Knowledge among nephrologists about the importance of exercise in the intradialytic period
[Purpose] To assess knowledge among nephrologists at hemodialysis services about routine intradialytic therapeutic exercise, in the city of Recife. [Subjects and Methods] A cross-sectional study, consisting of 49 nephrologists working in public and/or private hemodialysis services, who responded to...
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| Published in | Journal of Physical Therapy Science Vol. 27; no. 9; pp. 2991 - 2994 |
|---|---|
| Main Authors | , |
| Format | Journal Article |
| Language | English |
| Published |
Japan
The Society of Physical Therapy Science
2015
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| Subjects | |
| Online Access | Get full text |
| ISSN | 0915-5287 2187-5626 |
| DOI | 10.1589/jpts.27.2991 |
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| Abstract | [Purpose] To assess knowledge among nephrologists at hemodialysis services about routine intradialytic therapeutic exercise, in the city of Recife. [Subjects and Methods] A cross-sectional study, consisting of 49 nephrologists working in public and/or private hemodialysis services, who responded to a semi-structured questionnaire about their academic background, medical residency, and knowledge about exercise during the intradialytic period. [Results] About 56.3% practiced for more than 10 years as nephrologists, 69.4% did not receive information about intradialytic physical exercise while in residency, 81.6% considered intradialytic exercise to be important, and 53.0% did not prescribe exercise during hemodialysis. About 61.2% consider the level of physical activity among their patients to be poor. Nephrologists graduating within 2 years were 10 times more likely to prescribe exercise, compared to those with more than 2 years since graduation. [Conclusion] Our study found that the nephrologists interviewed do not usually prescribe intradialytic therapeutic exercise, despite understanding its importance as part of the treatment process. It is necessary to update doctors about the importance of exercise for patients during the intradialytic period, as well as to incorporate this knowledge at the undergraduate level. |
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| AbstractList | [Purpose] To assess knowledge among nephrologists at hemodialysis services about routine
intradialytic therapeutic exercise, in the city of Recife. [Subjects and Methods] A
cross-sectional study, consisting of 49 nephrologists working in public and/or private
hemodialysis services, who responded to a semi-structured questionnaire about their
academic background, medical residency, and knowledge about exercise during the
intradialytic period. [Results] About 56.3% practiced for more than 10 years as
nephrologists, 69.4% did not receive information about intradialytic physical exercise
while in residency, 81.6% considered intradialytic exercise to be important, and 53.0% did
not prescribe exercise during hemodialysis. About 61.2% consider the level of physical
activity among their patients to be poor. Nephrologists graduating within 2 years were 10
times more likely to prescribe exercise, compared to those with more than 2 years since
graduation. [Conclusion] Our study found that the nephrologists interviewed do not usually
prescribe intradialytic therapeutic exercise, despite understanding its importance as part
of the treatment process. It is necessary to update doctors about the importance of
exercise for patients during the intradialytic period, as well as to incorporate this
