Nephro Walking: activation of a physical activity program for psychophysical well-being in the dialysed and transplanted patient - a pilot study


https://doi.org/10.4081/wpph.2022.9538
Vol. 10 (2022)
Submitted: 1 June 2022
Accepted: 6 July 2022
Published: 19 September 2022
nephropathy, physical activity, wellbeing, quality of life, dialyzed and transplanted patients
Abstract Views: 261
PDF (Italiano): 167
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Authors

  • Serena Torti SC Nefrologia e Dialisi, Azienda Ospedaliera SS. Antonio e Biagio e Cesare Arrigo, Alessandria, Italy.
  • Roberta Di Matteo
    rdimatteo@ospedale.al.it
    SC Research Training Innovation Infrastructure, Department of Research and Innovation, Azienda Ospedaliera SS. Antonio e Biagio e Cesare Arrigo, Alessandria, Italy. https://orcid.org/0000-0001-8249-8284
  • Antonella Giolito SC Nefrologia e Dialisi, Azienda Ospedaliera SS. Antonio e Biagio e Cesare Arrigo, Alessandria, Italy.
  • Simona Arcidiacono SC Direzione Professioni Sanitarie, Azienda Ospedaliera SS. Antonio e Biagio e Cesare Arrigo, Alessandria, Italy.
  • Tiziana Barocelli SC Nefrologia e Dialisi, Azienda Ospedaliera SS. Antonio e Biagio e Cesare Arrigo, Alessandria, Italy.
  • Denise Gatti SC Research Training Innovation Infrastructure, Department of Research and Innovation, Azienda Ospedaliera SS. Antonio e Biagio e Cesare Arrigo, Alessandria, Italy.
  • Lorella Gambarini SC Direzione Professioni Sanitarie, Azienda Ospedaliera SS. Antonio e Biagio e Cesare Arrigo, Alessandria, Italy.
  • Tatiana Bolgeo SC Research Training Innovation Infrastructure, Department of Research and Innovation, Azienda Ospedaliera SS. Antonio e Biagio e Cesare Arrigo, Italy.
  • Antonio Maconi SC Research Training Innovation Infrastructure, Department of Research and Innovation, Azienda Ospedaliera SS. Antonio e Biagio e Cesare Arrigo, Italy.

Background: Physical inactivity is particularly relevant in patients with chronic renal failure, a category of patients in whom substantial worsening of physical fitness and frailty is strongly associated with adverse prognosis and reduced quality of life. This pilot study aims to implement a physical activity program within the therapeutic path of adult patients in renal replacement treatment (peritoneal and hemodialysis) and transplants to increase physical performance and improve quality of life.

Methods: Pilot, non-pharmacological, single-arm, monocentric, non-profit study on a convenience sample of at least ten nephropathic patients recruited from November 2021 to January 2022. Patients will undergo a therapeutic walk program consisting of 22 sessions. The immediate recovery index, body mass composition, blood parameters and quality of life will be measured.

Conclusions: The application of this small-scale study aims to verify its feasibility and adequacy to obtain information that permits designing future studies.


Smith AC, Burton JO. Exercise in kidney disease and diabetes: time for action. J Ren Care. 2012;38:52–8. DOI: https://doi.org/10.1111/j.1755-6686.2012.00279.x

Jha V, Garcia-Garcia G, Iseki K, Li Z, Naicker S, Plattner B, et al. Chronic kidney disease: global dimension and perspectives. Lancet Lond Engl. 2013;382:260–72.

Webster AC, Nagler EV, Morton RL, Masson P. Chronic kidney disease. The Lancet. 2017;389:1238–52. DOI: https://doi.org/10.1016/S0140-6736(16)32064-5

Jha V, Garcia-Garcia G, Iseki K, Li Z, Naicker S, Plattner B, et al. Chronic kidney disease: global dimension and perspectives. Lancet Lond Engl. 2013;382:260–72. DOI: https://doi.org/10.1016/S0140-6736(13)60687-X

Kovesdy CP. Epidemiology of chronic kidney disease: an update - 2022. Kidney Int Suppl. 2022;12:7–11. DOI: https://doi.org/10.1016/j.kisu.2021.11.003

Chen TK, Knicely DH, Grams ME. Chronic kidney disease diagnosis and management. JAMA. 2019;322:1294–304. DOI: https://doi.org/10.1001/jama.2019.14745

Hoshino J. Renal rehabilitation: exercise intervention and nutritional support in dialysis patients. Nutrients. 2021;13:1444. DOI: https://doi.org/10.3390/nu13051444

Zelle DM, Klaassen G, van Adrichem E, Bakker SJL, Corpeleijn E, Navis G. Physical inactivity: a risk factor and target for intervention in renal care. Nat Rev Nephrol. 2017;13:318. DOI: https://doi.org/10.1038/nrneph.2017.44

Headley S, Germain M, Wood R, Joubert J, Milch C, Evans E, et al. Short-term aerobic exercise and vascular function in CKD stage 3: a randomized controlled trial. Am J Kidney Dis Off J Natl Kidney Found. 2014;64:222–9. DOI: https://doi.org/10.1053/j.ajkd.2014.02.022

Viana JL, Kosmadakis GC, Watson EL, Bevington A, Feehally J, Bishop NC, et al. Evidence for anti-inflammatory effects of exercise in CKD. J Am Soc Nephrol JASN. 2014;25:2121–30. DOI: https://doi.org/10.1681/ASN.2013070702

Avesani CM, Trolonge S, Deléaval P, Baria F, Mafra D, Faxén-Irving G, et al. Physical activity and energy expenditure in haemodialysis patients: an international survey. Nephrol Dial Transplant Off Publ Eur Dial Transpl Assoc - Eur Ren Assoc. 2012;27:2430–4. DOI: https://doi.org/10.1093/ndt/gfr692

Hellberg M, Höglund P, Svensson P, Abdulahi H, Clyne N. Decline in measured glomerular filtration rate is associated with a decrease in endurance, strength, balance and fine motor skills. Nephrol Carlton Vic. 2017;22:513–9. DOI: https://doi.org/10.1111/nep.12810

Tentori F, Elder SJ, Thumma J, Pisoni RL, Bommer J, Fissell RB, et al. Physical exercise among participants in the Dialysis Outcomes and Practice Patterns Study (DOPPS): correlates and associated outcomes. Nephrol Dial Transplant Off Publ Eur Dial Transpl Assoc - Eur Ren Assoc. 2010;25:3050–62. DOI: https://doi.org/10.1093/ndt/gfq138

De Smet S, Van Craenenbroeck AH. Exercise training in patients after kidney transplantation. Clin Kidney J. 2021;14:ii15–24. DOI: https://doi.org/10.1093/ckj/sfab022

Hart A, Weir MR, Kasiske BL. Cardiovascular risk assessment in kidney transplantation. Kidney Int. 2015;87:527–34. DOI: https://doi.org/10.1038/ki.2014.335

Stoumpos S, Jardine AG, Mark PB. Cardiovascular morbidity and mortality after kidney transplantation. Transpl Int Off J Eur Soc Organ Transplant. 2015;28:10–21. DOI: https://doi.org/10.1111/tri.12413

Supporting Agencies

None

Torti, S., Di Matteo, R., Giolito, A., Arcidiacono, S., Barocelli, T., Gatti, D., Gambarini, L., Bolgeo, T., & Maconi, A. (2022). Nephro Walking: activation of a physical activity program for psychophysical well-being in the dialysed and transplanted patient - a pilot study. Working Paper of Public Health, 10(1). https://doi.org/10.4081/wpph.2022.9538

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