#3079 Intradialysis physical exercise and quality of life
Abstract
Abstract Background and Aims The aim of the study was to investigate the effect of intradialytic physical activity on the subjective assessment of the quality of life during hemodialysis. Method The present study included 103 patients with CKD5d and 20 healthy volunteers of the corresponding age. All study participants underwent an examination, including a study of quality of life. The data obtained in the group of patients with CKD5d (103 people) were compared with the data obtained in the group of healthy volunteers (CG, 20 people). Quality of life (QOL) was assessed using the SAM (Well-Being, Activity, Mood) questionnaire. In this work, we used the online version of the questionnaire—www.psytets.org/emo/san.html. Intradialytic physical exercise was used as an intervention, the effectiveness of which was studied in the course of the present study. For this purpose, a portable exercise machine was used, designed for pedaling with hands or feet in a sitting or lying position. Results During HD with intradialytic FN, a decrease in all SAN scores was noted, while the relative dynamics were comparable with the dynamics during standard HD (on scale C—well-being, the relative dynamics was −3.71%, against −3.18% during standard HD, on scale A—activity—−0.92% and −4.72%, respectively, on scale N—mood—−12.85% and −21.13%), however, by the 3rd day after HD, the SAM score indicators increased significantly above the scores achieved after the standard procedure and pre-dialysis data. Thus, the relative dynamics of C with pre-dialysis data was +31.44% versus −0.57 with standard HD (P < 0.001), A according to the A scale—+51.06% versus −2.56% (P < 0.001), according to the H scale—+24.82% versus −1.19% (P < 0.01). Conclusion In CKD patients, compared to healthy individuals, the QOL score according to the SAM system is reduced (8.27 points vs. 17.98 points, P < 0.001). HD contributes to further deterioration of these health aspects, with restoration to the initial level by the beginning of the next session. Intradialytic physical activity helps limit the degree of deterioration in quality of life by the end of the HD procedure and improves QOL in the interdialytic period.