Effect of intradialytic exercise on hyperphosphatemia and malnutrition

Author First name, Last name, Institution

Nada Salhab, Maastricht University
Mona Alrukhaimi, Dubai Medical College
Jeroen Kooman, University Hospital Maastricht
Enrico Fiaccadori, University of Parma
Harith Aljubori, Al Qassimi Hospital
Rana Rizk, Maastricht University
Mirey Karavetian, Zayed University

ORCID Identifiers

0000-0001-5305-2793

Document Type

Article

Source of Publication

Nutrients

Publication Date

10-1-2019

Abstract

© 2019 by the authors. Licensee MDPI, Basel, Switzerland. Intradialytic exercise (IDE) is not routinely prescribed in hemodialysis (HD) units despite its potential benefits on patients’ outcomes. This study was the first in the United Arab Emirates to examine the effect of aerobic IDE on hyperphosphatemia, malnutrition, and other health outcomes among HD patients. Participants were chosen from the largest HD unit in Sharjah Emirate for a quasi-experimental intervention with pre and post evaluation. The study lasted for 12 months. Study parameters were collected at baseline, post intervention, and follow-up. The intervention included a moderate-intensity aerobic IDE of 45 min per HD session; intensity was assessed using the Borg Scale. Patients were educated on the importance of exercise. Study outcomes were serum phosphorus (P), malnutrition inflammation score (MIS), quality of life (QOL), and pertinent blood tests. Forty-one eligible consenting HD patients were included in the study. Results at follow-up showed a non-significant reduction in P (p = 0.06) in patients who were hyperphosphatemic at baseline, but not in the sample as whole. MIS did not deteriorate throughout the study (p = 0.97). IDE resulted in a non-significant increase in the QOL visual analogue scale (p = 0.34). To conclude, aerobic IDE for 45 min is safe and could be beneficial, especially for hyperphosphatemic patients.

DOI Link

10.3390/nu11102464

ISSN

2072-6643

Publisher

MDPI AG

Volume

11

Issue

10

First Page

2464

Disciplines

Life Sciences

Keywords

Exercise, Hemodialysis, Hyperphosphatemia, Phosphorus, Quality of life

Scopus ID

85073425144

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Recommended Citation

Salhab, Nada; Alrukhaimi, Mona; Kooman, Jeroen; Fiaccadori, Enrico; Aljubori, Harith; Rizk, Rana; and Karavetian, Mirey, "Effect of intradialytic exercise on hyperphosphatemia and malnutrition" (2019). All Works. 1397.
https://zuscholars.zu.ac.ae/works/1397

Indexed in Scopus

yes

Open Access

yes

Open Access Type

Gold: This publication is openly available in an open access journal/series