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Home-based exercise programs in patients with chronic kidney disease: a systematic review and META-analysis


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Título : Home-based exercise programs in patients with chronic kidney disease: a systematic review and META-analysis
Autor : Junqué Jiménez, Anna
Morera Mas, Ariadna
Pérez-Ventana Ortiz, Carmen
Andreu Periz, Lola
Segura Ortí, Eva
Materias: Educación físicaPhysical educationCalidad de vidaQuality of lifeInsuficiencia renal crónicaChronic renal failureEnfermedadDiseasesRiñonesKidneys
Editorial : John Wiley & Sons
Citación : Junqué-Jiménez, A., Morera-Mas, A., Pérez-Ventana-Ortiz, C., Andreu-Periz, L. & Segura-Ortí, E. (2022). Home-based exercise programs in patients with chronic kidney disease: a systematic review and META-analysis. Worldviews on Evidence-Based Nursing, vol. 19, i. 4 (aug.), pp. 322–337. DOI: https://doi.org/10.1111/wvn.12579
Resumen : Background: Intradialysis exercise programs in renal patients result in improved functional capacity, muscle strength, symptoms of depression, and health-related quality of life. Home-based exercise programs are an alternative to overcome logistical and human resource problems. However, the implementation of these programs is not an easy task and there is a lack of knowledge regarding the benefits associated with home-based exercise programs. Aim: To determine whether home-based exercise programs improve functional capacity, health-related quality of life, muscle strength, and symptoms of depression among patients with stage III–V chronic kidney disease. Methods: A systematic review and meta-analyses following PRISMA guidelines were utilized. Relevant articles were collected and independently assessed for their inclusion eligibility. Effects of home-based exercise were summarized by the standardized mean differences and represented by forest plots (Review Manager 5.4). Results: Eight studies were included, none of which reported any adverse effects. The intervention was usually aerobic, 76% of these programs lasted 3–6 months, and exercise adherence was 60–87.5%. Four studies measured health-related quality of life and found significant improvements in several subscales. Regarding functional capacity, five studies used the six-minute walking test (44.9 meters; 95% CI [30.45, 59.30]; p ≤ .001), three studies used the sit-to-stand-to-sit test (−0.45 seconds; 95% CI [−0.46, −0.26]; p ≤ .001), and two studies used the timed up-and-go test (−0.76 seconds; 95% CI [−1.38, −0.15]; p ≤ .001) and the handgrip strength test (1.16 kg; 95% CI [−2.88, 5.20]; p ≤ .001). LINKING EVIDENCE TO ACTION: Home-based exercise programs are beneficial to renal patients. These interventions are safe and effective to improve health-related quality of life and functional capacity and reduce symptoms of depression among patients with chronic kidney disease.
Descripción : Este recurso no está disponible en acceso abierto por política de la editorial.
URI : http://hdl.handle.net/10637/15096
Derechos: http://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
ISSN : 1545-102X
1741-6787 (Electrónico)
Fecha de publicación : 31-ago-2022
Centro : Universidad Cardenal Herrera-CEU
Aparece en las colecciones: Dpto. Enfermería y Fisioterapia





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