대한신장학회

Skip Navigation: Skip to contents

KOR
ENG
전체메뉴보기

간행물 검색

현재 페이지 경로

HOME
간행물
간행물 검색

논문분류	춘계학술대회 초록집
제목	Usual home or hospital-based exercise does not affect muscle strength in hemodialysis patients
저자	Ran-hui Cha,Geum Sil Lee,Yeji Chang,Eunji Kim
출판정보	2022; 2022(1):
키워드
초록	Objectives: We reported that exercise was an important determinant of muscle strength, and that steady exercise improved leg muscle strength (LMS) after a year of observation in hemodialysis (HD) patients. In this study, we evaluated the impact of home- and hospital-based exercise on muscle strength in HD patients. Methods: We interviewed home-based exercise status and considered the participation in the hospital-based intradialytic resistance exercise four times from January (Jan) 2020 to Jan 2022. We measured hand grip strength (HGS) and LMS (n=104) by using digital dynamometer. Results: 81.7% and 36.5% of patients answered ‘yes’ to regular home-based and intradialytic resistance exercise at least once during the study period, respectively. Patients who answered ‘yes’ to the home-based exercise 2 times or more (more home exercise group) showed marginally higher LMS (29.1 vs. 25.1 kg, p = 0.079). Patients in the more home exercise group showed longer HD vintage (39 vs. 70 months, p = 0.003), higher Kt/V (1.39 vs. 1.48, p = 0.009), higher albumin (3.65 vs. 3.86 g/dl, p = 0.008), higher serum calcium (8.8vs. 9.1 mg/dl, p = 0.044), and lower highly sensitive C-reactive protein (0.88 vs. 0.26 mg/dl, p = 0.016), respectively. Multiple linear regression analysis showed that more home-based exercise was associated with marginally better HGS (standardized coefficient 0.14, p = 0.08) and significantly better LMS (standardized coefficient 0.27, p = 0.004). However, these effects were offset after the further adjustment by baseline HGS and LMS in Jan 2020. Conclusions: Usual home- or hospital-based exercise did not affect muscle strength in HD patients. Baseline muscle strength was the most important and determined whether HD patients exercise or not. What matters are preventing the occurrence of sarcopenia, and maintaining physical activity and exercise above a certain level at home or at the hospital.
원문(PDF)	PDF 원문보기

목록

위로가기