Intradialytic cycling in children and young adults on chronic hemodialysis

Fabio Paglialonga, Amalia Lopopolo, Rosalia Viviana Scarfia, Silvia Consolo, Maria Albina Galli, Simona Salera, Maria Rosa Grassi, Anna Brivio, Alberto Edefonti

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Background: Intradialytic exercise has been poorly investigated in pediatric patients on chronic hemodialysis (HD). The aim of this study was to assess the acceptability, safety and efficacy of intradialytic exercise in children and young adults on HD. Methods: The intradialytic exercise program consisted of 30-min sessions of intra-HD exercise using a cycloergometer two to three times a week for 3 months. Study endpoints were the 6-min walking test (6MWT) distances, lung function, number of stands in the chair test, lower extremity strength (LES), anthropometry, dietary intake, dialysis adequacy, incidence of symptomatic sessions, biochemistry and left ventricular mass index. Results: Ten pediatric patients with a median age of 15.3 (range 9.1-24.2) years were enrolled. Two of these underwent kidney transplantation; the remaining eight completed the study and adapted well to the exercise program. At the end of the 3-month study period, all patients had significantly improved results for the 6MWT (+4.9 %; p <0.05), chair test (+19 %; p <0.05) and LES (+29.3 %; p <0.05). Pre-HD albumin, creatinine and total protein levels and post-HD creatinine levels had also significantly improved. The incidence of symptomatic sessions did not increase during the study period. No adverse events occurred. Conclusions: Based on our results, we conclude that a 30-min exercise program of intradialytic cycling is feasible for the majority of pediatric patients on chronic HD and will be well accepted. Such an exercise program can lead to a significant improvement in the exercise capacity of this patient population.

Original languageEnglish
Pages (from-to)431-438
Number of pages8
JournalPediatric Nephrology
Volume29
Issue number3
DOIs
Publication statusPublished - Mar 2014

Fingerprint

Renal Dialysis
Young Adult
Exercise
Pediatrics
Walking
Lower Extremity
Creatinine
Anthropometry
Respiratory Function Tests
Incidence
Biochemistry
Kidney Transplantation
Dialysis
Albumins
Safety
Population
Proteins

Keywords

  • 6-min Walking test
  • Exercise capacity
  • Intradialytic cycling
  • Intradialytic exercise
  • Pediatric hemodialysis

ASJC Scopus subject areas

  • Nephrology
  • Pediatrics, Perinatology, and Child Health

Cite this

Intradialytic cycling in children and young adults on chronic hemodialysis. / Paglialonga, Fabio; Lopopolo, Amalia; Scarfia, Rosalia Viviana; Consolo, Silvia; Galli, Maria Albina; Salera, Simona; Grassi, Maria Rosa; Brivio, Anna; Edefonti, Alberto.

In: Pediatric Nephrology, Vol. 29, No. 3, 03.2014, p. 431-438.

Research output: Contribution to journalArticle

Paglialonga, F, Lopopolo, A, Scarfia, RV, Consolo, S, Galli, MA, Salera, S, Grassi, MR, Brivio, A & Edefonti, A 2014, 'Intradialytic cycling in children and young adults on chronic hemodialysis', Pediatric Nephrology, vol. 29, no. 3, pp. 431-438. https://doi.org/10.1007/s00467-013-2675-5
Paglialonga, Fabio ; Lopopolo, Amalia ; Scarfia, Rosalia Viviana ; Consolo, Silvia ; Galli, Maria Albina ; Salera, Simona ; Grassi, Maria Rosa ; Brivio, Anna ; Edefonti, Alberto. / Intradialytic cycling in children and young adults on chronic hemodialysis. In: Pediatric Nephrology. 2014 ; Vol. 29, No. 3. pp. 431-438.
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AU - Galli, Maria Albina

AU - Salera, Simona

AU - Grassi, Maria Rosa

AU - Brivio, Anna

AU - Edefonti, Alberto

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N2 - Background: Intradialytic exercise has been poorly investigated in pediatric patients on chronic hemodialysis (HD). The aim of this study was to assess the acceptability, safety and efficacy of intradialytic exercise in children and young adults on HD. Methods: The intradialytic exercise program consisted of 30-min sessions of intra-HD exercise using a cycloergometer two to three times a week for 3 months. Study endpoints were the 6-min walking test (6MWT) distances, lung function, number of stands in the chair test, lower extremity strength (LES), anthropometry, dietary intake, dialysis adequacy, incidence of symptomatic sessions, biochemistry and left ventricular mass index. Results: Ten pediatric patients with a median age of 15.3 (range 9.1-24.2) years were enrolled. Two of these underwent kidney transplantation; the remaining eight completed the study and adapted well to the exercise program. At the end of the 3-month study period, all patients had significantly improved results for the 6MWT (+4.9 %; p <0.05), chair test (+19 %; p <0.05) and LES (+29.3 %; p <0.05). Pre-HD albumin, creatinine and total protein levels and post-HD creatinine levels had also significantly improved. The incidence of symptomatic sessions did not increase during the study period. No adverse events occurred. Conclusions: Based on our results, we conclude that a 30-min exercise program of intradialytic cycling is feasible for the majority of pediatric patients on chronic HD and will be well accepted. Such an exercise program can lead to a significant improvement in the exercise capacity of this patient population.

AB - Background: Intradialytic exercise has been poorly investigated in pediatric patients on chronic hemodialysis (HD). The aim of this study was to assess the acceptability, safety and efficacy of intradialytic exercise in children and young adults on HD. Methods: The intradialytic exercise program consisted of 30-min sessions of intra-HD exercise using a cycloergometer two to three times a week for 3 months. Study endpoints were the 6-min walking test (6MWT) distances, lung function, number of stands in the chair test, lower extremity strength (LES), anthropometry, dietary intake, dialysis adequacy, incidence of symptomatic sessions, biochemistry and left ventricular mass index. Results: Ten pediatric patients with a median age of 15.3 (range 9.1-24.2) years were enrolled. Two of these underwent kidney transplantation; the remaining eight completed the study and adapted well to the exercise program. At the end of the 3-month study period, all patients had significantly improved results for the 6MWT (+4.9 %; p <0.05), chair test (+19 %; p <0.05) and LES (+29.3 %; p <0.05). Pre-HD albumin, creatinine and total protein levels and post-HD creatinine levels had also significantly improved. The incidence of symptomatic sessions did not increase during the study period. No adverse events occurred. Conclusions: Based on our results, we conclude that a 30-min exercise program of intradialytic cycling is feasible for the majority of pediatric patients on chronic HD and will be well accepted. Such an exercise program can lead to a significant improvement in the exercise capacity of this patient population.

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