSST (p=0.008); klinik parametreler, kreatinin (p=0.04), albumin (p=0.003) ve hemoglobin seviyeleri (p=0.019); KDQOLSF fiziksel bileşen alt boyutları (p=0.01); semptomlar ve sorunlar (p=0.042); böbrek hastalığının etkisi (p=0.017) ve toplam yaşam kalitesi (p=0.021) artmıştır. Kontrol grubunda da 30-SSST (p=0.009) ve KDQOL-SF fiziksel bileşen alt boyutları (p=0.021) artış göstermiştir. Sonuç: Kalistenik egzersiz programına katılan hemodiyaliz (HD) hastalarının verilen parametrelerinin egzersiz sonrası ölçümleri, egzersiz öncesi ölçümlerle karşılaştırıldığında iyileşmiştir.

Anahtar Kelimeler: Egzersiz; diyaliz; yaşam kalitesi
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