Effect Of Exercise During Dialysis On Fatigue In Individuals With End-stage Renal Disease
Acute Care Perspectives
End Stage Renal Disease (ESRD) has a significant impact on quality-of-life and function. Impairments related to physical function are often prominent in this population with fatigue being one of the most common. Exercise has been shown to have favorable effects on functional capacity, cardiovascular risks, psychosocial problems and health related quality-of-life for individuals with ESRD. The purpose of this study was to examine the effect of a low-level exercise program during hemodialysis. Portions of the Kidney Disease Quality of Life (KDQOL) questionnaire, the Fatigue Severity Scale (FSS), and a fatigue visual analog scale (VAS) were used as outcome measures. The study was a single subject (A-B design) with repeated enrollment which consisted of a one week baseline followed by a six week low-level exercise program that was performed three times per week during dialysis. FSS scores revealed a trend toward decrease in fatigue from baseline to completion of the intervention for several of the participants. A similar trend was seen on the fatigue/energy items of the KDQOL. Fatigue VAS results showed considerable variability among participants such that no trend was established. The results of this study suggest that exercise during dialysis may offer a variety of positive returns to individuals with ESRD.
Wilson, Ann, J. Malahy, A. Read, M. Scialabba, et al. 2006. "Effect of exercise during dialysis on fatigue in individuals with end-stage renal disease." Acute Care Perspectives 15(1): 20-24.