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Conference Paper/Proceeding/Abstract 1192 views 232 downloads

LONG-TERM INTRADIALYTIC CYCLING AND THE IMPACT ON QUALITY OF LIFE.

Laura Mason Orcid Logo

Swansea University Author: Laura Mason Orcid Logo

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DOI (Published version): 10.3252/pso.eu.54ERA.2017.

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INTRODUCTION AND AIMS: Patients receiving maintenance haemodialysis suffer from a variety of comorbidities which can contribute to decreased independence, sedentary behaviour and poor quality of life (QOL). Exercise therapy has the potential to ameliorate many of these common issues but research in...

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ISSN: 0931-0509
Published: 2017
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URI: https://cronfa.swan.ac.uk/Record/cronfa34221
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fullrecord <?xml version="1.0"?><rfc1807><datestamp>2017-09-12T12:55:40.5937106</datestamp><bib-version>v2</bib-version><id>34221</id><entry>2017-06-09</entry><title>LONG-TERM INTRADIALYTIC CYCLING AND THE IMPACT ON QUALITY OF LIFE.</title><swanseaauthors><author><sid>ef88a9ba99af7706e3e80e418f482e0a</sid><ORCID>0000-0002-9679-7063</ORCID><firstname>Laura</firstname><surname>Mason</surname><name>Laura Mason</name><active>true</active><ethesisStudent>false</ethesisStudent></author></swanseaauthors><date>2017-06-09</date><deptcode>STSC</deptcode><abstract>INTRODUCTION AND AIMS: Patients receiving maintenance haemodialysis suffer from a variety of comorbidities which can contribute to decreased independence, sedentary behaviour and poor quality of life (QOL). Exercise therapy has the potential to ameliorate many of these common issues but research in this area has tended to focus on those patients at minimal risk and is often evaluated over only short-term periods. This study aimed to evaluate the long-term effects of a physiotherapist lead cycling programme on quality of life in a representative sample of haemodialysis patients.METHODS: Twenty Four patients were recruited to the study. Fourteen Patients (age: 70.5 &#xB1; 17.3 years, BMI: 29.5 &#xB1; 6.0) participated in the exercise programme and ten patients acted as routine care controls (age: 67.8 &#xB1; 11.1 years, BMI: 28.6 &#xB1; 7.0). Patients completed a Medical Outcomes Short Form 36 (SF-36) to assess QOL at baseline. Intradialytic cycling was conducted on a MOTOmed letto2 cycle ergometer during the first hour of dialysis treatment. Patients cycled for a target time of 20 minutes at individualised, progressive, low to moderate intensities supervised by a physiotherapist. Routine clinical markers and QOL was evaluated for all patients after 1 year. Data was analysed using a repeated-measures ANOVA.RESULTS: Improvements in QOL were demonstrated in all aspects of the SF-36 in the exercising group with percentage improvements ranging from 5 - 125%. Significant differences were seen between the exercise and routine care groups for both mental health composite scores (P = 0.043) and for social functioning (P = 0.050) aspects of the SF-36 assessment. Effects on other aspects of quality of life were not significantly different between the groups.CONCLUSIONS: Intradialytic cycling substantially improves the long-term QOL in a wide spectrum of haemodialysis patients, representative of the dialysis population as a whole. Significant improvements in social functioning and mental health are of particular importance for older dialysis patients who are more likely to suffer feelings of isolation and suffer a loss of independence. The most important finding of this study was that it is feasible to embed intradialytic cycling into the routine care of almost all haemodialysis patients and that it offers long-term benefits in QOL for those patients.</abstract><type>Conference Paper/Proceeding/Abstract</type><journal/><publisher/><issnPrint>0931-0509</issnPrint><keywords/><publishedDay>31</publishedDay><publishedMonth>12</publishedMonth><publishedYear>2017</publishedYear><publishedDate>2017-12-31</publishedDate><doi>10.3252/pso.eu.54ERA.2017.