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Volume 25, Issue 109, March, 2021

Physical and psychological response to exercise training in chronic kidney disease patients: A quasi-randomized controlled trial

Ahmed Abdelmoniem Ibrahim1, Omar W Althomali1, Hisham M Hussein1,3, Mohamed R Atyia1, Mohamed T Eldesoky2,3, Mervat Gamal4,5, Walid Kamal Abdelbasset6,7♦

1Department of Physical Therapy, College of Applied Medical Sciences, University of Ha’il, Ha’il, Saudi Arabia
2Department of Physical Therapy, College of Applied Medical Sciences, University of Tabuk, Tabuk, Saudi Arabia
3Department of Physical Therapy for Basic Sciences, Faculty of Physical Therapy, Cairo University, Giza, Egypt
4College of art, University of Ha’il, Ha’il, Saudi Arabia
5Department of Community Organization, Faculty of Social Work, Helwan University, Cairo, Egypt
6Department of Health and Rehabilitation Sciences, College of Applied Medical Sciences, Prince Sattam bin Abdulaziz University, Al Kharj, Saudi Arabia
7Department of Physical Therapy, Kasr Al-Aini Hospital, Cairo University, Giza, Egypt

♦Corresponding author
Department of Health and Rehabilitation Sciences, College of Applied Medical Sciences, Prince Sattam bin Abdulaziz University, Al Kharj, Saudi Arabia; Email: walidkamal.wr@gmail.com

ABSTRACT

Chronic kidney disease is an important public and medical problem, as it is associated with high risks of complications which lead to a reduction in physical capacity, psychological status, and quality of life. This study aims to evaluate the impact of a 10-week exercise program, containing 30 minutes of moderate-intensity aerobic exercise training on physical capacity, psychological status, and quality of life in chronic kidney disease patients (CKD). This quasi-experimental study was applied for chronic kidney disease patients. Physical capacity, psychological status, and quality of life were assessed at baseline and after 10-weeks of aerobic training (cycle ergometer), it was performed three times per week for 10 weeks on alternate days with hemodialysis sessions. Thirty-two CKD patients (16 aerobic group) and (16 control group) with demographic data (age, p=0.313, sex, p=0.288, body mass index, p=0.825, CKD duration, p=0.689, and education levels, p˃0.05) were evaluated pre and post 10 weeks of aerobic exercise training sessions; there was a significant improvement in the outcome measures of the aerobic group in (6-MWT, p=0.024, TUG-s, p˂0.001, QOL-mental health, p=0.002, QOL-role functioning/ emotional, p=0.012, HAM-DRS, p˂0.001, and HAM-ARS, p˂0.001), while, no significant changes were detected in the control group. It was concluded that low-intensity aerobic exercise program has positive effects on the physical capacity, Psychological status and, life quality of patients with chronic kidney disease.

Keywords: Aerobic exercise; chronic kidney diseases; physical capacity; psychological status; quality of life

Medical Science, 2021, 25(109), 547-555
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