knowledge at the undergraduate level. [Abstract.] [Purpose] To assess knowledge among nephrologists at hemodialysis services about routine intradialytic therapeutic exercise, in the city of Recife. [Subjects and Methods] A cross-sectional study, consisting of 49 nephrologists working in public and/or private hemodialysis services, who responded to a semi-structured questionnaire about their academic background, medical residency, and knowledge about exercise during the intradialytic period. [Results] About 56.3% practiced for more than 10 years as nephrologists, 69.4% did not receive information about intradialytic physical exercise while in residency, 81.6% considered intradialytic exercise to be important, and 53.0% did not prescribe exercise during hemodialysis. About 61.2% consider the level of physical activity among their patients to be poor. Nephrologists graduating within 2 years were 10 times more likely to prescribe exercise, compared to those with more than 2 years since graduation. [Conclusion] Our study found that the nephrologists interviewed do not usually prescribe intradialytic therapeutic exercise, despite understanding its importance as part of the treatment process. It is necessary to update doctors about the importance of exercise for patients during the intradialytic period, as well as to incorporate this knowledge at the undergraduate level. [Purpose] To assess knowledge among nephrologists at hemodialysis services about routine intradialytic therapeutic exercise, in the city of Recife. [Subjects and Methods] A cross-sectional study, consisting of 49 nephrologists working in public and/or private hemodialysis services, who responded to a semi-structured questionnaire about their academic background, medical residency, and knowledge about exercise during the intradialytic period. [Results] About 56.3% practiced for more than 10 years as nephrologists, 69.4% did not receive information about intradialytic physical exercise while in residency, 81.6% considered intradialytic exercise to be important, and 53.0% did not prescribe exercise during hemodialysis. About 61.2% consider the level of physical activity among their patients to be poor. Nephrologists graduating within 2 years were 10 times more likely to prescribe exercise, compared to those with more than 2 years since graduation. [Conclusion] Our study found that the nephrologists interviewed do not usually prescribe intradialytic therapeutic exercise, despite understanding its importance as part of the treatment process. It is necessary to update doctors about the importance of exercise for patients during the intradialytic period, as well as to incorporate this knowledge at the undergraduate level. [Purpose] To assess knowledge among nephrologists at hemodialysis services about routine intradialytic therapeutic exercise, in the city of Recife. [Subjects and Methods] A cross-sectional study, consisting of 49 nephrologists working in public and/or private hemodialysis services, who responded to a semi-structured questionnaire about their academic background, medical residency, and knowledge about exercise during the intradialytic period. [Results] About 56.3% practiced for more than 10 years as nephrologists, 69.4% did not receive information about intradialytic physical exercise while in residency, 81.6% considered intradialytic exercise to be important, and 53.0% did not prescribe exercise during hemodialysis. About 61.2% consider the level of physical activity among their patients to be poor. Nephrologists graduating within 2 years were 10 times more likely to prescribe exercise, compared to those with more than 2 years since graduation. [Conclusion] Our study found that the nephrologists interviewed do not usually prescribe intradialytic therapeutic exercise, despite understanding its importance as part of the treatment process. It is necessary to update doctors about the importance of exercise for patients during the intradialytic period, as well as to incorporate this knowledge at the undergraduate level.[Purpose] To assess knowledge among nephrologists at hemodialysis services about routine intradialytic therapeutic exercise, in the city of Recife. [Subjects and Methods] A cross-sectional study, consisting of 49 nephrologists working in public and/or private hemodialysis services, who responded to a semi-structured questionnaire about their academic background, medical residency, and knowledge about exercise during the intradialytic period. [Results] About 56.3% practiced for more than 10 years as nephrologists, 69.4% did not receive information about intradialytic physical exercise while in residency, 81.6% considered intradialytic exercise to be important, and 53.0% did