MP414COMPARISON OF INTRADIALYTIC VERSUS HOME-BASED EXERCISE PROGRAMMES ON PHYSICAL FUNCTION,PHYSICAL LEVEL AND HEALTH RELATED QUALITY OF LIFE

Abstract

Introduction and Aims: Although exercise training of hemodialysis patients is associated with generally positive outcomes few haemodialysis units routinely offer intradialytic exercise therapy. The aim of this study was to compare the effects of 4 months intradialytic versus home-based exercise in haemodialysis patients regarding physical function, physical level, depression and health related quality of life. Methods: This study was a randomized controlled trial, and forty-six patients undergoing haemodialysis were randomized to either intradialytic exercise or home-based exercise. Both programmes consisted of a combination of strength training for lower limbs and aerobic exercises during 4 months. Physical function assessed by The Short Physical Performance Battery (SPPB); the Human Activity Profile (HAP) and the Physical Activity Scale for Elderly (PASE) assessed physical level. The quality of life related with health was measured by the Kidney Disease Quality of Life - 36 questionnaire (KDQoL-36). The ANOVA mixed model was used to assess data. Results: Thirteen subjects from the intradialytic group and ten from de home-based group did not complete the study. A total of twenty-three patients, 16 were males, completed the study and were analysed (Intradialytic group n= 11, age 65.9 (14.9) years old; home-based group n= 12, age 62.4 (12.2) years old). There was a significant time effect for several variables: SPPB, HAP and PASE were significant (P=.013, P= .011, P= .001, respectively). The KDQoL-36 did not show significan. Conclusions: Both groups results in an increased of physical function and physical level according with our results. However, it is necessary to modify attitudes towards exercise in both health professionals and patients undergoing haemodialysis to achieve higher participation in all the programmes.