Table 3. Studies that Investigated the Effects of Exercise Training on Sarcopenia (Muscle Mass and Strength) and Physical Function in CKD Patients.
References | Year | Patients No. (Exercise) | Patients No. (Control) | Study | Duration of Study | Exercise Training | Results |
---|---|---|---|---|---|---|---|
CKD Patients at Pre-Dialysis | |||||||
Rossi et al. ( 32 ) | 2014 | 59 | 48 | RCT | 12 weeks | Weight training and treadmill: 2 times/week. | Improved 6-min walk distance (P < 0.001). |
Watson et al. ( 33 ) | 2015 | 21 | 14 | RCT | 8 weeks | Progressive resistance exercise: 3 times/week. | Increased rectus femoris anatomical cross-sectional area (P = 0.006), volume (P = 0.009), and knee extensor strength (P < 0.001). |
Patients on Hemodialysis | |||||||
DePaul et al. ( 34 ) | 2002 | 20 | 18 | RCT | 12 weeks | Resisted isotonic quadriceps and hamstring exercises and ergometer: 3 times/week. | Improved hamstring and quadriceps muscle strength (P = 0.02). |
Castaneda et al. ( 35 ) | 2004 | 14 | 12 | RCT | 12 weeks | Resistance training: 45 min, 3 times/week. | Improved muscle strength (P = 0.001). |
van Vilsteren et al. ( 36 ) | 2005 | 53 | 43 | RCT | 12 weeks | Cycling during dialysis, together with pre-dialysis strength training: 2 - 3 times/week. | Increased lower extremity muscle strength (P < 0.05). |
Cheema et al. ( 37 ) | 2007 | 24 | 25 | RCT | 12 weeks | High-intensity, progressive resistance training during routine hemodialysis treatment. | Improved muscle strength (P = 0.002), midthigh circumference (P = 0.04) and midarm circumference (P = 0.004). |
Kirkman et al. ( 38 ) | 2014 | 12 | 11 | RCT | 12 weeks | Resistance training: 3 times/week during hemodialysis sessions. | Increased thigh muscle volume (P = 0.007) and knee extensor strength (P = 0.012) |
Matsufuji et al. ( 39 ) | 2015 | 12 | 15 | RCT | 12 weeks | Chair stand exercise 3 sessions/week. | Increased thigh circumference (p < 0.05). |
Howden et al. ( 40 ) | 2015 | 36 | 36 | RCT | 48 weeks | Aerobic and resistance exercise 150 minutes/week. | Improved grip strength (P = 0.03) and 6-minutes’ walk distance (P < 0.001). |
Abbreviations: CI, confidence interval; CKD, chronic kidney disease; HR, hazard ratio; RCT randomized control study.