#3495 How does intradialytic exercise influence emotional well-being and quality of life in renal dialysis patients?
Bibliographic record
Abstract
Abstract Background and Aims Haemodialysis (HD) is associated with a decline in physical capacity, quality of life (QoL), and the emotional well-being of the patient. Evidence suggests that physical exercise provides benefits to lifestyle, prevents muscle loss, enhances mood, and alleviates symptoms associated with renal disease. Given these benefits, assessing the impact of an intradialytic exercise programme on emotional well-being, health-related QoL, and HD-related symptoms is essential. This study aimed to investigate the effects of such a programme on physical fitness, emotional response, health-related QoL in patients undergoing HD and symptoms associated with renal disease. Method Clinical trial with convenience sampling. The patients included in the study participated in an individualised intradialytic exercise programme, which lasted for 5 months with a frequency of 2 days per week, supervised by exercise professionals. Pre- and post-intervention assessments included the Hospital Anxiety and Depression Scale (HADS), the 12-Item Short-Form Health Survey (SF-12) for health-related QoL, and the Edmonton Symptom Assessment System (ESAS). IBM SPSS Statistics for Windows, Version 29.0.2.0 (Armonk, NY: IBM Corp), was used to analyse the collected data. The significance level was set at P < 0.05. Results A total of 71 patients undergoing HD participated in the individualised intradialytic exercise programme. Of these, 37 patients (52.1%) were under 65 years old (mean age 65.6 ± 15.5 years), 43 patients (60.6%) were male, and 25 patients (35.2%) were immigrants. The mean duration of time on HD was 4.9 ± 4.4 years. Regarding the Charlson Comorbidity Index, 40 patients (56.3%) had a score of less than 8, with an overall mean score of 7.1 ± 2.8. The results of the HADS scale showed improvements in anxiety scores pre- and post-intervention (from 4.5 to 4.0; P = 0.013) and also in depression scores (from 8.6 to 7.6; P = 0.006) (HADS, Table 1). The physical and mental components of health-related QoL, as measured by the SF-12, also showed a significant improvement (P < 0.001) (SF-12, Table 1). Regarding the symptoms measured by the ESAS questionnaire, pain, depression, drowsiness, appetite, and sleep improved following participation in the exercise programme (ESAS, Table 1). No significant differences were observed in symptoms related to fatigue, nausea, anxiety, well-being, and shortness of breath. Conclusion Participation in intradialytic exercise leads to improvements in both physical symptoms related to renal disease, as well as enhancing mental health and overall health-related QoL. Incorporating intradialytic exercise programmes should be considered an important component of comprehensive care for patients undergoing HD.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.002 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.001 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.007 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".