not prescribe exercise during hemodialysis. About 61.2% consider the level of physical activity among their patients to be poor. Nephrologists graduating within 2 years were 10 times more likely to prescribe exercise, compared to those with more than 2 years since graduation. [Conclusion] Our study found that the nephrologists interviewed do not usually prescribe intradialytic therapeutic exercise, despite understanding its importance as part of the treatment process. It is necessary to update doctors about the importance of exercise for patients during the intradialytic period, as well as to incorporate this knowledge at the undergraduate level. |
| Author | Marinho, Patrícia Érika M. Silva, Lenize Cristine |
| Author_xml | – sequence: 1 fullname: Silva, Lenize Cristine organization: Department of Physical Therapy, Universidade Federal de Pernambuco: Av. Jornalista Aníbal Fernandes, s/n, Cidade Universitária, Recife, PE, 50740-560, Brazil – sequence: 1 fullname: Marinho, Patrícia Érika M. organization: Department of Physical Therapy, Universidade Federal de Pernambuco: Av. Jornalista Aníbal Fernandes, s/n, Cidade Universitária, Recife, PE, 50740-560, Brazil |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/26504342$$D View this record in MEDLINE/PubMed |
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| Cites_doi | 10.1177/0269215508096760 10.1053/ajkd.2003.50001 10.1589/jpts.23.345 10.1152/japplphysiol.00556.2011 10.1590/S1809-29502008000100014 10.1589/jpts.27.1445 10.1589/jpts.26.1733 10.1093/ndt/14.12.2927 10.1007/s11255-007-9265-z 10.1093/ndt/gfr404 10.1053/j.ackd.2009.07.010 10.2165/00007256-199418060-00006 10.1590/S0482-50042005000600005 10.1159/000319593 10.1152/ajprenal.00296.2005 10.1590/S1517-86922007000600014 10.1053/j.ajkd.2005.01.030 |
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| Keywords | Chronic kidney disease Dialysis Exercise |
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| References | 16) Delgado C, Johansen KL: Deficient counseling on physical activity among nephrologists. Nephron Clin Pract, 2010, 116: c330–c336. 2) NKF (NATIONAL KIDNEY FOUNDATION): Clinical practice guidelines for chronic kidney disease: evaluation, classification and stratification. Am J Kidney Dis, 2002, 39: 1–266. 4) Romão Junior JE: Doença renal crônica: Definição, epidemiologia e classificação. J Bras Neurol, 2004, 26: 1–3. 7) Moura RM, Silva FC, Ribeiro GM, et al.: Efeitos do exercício físico durante a hemodiálise em indivíduos com insuficiência renal crônica: Uma revisão. Fisiot Pesq, 2008, 16: 86–91. 24) Caspersen CJ, Powell KE, Christenson GM: Physical activity, exercise, and physical fitness: definitions and distinctions for health-related research. Public Health Rep, 1985, 100: 126–131. 13) Shi ZM, Wen HP, Liu FR, et al.: The effects of tai chi on the renal and cardiac functions of patients with chronic kidney and cardiovascular diseases. J Phys Ther Sci, 2014, 26: 1733–1736. 8) Vieira WP, Gomes KW, Frota NB, et al.: Manifestações musculoesqueléticas em pacientes submetidos à hemodiálise. Rev Bras Reumatol. 2005, 45: 357–364. 9) Lewis MI, Fournier M, Wang H, et al.: Metabolic and morphometric profile of muscle fibers in chronic hemodialysis patients. J Appl Physiol 1985, 2012, 112: 72–78. 25) Johansen KL, Sakkas GK, Doyle J, et al.: Exercise counseling practices among nephrologists caring for patients on dialysis. Am J Kidney Dis, 2003, 41: 171–178. 17) Segura-Ortí E: Ejercicio en pacientes en hemodiálisis: revisión sistemática de la literatura. Nefrologia, 2010, 30: 236–246. 5) Corrêa LB, Oliveira RN, Cantareli F, et al.: Efeito do treinamento muscular periférico na capacidade funcional e qualidade de vida nos pacientes em hemodiálise. J Bras Nefrol, 2009, 31: 18–24. 6) Ponngeon O, Chaunchaiyakul R, Vareesangthip K, et al.: Home-based walking program increases leg muscle strength in hemodialysis patients. J Phys Ther Sci, 2011, 23: 345–348. 21) Poortmans JR, Vanderstraeten J: Kidney function during exercise in healthy and diseased humans. An update. Sports Med, 1994, 18: 419–437. 