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https://hdl.handle.net/20.500.14094/90004223
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2024-05-03
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90004223 (fulltext)
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90004223
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open access
出版タイプ
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タイトル
Effects of home-based exercise on predialysis chronic kidney disease patients: a randomized pilot and feasibility trial
著者
Hiraki, Koji ; Shibagaki, Yugo ; Izawa, P. Kazuhiro ; Hotta, Chiharu ; Wakamiya, Akiko ; Sakurada, Tsutomu ; Yasuda, Takashi ; Kimura, Kenjiro
著者名
Hiraki, Koji
著者名
Shibagaki, Yugo
著者ID
A1350
研究者ID
1000010736185
KUID
https://kuid-rm-web.ofc.kobe-u.ac.jp/search/detail?systemId=3330637c7f4d6307520e17560c007669
著者名
Izawa, P. Kazuhiro
井澤, 和大
イザワ, カズヒロ
所属機関名
保健学研究科
著者名
Hotta, Chiharu
著者名
Wakamiya, Akiko
著者名
Sakurada, Tsutomu
著者名
Yasuda, Takashi
著者名
Kimura, Kenjiro
収録物名
BMC Nephrology
巻(号)
18
ページ
198-198
出版者
BioMed Central
刊行日
2017-06-17
公開日
2017-10-10
抄録
Background: Only a few research is available on the effects of home-based exercise training on pre-dialysis chronic kidney disease (CKD) patients. Therefore, we aimed to elucidate the effect of home-based exercise therapy on kidney function and arm and leg muscle strength in pre-dialysis CKD patients. Methods: Thirty-six male stage 3-4 pre-dialysis CKD patients (age, 68.7 ± 6.8 years; estimated glomerular filtration rate (eGFR), 39.0 ± 11.6 ml/min/1.73 m(2)) who were being treated as outpatients were included. The subjects were randomly assigned to an exercise intervention group (Ex group: 18) and a control group (C group: 18). The Ex group wore accelerometer pedometers and were instructed to perform home-based aerobic and resistance exercises, such as brisk walking for 30 min per day, for 12 months. The C group subjects wore accelerometer pedometers but received no exercise therapy guidance; the number of steps covered during normal daily activities was recorded for the C group. The outcome measures were changes in kidney function and handgrip and knee extension muscle strength. Values at the baseline (T1) and 12 months later (T2) were compared. Results: There were no significant differences in baseline characteristics between the two groups; however, the C group was more physically active than the Ex group. Eight subjects dropped out, and 28 subjects (14 in each group) were included in the final analysis. Physical activity increased significantly only in the Ex group. Grip strength (F = 7.0, p = 0.01) and knee extension muscle strength (F = 14.3, p < 0.01) were found to improve only in the Ex group. Further, the changes in eGFR were not significantly different between the two groups (F = 0.01, p = 0.93). Conclusions: Home-based exercise therapy for pre-dialysis CKD patients was feasible and improved arm and leg muscle strength without affecting kidney function.
カテゴリ
保健学研究科
学術雑誌論文
権利
© The Author(s). 2017
This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
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資源タイプ
journal article
言語
English (英語)
eISSN
1471-2369
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関連情報
DOI
https://doi.org/10.1186/s12882-017-0613-7
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