Effects of intradialytic resistance exercises on physical performance, nutrient intake and quality of life among haemodialysis people: A systematic review and meta-analysis

Fan Zhang, Wenqin Zhou, Qiuzi Sun, Yingying Zhai, Ying Zhang, Hui Su, Zichun Wang, Fan Zhang, Wenqin Zhou, Qiuzi Sun, Yingying Zhai, Ying Zhang, Hui Su, Zichun Wang

Abstract

Objectives: The aim of this systematic reviews was to synthesize the current studies for the effectiveness of intradialytic resistance exercises with usual care on HD people.

Design: Meta-analysis of randomized controlled studies.

Methods: A systematic search of seven electronic databases, including PubMed, EMBASE, the Cochrane Library, Web of Science, WanFang, China National Knowledge Infrastructure (CNKI) and SINOMED, was systematically searched up to May 2018. The reference lists of previously reported systematic review were also checked. Pooled analysis was used to determine effection of intradialytic resistance exercises for haemodialysis people. Physical performance, nutrient intake and quality of life were explored, by comparing the association between effect sizes.

Results: Fourteen studies of 594 people were included. Compared with control groups, intradialytic resistance exercises significantly improve physical performance included 6-min walk test, sit-to-stand 30 and grip strength. However, no significant improvements were found in nutrient intakes such as dietary protein intake and quality of life.

Keywords: haemodialysis; intradialytic resistance exercise; meta-analysis; nutrient intake; physical performance; quality of life.

Conflict of interest statement

The authors have no conflicts of interest.

© 2019 The Authors. Nursing Open published by John Wiley & Sons Ltd.

Figures

Figure 1
Figure 1
Flow diagram of study selection
Figure 2
Figure 2
Forest plots of overall effect size of 6MWT, STS 30 and HG between the exercise and control groups
Figure 3
Figure 3
Forest plots of overall effect size of DPI and DEI between the exercise and control groups
Figure 4
Figure 4
Forest plots of overall effect size of PCS and MCS between the exercise and control groups

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Source: PubMed

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