27) Kontos PC, Miller KL, Brooks D, et al.: Factors influencing exercise participation by older adults requiring chronic hemodialysis: a qualitative study. Int Urol Nephrol, 2007, 39: 1303–1311. 19) Cheema BS, Smith BC, Singh MA: A rationale for intradialytic exercise training as standard clinical practice in ESRD. Am J Kidney Dis, 2005, 45: 912–916. 3) K/DOQI: Clinical practice guidelines for chronic kidney disease: evaluation, classification and stratification. Am J Kidney Dis, 2002, 39: 1–266. 28) Delgado C, Johansen KL: Barriers to exercise participation among dialysis patients. Nephrol Dial Transplant, 2012, 27: 1152–1157. 14) Bae YH, Lee SM, Jo JI: Aerobic training during hemodialysis improves body composition, muscle function, physical performance, and quality of life in chronic kidney disease patients. J Phys Ther Sci, 2015, 27: 1445–1449. 26) Painter P, Carlson L, Carey S, et al.: Determinants of exercise encouragement practices in hemodialysis staff. Nephrol Nurs J, 2004, 31: 67–74. 11) Adams GR, Vaziri ND: Skeletal muscle dysfunction in chronic renal failure: effects of exercise. Am J Physiol Renal Physiol, 2006, 290: F753–F761. 20) Knap B, Buturović-Ponikvar J, Ponikvar R, et al.: Regular exercise as a part of treatment for patients with end-stage renal disease. Ther Apher Dial, 2005, 9: 211–213. 12) Kong CH, Tattersall JE, Greenwood RN, et al.: The effect of exercise during haemodialysis on solute removal. Nephrol Dial Transplant, 1999, 14: 2927–2931. 18) Ouzouni S, Kouidi E, Sioulis A, et al.: Effects of intradialytic exercise training on health-related quality of life indices in haemodialysis patients. Clin Rehabil, 2009, 23: 53–63. 10) Moreira PR, Barros EG: Revisão/Atualização em Diálise: capacidade e condicionamento físico em pacientes mantidos em hemodiálise. J Bras Neurol, 1998, 20: 207–210. 15) Reboredo MM, Henrique DM, Bastos MG, et al.: Exercício físico em pacientes dialisados. Rev Bras Med Esporte. 2007, 13: 427–430. 23) Painter P: Implementing exercise: what do we know? Where do we go?Adv Chronic Kidney Dis, 2009, 16: 536–544. 22) Wibert W, Paduin A, Navarro F: Contribuição do exercício intradialítico na eficácia da hemodiálise: Uma revisão sistemática. Rev Bras Presc Fisiol Exerc, 2011, 5: 242–251. 1) Sesso R, Lopes AA, Thomé AS, et al.: Relatório do censo brasileiro de diálise, 2008. J Bras Neurol, 2008, 30: 233–238. 22 23 24 25 26 27 (17) 2010; 30 10 11 12 13 14 15 16 18 19 1 2 3 4 5 6 7 8 9 20 21 11904577 - Am J Kidney Dis. 2002 Feb;39(2 Suppl 1):S1-266 7886356 - Sports Med. 1994 Dec;18(6):419-37 15861357 - Am J Kidney Dis. 2005 May;45(5):912-6 26157237 - J Phys Ther Sci. 2015 May;27(5):1445-9 20098466 - Nefrologia. 2010;30(2):236-46 22016372 - J Appl Physiol (1985). 2012 Jan;112(1):72-8 3920711 - Public Health Rep. 1985 Mar-Apr;100(2):126-31 17902035 - Int Urol Nephrol. 2007;39(4):1303-11 15008075 - Nephrol Nurs J. 2004 Jan-Feb;31(1):67-74 21795245 - Nephrol Dial Transplant. 2012 Mar;27(3):1152-7 12500234 - Am J Kidney Dis. 2003 Jan;41(1):171-8 19114437 - Clin Rehabil. 2009 Jan;23(1):53-63 19801141 - Adv Chronic Kidney Dis. 2009 Nov;16(6):536-44 25435688 - J Phys Ther Sci. 2014 Nov;26(11):1733-6 10570099 - Nephrol Dial Transplant. 1999 Dec;14(12):2927-31 15966991 - Ther Apher Dial. 2005 Jun;9(3):211-3 16527920 - Am J Physiol Renal Physiol. 2006 Apr;290(4):F753-61 20664289 - Nephron Clin Pract. 2010;116(4):c330-6 |
| References_xml | – reference: 14) Bae YH, Lee SM, Jo JI: Aerobic training during hemodialysis improves body composition, muscle function, physical performance, and quality of life in chronic kidney disease patients. J Phys Ther Sci, 2015, 27: 1445–1449. – reference: 1) Sesso R, Lopes AA, Thomé AS, et al.: Relatório do censo brasileiro de diálise, 2008. J Bras Neurol, 2008, 30: 233–238. – reference: 24) Caspersen CJ, Powell KE, Christenson GM: Physical activity, exercise, and physical fitness: definitions and distinctions for health-related research. Public Health Rep, 1985, 100: 126–131. – reference: 7) Moura RM, Silva FC, Ribeiro GM, et al.: Efeitos do exercício físico durante a hemodiálise em indivíduos com insuficiência renal crônica: Uma revisão. Fisiot Pesq, 2008, 16: 86–91. – reference: 2) NKF (NATIONAL KIDNEY FOUNDATION): Clinical practice guidelines for chronic kidney disease: evaluation, classification and stratification. Am J Kidney Dis, 2002, 39: 1–266. – reference: 8) Vieira WP, Gomes KW, Frota NB, et al.: Manifestações musculoesqueléticas em pacientes submetidos à hemodiálise. Rev Bras Reumatol. 