Contribution of Per Dialytic Physical Activity in Chronic Dialysis Patients

Launched by CENTRE HOSPITALIER INTERCOMMUNAL ANDRÉ GRÉGOIRE · Jun 21, 2024

Keywords

ClinConnect Summary

This clinical trial is studying how physical activity during dialysis sessions can improve the quality of life for patients undergoing chronic dialysis. Dialysis patients often struggle with walking and face risks like high blood pressure, which can make their lives more difficult. The researchers want to see if exercising while on dialysis can help improve not just physical fitness, but also heart health and overall well-being.

To participate in this study, you need to be an adult aged 18 or older who has been receiving hemodialysis at CHI André Grégoire for more than three months. You must also be willing to engage in physical activity during your dialysis sessions and provide written consent to join. If you have certain health issues, such as severe respiratory or heart problems, recent surgeries, or specific injuries, you may not be eligible. If you join the trial, you can expect to participate in exercise while on dialysis and help researchers understand its benefits for patients like you.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Adults aged 18 and over, undergoing chronic hemodialysis at CHI André Grégoire for more than 3 months.
• • Consent to participate in physical activity during dialysis sessions.
• • Written informed consent.
• • Affiliation with a social security system
• Exclusion Criteria:
• • Lower limb amputation without a prosthesis.
• • Non-healed foot wounds.
• • Hemoglobin \< 8 g/dl.
• • Patient refusal to participate.
• • Severe respiratory (oxygen dependence) or cardiac disease (NYHA class 3 or 4, LVEF \< 30%).
• • Advanced dementia or psychiatric illness impeding cooperation, or refusal to consent.
• • Non-French speaking patients unable to understand the study.
• • Patients under guardianship.
• • Advanced osteoarthritis, recent hip or knee prosthesis (\< 3 months).
• • Hypotension (BP \< 90/40 mmHg) or hypertension (BP \> 180/110 mmHg).
• • Fever (temperature \>= 38°C).
• • Hypoglycemia (fingerstick glucose \< 0.8 g/l) in diabetic patients.
• • Dyspnea or desaturation in ambient air \< 95%.
• • COVID-19 symptoms within the last 21 days, positive PCR test, unable to pedal.
• • Chest pain or unstable angina.
• • Muscle or joint contraindications to the pedal exerciser as assessed by a physiotherapist