Effects of Home-Based Exercise on Frailty in Patients With End-Stage Renal Disease: Systematic Review.

IF 1.9 4区医学 Q2 NURSING Biological research for nursing Pub Date : 2022-01-01 Epub Date: 2021-07-23 DOI:10.1177/10998004211033031

Jongwon Yoo, Todd Ruppar, JoEllen Wilbur, Arlene Miller, Jennifer C Westrick

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引用次数: 4

Abstract

Background: New or worsening frailty is a common problem in patients with end-stage renal disease (ESRD) during the prolonged time awaiting kidney transplantation. Structured physical activity in the dialysis setting has been shown to mitigate frailty, but little is known about the benefits of home-based exercise. The purpose of this systematic review was to summarize the effects of home-based exercise interventions on indicators of frailty (weakness, slowness, low physical activity, perceived exhaustion, and shrinking) among patients diagnosed with ESRD.

Methods: We searched PubMed, MEDLINE, Scopus, CINAHL, Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, and Google Scholar using Medical Subject Heading terms and free text keywords including kidney failure, exercise, and frailty. We identified 13 relevant articles (eight randomized controlled trials, five quasi-experimental studies).

Results: Our review found potential effectiveness of home-based exercise interventions on mitigating or preventing selected indicators of frailty (e.g., weakness, slowness, low physical activity, perceived exhaustion), particularly when the interventions combined aerobic walking, resistance exercise, and behavioral components and were delivered for at least 6 months. However, no published studies measured the effect of home-based exercise interventions on frailty as a whole.

Conclusions: While existing studies suggest likely benefits of home-based exercise interventions among patients with ESRD, future research is warranted to develop and test home-based physical activity interventions that address all indicators of frailty.

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家庭运动对终末期肾病患者虚弱的影响:系统综述

背景:终末期肾病(ESRD)患者在等待肾移植的较长时间内出现新的或恶化的虚弱是一个常见问题。在透析环境中进行有组织的体育活动已被证明可以减轻虚弱，但人们对家庭锻炼的好处知之甚少。本系统综述的目的是总结以家庭为基础的运动干预对ESRD患者虚弱指标(虚弱、迟缓、低体力活动、感知疲劳和萎缩)的影响。方法:我们检索PubMed、MEDLINE、Scopus、CINAHL、Cochrane中央对照试验注册库、Cochrane系统评价数据库和Google Scholar，使用医学主题标题术语和自由文本关键词，包括肾衰竭、运动和虚弱。我们找到了13篇相关文章(8篇随机对照试验，5篇准实验研究)。结果:我们的综述发现，以家庭为基础的运动干预在减轻或预防选定的虚弱指标(例如，虚弱、迟缓、低体力活动、感知疲劳)方面的潜在有效性，特别是当干预结合有氧步行、阻力运动和行为成分并持续至少6个月时。然而，没有发表的研究从整体上衡量家庭运动干预对虚弱的影响。结论:虽然现有的研究表明，以家庭为基础的运动干预对ESRD患者可能有好处，但未来的研究需要开发和测试以家庭为基础的身体活动干预，以解决所有的虚弱指标。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Biological research for nursing 医学-护理

CiteScore

5.10

自引率

4.00%

发文量

审稿时长

>12 weeks

期刊介绍： Biological Research For Nursing (BRN) is a peer-reviewed quarterly journal that helps nurse researchers, educators, and practitioners integrate information from many basic disciplines; biology, physiology, chemistry, health policy, business, engineering, education, communication and the social sciences into nursing research, theory and clinical practice. This journal is a member of the Committee on Publication Ethics (COPE)