</doi><url/><notes/><college>COLLEGE NANME</college><department>Sport and Exercise Sciences</department><CollegeCode>COLLEGE CODE</CollegeCode><DepartmentCode>STSC</DepartmentCode><institution>Swansea University</institution><apcterm/><lastEdited>2017-09-12T12:55:40.5937106</lastEdited><Created>2017-06-09T10:44:06.2859070</Created><path><level id="1">Faculty of Science and Engineering</level><level id="2">School of Aerospace, Civil, Electrical, General and Mechanical Engineering - Sport and Exercise Sciences</level></path><authors><author><firstname>Laura</firstname><surname>Mason</surname><orcid>0000-0002-9679-7063</orcid><order>1</order></author></authors><documents><document><filename>0034221-19072017090932.pdf</filename><originalFilename>weekes2017.pdf</originalFilename><uploaded>2017-07-19T09:09:32.5400000</uploaded><type>Output</type><contentLength>194089</contentLength><contentType>application/pdf</contentType><version>Accepted Manuscript</version><cronfaStatus>true</cronfaStatus><embargoDate>2018-05-26T00:00:00.0000000</embargoDate><copyrightCorrect>true</copyrightCorrect><language>eng</language></document></documents><OutputDurs/></rfc1807>
spelling 2017-09-12T12:55:40.5937106 v2 34221 2017-06-09 LONG-TERM INTRADIALYTIC CYCLING AND THE IMPACT ON QUALITY OF LIFE. ef88a9ba99af7706e3e80e418f482e0a 0000-0002-9679-7063 Laura Mason Laura Mason true false 2017-06-09 STSC INTRODUCTION AND AIMS: Patients receiving maintenance haemodialysis suffer from a variety of comorbidities which can contribute to decreased independence, sedentary behaviour and poor quality of life (QOL). Exercise therapy has the potential to ameliorate many of these common issues but research in this area has tended to focus on those patients at minimal risk and is often evaluated over only short-term periods. This study aimed to evaluate the long-term effects of a physiotherapist lead cycling programme on quality of life in a representative sample of haemodialysis patients.METHODS: Twenty Four patients were recruited to the study. Fourteen Patients (age: 70.5 ± 17.3 years, BMI: 29.5 ± 6.0) participated in the exercise programme and ten patients acted as routine care controls (age: 67.8 ± 11.1 years, BMI: 28.6 ± 7.0). Patients completed a Medical Outcomes Short Form 36 (SF-36) to assess QOL at baseline. Intradialytic cycling was conducted on a MOTOmed letto2 cycle ergometer during the first hour of dialysis treatment. Patients cycled for a target time of 20 minutes at individualised, progressive, low to moderate intensities supervised by a physiotherapist. Routine clinical markers and QOL was evaluated for all patients after 1 year. Data was analysed using a repeated-measures ANOVA.RESULTS: Improvements in QOL were demonstrated in all aspects of the SF-36 in the exercising group with percentage improvements ranging from 5 - 125%. Significant differences were seen between the exercise and routine care groups for both mental health composite scores (P = 0.043) and for social functioning (P = 0.050) aspects of the SF-36 assessment. Effects on other aspects of quality of life were not significantly different between the groups.CONCLUSIONS: Intradialytic cycling substantially improves the long-term QOL in a wide spectrum of haemodialysis patients, representative of the dialysis population as a whole. Significant improvements in social functioning and mental health are of particular importance for older dialysis patients who are more likely to suffer feelings of isolation and suffer a loss of independence. The most important finding of this study was that it is feasible to embed intradialytic cycling into the routine care of almost all haemodialysis patients and that it offers long-term benefits in QOL for those patients. Conference Paper/Proceeding/Abstract 0931-0509 31 12 2017 2017-12-31 10.3252/pso.eu.54ERA.2017. COLLEGE NANME Sport and Exercise Sciences COLLEGE CODE STSC Swansea University 2017-09-12T12:55:40.5937106 2017-06-09T10:44:06.2859070 Faculty of Science and Engineering School of Aerospace, Civil, Electrical, General and Mechanical Engineering - Sport and Exercise Sciences Laura Mason 0000-0002-9679-7063 1 0034221-19072017090932.pdf weekes2017.pdf 2017-07-19T09:09:32.5400000 Output 194089 application/pdf Accepted Manuscript true 2018-05-26T00:00:00.0000000 true eng