2005, 45: 357–364. – reference: 23) Painter P: Implementing exercise: what do we know? Where do we go?Adv Chronic Kidney Dis, 2009, 16: 536–544. – reference: 18) Ouzouni S, Kouidi E, Sioulis A, et al.: Effects of intradialytic exercise training on health-related quality of life indices in haemodialysis patients. Clin Rehabil, 2009, 23: 53–63. – reference: 17) Segura-Ortí E: Ejercicio en pacientes en hemodiálisis: revisión sistemática de la literatura. Nefrologia, 2010, 30: 236–246. – reference: 21) Poortmans JR, Vanderstraeten J: Kidney function during exercise in healthy and diseased humans. An update. Sports Med, 1994, 18: 419–437. – reference: 10) Moreira PR, Barros EG: Revisão/Atualização em Diálise: capacidade e condicionamento físico em pacientes mantidos em hemodiálise. J Bras Neurol, 1998, 20: 207–210. – reference: 25) Johansen KL, Sakkas GK, Doyle J, et al.: Exercise counseling practices among nephrologists caring for patients on dialysis. Am J Kidney Dis, 2003, 41: 171–178. – reference: 26) Painter P, Carlson L, Carey S, et al.: Determinants of exercise encouragement practices in hemodialysis staff. Nephrol Nurs J, 2004, 31: 67–74. – reference: 5) Corrêa LB, Oliveira RN, Cantareli F, et al.: Efeito do treinamento muscular periférico na capacidade funcional e qualidade de vida nos pacientes em hemodiálise. J Bras Nefrol, 2009, 31: 18–24. – reference: 22) Wibert W, Paduin A, Navarro F: Contribuição do exercício intradialítico na eficácia da hemodiálise: Uma revisão sistemática. Rev Bras Presc Fisiol Exerc, 2011, 5: 242–251. – reference: 15) Reboredo MM, Henrique DM, Bastos MG, et al.: Exercício físico em pacientes dialisados. Rev Bras Med Esporte. 2007, 13: 427–430. – reference: 13) Shi ZM, Wen HP, Liu FR, et al.: The effects of tai chi on the renal and cardiac functions of patients with chronic kidney and cardiovascular diseases. J Phys Ther Sci, 2014, 26: 1733–1736. – reference: 16) Delgado C, Johansen KL: Deficient counseling on physical activity among nephrologists. Nephron Clin Pract, 2010, 116: c330–c336. – reference: 12) Kong CH, Tattersall JE, Greenwood RN, et al.: The effect of exercise during haemodialysis on solute removal. Nephrol Dial Transplant, 1999, 14: 2927–2931. – reference: 19) Cheema BS, Smith BC, Singh MA: A rationale for intradialytic exercise training as standard clinical practice in ESRD. Am J Kidney Dis, 2005, 45: 912–916. – reference: 6) Ponngeon O, Chaunchaiyakul R, Vareesangthip K, et al.: Home-based walking program increases leg muscle strength in hemodialysis patients. J Phys Ther Sci, 2011, 23: 345–348. – reference: 3) K/DOQI: Clinical practice guidelines for chronic kidney disease: evaluation, classification and stratification. Am J Kidney Dis, 2002, 39: 1–266. – reference: 4) Romão Junior JE: Doença renal crônica: Definição, epidemiologia e classificação. J Bras Neurol, 2004, 26: 1–3. – reference: 9) Lewis MI, Fournier M, Wang H, et al.: Metabolic and morphometric profile of muscle fibers in chronic hemodialysis patients. J Appl Physiol 1985, 2012, 112: 72–78. – reference: 28) Delgado C, Johansen KL: Barriers to exercise participation among dialysis patients. Nephrol Dial Transplant, 2012, 27: 1152–1157. – reference: 20) Knap B, Buturović-Ponikvar J, Ponikvar R, et al.: Regular exercise as a part of treatment for patients with end-stage renal disease. Ther Apher Dial, 2005, 9: 211–213. – reference: 27) Kontos PC, Miller KL, Brooks D, et al.: Factors influencing exercise participation by older adults requiring chronic hemodialysis: a qualitative study. Int Urol Nephrol, 2007, 39: 1303–1311. – reference: 11) Adams GR, Vaziri ND: Skeletal muscle dysfunction in chronic renal failure: effects of exercise. 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| Title | Knowledge among nephrologists about the importance of exercise in the intradialytic period |
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