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Effects of acute intradialytic exercise on cardiovascular responses in hemodialysis patients

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  • Source:
    Hemodialysis international. International symposium on home hemodialysis 2018 22 4, 524 (524-533) Published by: NLM (Medline) Canada
  • Additional Information
    • Author(s):
      Jeong JH, Biruete A, Fernhall B, Wilund KR
    • Language:
      English
    • Publication Type:
      Article
    • Record Status:
      This record is this issue.
    • Abstract:
      METHODS: In a randomized cross-over study (n=12), intradialytic changes in brachial, aortic, and cardiac hemodynamics and autonomic function were examined during a HD session; (1) without exercise; (2) with 30 min of IDEX performed in the first hour of treatment; or (3) with 30 min of IDEX in the third hour of treatment. BACKGROUND: In patients with kidney failure requiring hemodialysis (HD) treatment, intradialytic exercise (IDEX) has been advocated for its feasibility and effectiveness in improving important health outcomes. However, IDEX as an adjunct therapeutic strategy is infrequently implemented, in part due to potential risks of IDEX, especially in patients with chronic volume overload. This study was performed to evaluate the safety of IDEX performed at different time points by examining its effect on intradialytic cardiovascular hemodynamics. RESULTS: IDEX during either the first or third hour did not exacerbate hemodynamic instability during treatment regardless of patient's hydrations status. While there were transient increases in stroke volume, cardiac output, and heart rate during IDEX, intradialytic changes in brachial and aortic blood pressure, cardiac hemodynamics, and autonomic function were similar on days with and without IDEX. CONCLUSION: These results indicate that IDEX does not exacerbate hemodynamic instability during HD, regardless of a patient's hydration status or the timing of exercise. Copyright © 2018 International Society for Hemodialysis.
    • EMBASE keywords:
      adult; *aortic flow; aortic pressure; article; *cardiovascular response; clinical article; controlled study; drug safety; *exercise; feasibility study; female; heart hemodynamics; heart output; heart rate; heart stroke volume; *hemodialysis patient; human; hydration status; kidney failure; male; randomized controlled trial
    • Accession Number:
      624510520
    • Source:
      This document should be cited as: Jeong JH Biruete A Fernhall B Wilund KR. Effects of acute intradialytic exercise on cardiovascular responses in hemodialysis patients 2018 (The Cochrane Controlled Trials Register (CCTR/CENTRAL). DOI: 10.1111/hdi.12664. Oxford: Update Software. Updated quarterly.
    • Accession Number:
      CN-01650739
  • Citations
    • ABNT:
      JEONG JH et al. Effects of acute intradialytic exercise on cardiovascular responses in hemodialysis patients. Hemodialysis international. International symposium on home hemodialysis, [s. l.], v. 22, n. 4, p. 524–533, 2018. DOI 10.1111/hdi.12664. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=cgh&AN=CN-01650739. Acesso em: 21 out. 2020.
    • AMA:
      Jeong JH, Biruete A, Fernhall B, Wilund KR. Effects of acute intradialytic exercise on cardiovascular responses in hemodialysis patients. Hemodialysis international International symposium on home hemodialysis. 2018;22(4):524-533. doi:10.1111/hdi.12664
    • APA:
      Jeong JH, Biruete A, Fernhall B, & Wilund KR. (2018). Effects of acute intradialytic exercise on cardiovascular responses in hemodialysis patients. Hemodialysis International. International Symposium on Home Hemodialysis, 22(4), 524–533. https://doi.org/10.1111/hdi.12664
    • Chicago/Turabian: Author-Date:
      Jeong JH, Biruete A, Fernhall B, and Wilund KR. 2018. “Effects of Acute Intradialytic Exercise on Cardiovascular Responses in Hemodialysis Patients.” Hemodialysis International. International Symposium on Home Hemodialysis 22 (4): 524–33. doi:10.1111/hdi.12664.
    • Harvard:
      Jeong JH et al. (2018) ‘Effects of acute intradialytic exercise on cardiovascular responses in hemodialysis patients’, Hemodialysis international. International symposium on home hemodialysis, 22(4), pp. 524–533. doi: 10.1111/hdi.12664.
    • Harvard: Australian:
      Jeong JH, Biruete A, Fernhall B & Wilund KR 2018, ‘Effects of acute intradialytic exercise on cardiovascular responses in hemodialysis patients’, Hemodialysis international. International symposium on home hemodialysis, vol. 22, no. 4, pp. 524–533, viewed 21 October 2020, .
    • MLA:
      Jeong JH, et al. “Effects of Acute Intradialytic Exercise on Cardiovascular Responses in Hemodialysis Patients.” Hemodialysis International. International Symposium on Home Hemodialysis, vol. 22, no. 4, Jan. 2018, pp. 524–533. EBSCOhost, doi:10.1111/hdi.12664.
    • Chicago/Turabian: Humanities:
      Jeong JH, Biruete A, Fernhall B, and Wilund KR. “Effects of Acute Intradialytic Exercise on Cardiovascular Responses in Hemodialysis Patients.” Hemodialysis International. International Symposium on Home Hemodialysis 22, no. 4 (January 1, 2018): 524–33. doi:10.1111/hdi.12664.
    • Vancouver/ICMJE:
      Jeong JH, Biruete A, Fernhall B, Wilund KR. Effects of acute intradialytic exercise on cardiovascular responses in hemodialysis patients. Hemodialysis international International symposium on home hemodialysis [Internet]. 2018 Jan 1 [cited 2020 Oct 21];22(4):524–33. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=cgh&AN=CN-01650739