title LONG-TERM INTRADIALYTIC CYCLING AND THE IMPACT ON QUALITY OF LIFE.
spellingShingle LONG-TERM INTRADIALYTIC CYCLING AND THE IMPACT ON QUALITY OF LIFE.
Laura Mason
title_short LONG-TERM INTRADIALYTIC CYCLING AND THE IMPACT ON QUALITY OF LIFE.
title_full LONG-TERM INTRADIALYTIC CYCLING AND THE IMPACT ON QUALITY OF LIFE.
title_fullStr LONG-TERM INTRADIALYTIC CYCLING AND THE IMPACT ON QUALITY OF LIFE.
title_full_unstemmed LONG-TERM INTRADIALYTIC CYCLING AND THE IMPACT ON QUALITY OF LIFE.
title_sort LONG-TERM INTRADIALYTIC CYCLING AND THE IMPACT ON QUALITY OF LIFE.
author_id_str_mv ef88a9ba99af7706e3e80e418f482e0a
author_id_fullname_str_mv ef88a9ba99af7706e3e80e418f482e0a_***_Laura Mason
author Laura Mason
author2 Laura Mason
format Conference Paper/Proceeding/Abstract
publishDate 2017
institution Swansea University
issn 0931-0509
doi_str_mv 10.3252/pso.eu.54ERA.2017.
college_str Faculty of Science and Engineering
hierarchytype
hierarchy_top_id facultyofscienceandengineering
hierarchy_top_title Faculty of Science and Engineering
hierarchy_parent_id facultyofscienceandengineering
hierarchy_parent_title Faculty of Science and Engineering
department_str School of Aerospace, Civil, Electrical, General and Mechanical Engineering - Sport and Exercise Sciences{{{_:::_}}}Faculty of Science and Engineering{{{_:::_}}}School of Aerospace, Civil, Electrical, General and Mechanical Engineering - Sport and Exercise Sciences
document_store_str 1
active_str 0
description INTRODUCTION AND AIMS: Patients receiving maintenance haemodialysis suffer from a variety of comorbidities which can contribute to decreased independence, sedentary behaviour and poor quality of life (QOL). Exercise therapy has the potential to ameliorate many of these common issues but research in this area has tended to focus on those patients at minimal risk and is often evaluated over only short-term periods. This study aimed to evaluate the long-term effects of a physiotherapist lead cycling programme on quality of life in a representative sample of haemodialysis patients.METHODS: Twenty Four patients were recruited to the study. Fourteen Patients (age: 70.5 ± 17.3 years, BMI: 29.5 ± 6.0) participated in the exercise programme and ten patients acted as routine care controls (age: 67.8 ± 11.1 years, BMI: 28.6 ± 7.0). Patients completed a Medical Outcomes Short Form 36 (SF-36) to assess QOL at baseline. Intradialytic cycling was conducted on a MOTOmed letto2 cycle ergometer during the first hour of dialysis treatment. Patients cycled for a target time of 20 minutes at individualised, progressive, low to moderate intensities supervised by a physiotherapist. Routine clinical markers and QOL was evaluated for all patients after 1 year. Data was analysed using a repeated-measures ANOVA.RESULTS: Improvements in QOL were demonstrated in all aspects of the SF-36 in the exercising group with percentage improvements ranging from 5 - 125%. Significant differences were seen between the exercise and routine care groups for both mental health composite scores (P = 0.043) and for social functioning (P = 0.050) aspects of the SF-36 assessment. Effects on other aspects of quality of life were not significantly different between the groups.CONCLUSIONS: Intradialytic cycling substantially improves the long-term QOL in a wide spectrum of haemodialysis patients, representative of the dialysis population as a whole. Significant improvements in social functioning and mental health are of particular importance for older dialysis patients who are more likely to suffer feelings of isolation and suffer a loss of independence. The most important finding of this study was that it is feasible to embed intradialytic cycling into the routine care of almost all haemodialysis patients and that it offers long-term benefits in QOL for those patients.
published_date 2017-12-31T03:42:27Z
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