Evaluation of the impact of an intradialytic exercise programme on sarcopaenia in very elderly haemodialysis patients
Entidad
UAM. Departamento de MedicinaEditor
Oxford University PressFecha de edición
2022-02-15Cita
10.1093/ckj/sfac046
Clinical Kidney 15.8 (2022): 1514–1523
ISSN
2048-8505 (print); 2048-8513 (online)DOI
10.1093/ckj/sfac046Financiado por
The authors would like to thank FRIAT for its support to the present study. The research groups of E.G.P., S.M.F. and A.O. are funded by the Ministerio de Economia, Industria y competitividad: FIS/Fondos FEDER (PI16/01298, PI18/01386, PI19/00588, PI19/00815, PI20/00487, PI21/01240, DTS18/00032), ERA-PerMed-JTC2018 (KIDNEY ATTACK AC18/00064 and PERSTIGAN AC18/00071, ISCIII-RETIC REDinREN RD016/0009) and Sociedad Española de Nefrología, Comunidad de Madrid en Biomedicina B2017/BMD-3686 CIFRA2-CMProyecto
Gobierno de España. PI16/01298; Gobierno de España. PI18/01386; Gobierno de España. PI19/00588; Gobierno de España. PI19/00815; Gobierno de España. PI20/00487; Gobierno de España. PI21/01240; Gobierno de España. DTS18/00032; Gobierno de España. AC18/00064; Gobierno de España. AC18/00071; Gobierno de España. RD016/0009; Comunidad de Madrid. B2017/BMD-3686 CIFRA2-CMVersión del editor
https://doi.org/10.1093/ckj/sfac046Materias
elderly; exercise; frailty; haemodialysis; sarcopaenia; MedicinaDerechos
© The Author(s) 2022Resumen
Sarcopaenia is a highly prevalent condition in persons on haemodialysis (HD). In stable very elderly (75-95 years old) persons on chronic HD, we prospectively studied the European Working Group on Sarcopaenia in Older People (EWGSOP2) steps stability over time in 37 controls and their response to a 12-week intradialytic lower limb exercise programme in 23 persons. Overall dropout was 15% and the main cause for dropout was death (8%). Thus 33 controls and 18 exercise participants were evaluated at 12 weeks. In controls, comorbidity, nutrition, dependency and frailty scales, anthropometric assessments, EWGSOP2 step values and the prevalence of suspected, confirmed and severe sarcopaenia as assessed by EWGSOP2 remained stable. In contrast, in persons who completed the exercise programme, a significant improvement in the five times sit-to-stand (STS-5) test was noted at the end of the 12-week exercise programme (19.2 ± 4.9-15.9 ± 5.9 seconds; P =. 001), consistent with the lower limb nature of the exercise programme, that persisted 12 weeks after completion of the programme. Exercise also improved the Fried frailty scale (1.7 ± 1.0-1.1 ± 0.6; P =. 004). In conclusion, EWGSOP2 steps remain stable in stable very elderly persons on HD and STS-5 is responsive to a short-term intradialytic lower limb exercise programme. These results may help define EWGSOP2-based primary endpoints in future large-scale clinical trials assessing exercise interventions
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Datos suplementarios
Google Scholar:Sánchez-Tocino, Maria Luz
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González-Parra, Emilio
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Miranda Serrano, Blanca
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Gracia-Iguacel, Carolina
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De-Alba-Penãranda, Ana Mariá
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López-González, Antonio
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Garciá Olegario, Marcos
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Ortiz Arduán, Alberto
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Mas-Fontao, Sebastian
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