Effect of an Exercise Rehabilitation Program on Symptoms in Hemodialysis
End-stage Renal Disease, Renal Failure Chronic Requiring Hemodialysis
About this trial
This is an interventional treatment trial for End-stage Renal Disease focused on measuring Hemodialysis, End-stage renal disease, Exercise, Symptom Burden
Eligibility Criteria
Inclusion Criteria:
- greater than 3 months after starting chronic hemodialysis
- no planned change in hemodialysis modality or relocation outside of Winnipeg during study intervention period (26 weeks)
- assessed to be safe and able to exercise by HD unit nephrologist
- ability to communicate in English and provide informed written consent
Exclusion Criteria:
- acute coronary syndrome in past 3 months
- unstable arrhythmia
- shortness of breath at rest or with minimal activity (NYHA Class 4)
- symptomatic hypoglycaemia (> 2x/week in week prior to enrolment)
- currently participating in the Manitoba Renal Program clinical intradialytic cycling program
- score of 0 on Dialysis Symptom Index when administered at time of consent
Sites / Locations
- Health Sciences Centre
- Seven Oaks General Hospital
- St. Boniface Hospital
Arms of the Study
Arm 1
Arm 2
Experimental
No Intervention
Exercise Rehabilitation
Standard Care
Participants will receive baseline exercise counselling as per Standard Care group. Participants will then participate in a 26-week exercise rehabilitation program incorporating 3 components: One-to-one self-management/resistance education once per week during the first 4 weeks of intervention. Participants will subsequently receive resistance training material to allow for home exercise for the remaining 22 weeks of the intervention. Intradialytic aerobic exercise on a cycle ergometer 3 times weekly for 26 weeks at their usual hemodialysis sessions. Four additional one-to-one standardized education sessions will be completed during the intervention period.
Participants will receive one exercise counseling session as part of their baseline assessment. Participants in the control group will not undergo any other exercise counseling or formal exercise intervention, but will not be prohibited from participating in exercise outside of the study protocol.