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Exercise rehabilitation for elderly patients on chronic hemodialysis

  • Original Article
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Geriatric Nephrology and Urology

Abstract

For elderly hemodialysis (HD) patients we designed an original exercise rehabilitation program and investigated its effects.

The findings of a two years study in 13 elderly HD patients who participated in a gymnastics program at least twice a week were compared with those in 6 control subjects. In the exercise group, VO2 at ventilatory threshold (VT) increased from 9.7±1.4 ml/min/kg to 10.3±1.4 ml/min/kg after one year, grip strength increased from 20.5±5.2 kg to 23.8±5.7 kg, and flexibility improved from 1.8±9.6cm to 3.9±9.9 cm by sit-and-reach test after two years. The changes of the three indices in the exercise and the control group were significantly different using two way repeated ANOVA test.

With the improving of the instrumental activity of daily living (IADL) score, the number of patient with prolonged hospital stays more than 6 months decreased steadily in the patients group after they started the exercise rehabilitation program.

Initiation of exercise rehabilitation in elderly HD patients can improve their IADL and gradually improve their physical fitness over the long term.

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Abbreviations

IADL:

instrumental activity of daily living

LBM:

lean body mass

VO2 :

oxygen uptake minute

VT:

ventilatory threshold

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Authors and Affiliations

  1. 3rd Department of Internal Medicine, Okayama University Medical School, Okayama, Japan

    Sachiko Ota, Shigeaki Nishimura, Hirofumi Makino & Zensuke Ota

  2. Faculty of Teacher Education, Okayama University, Okayama, Japan

    Kayo Takahashi & Hisao Suzuki

  3. Okayama Central Hospital, Okayama, Japan

    Kazuhi Taniai & Tetsuzo Kaneshige

Authors
  1. Sachiko Ota
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  2. Kayo Takahashi
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  3. Hisao Suzuki
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  4. Shigeaki Nishimura
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  5. Hirofumi Makino
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  6. Zensuke Ota
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  7. Kazuhi Taniai
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  8. Tetsuzo Kaneshige
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Ota, S., Takahashi, K., Suzuki, H. et al. Exercise rehabilitation for elderly patients on chronic hemodialysis. Geriatric Nephrol Urol 5, 157–165 (1995). https://doi.org/10.1007/BF01879288

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  • DOI: https://doi.org/10.1007/BF01879288

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