Group Exercise Program Supported By Audiovisual Media During Hemodialysis (GrExID)

Cardenal Herrera University

Status: Active, not recruiting

Conditions: Chronic Kidney Failure; Functional Capacity; Hemodialysis; Muscle Strength Dynamometer; Physical Activity Level; Sarcopenia

Treatments: Other: Exercise program supported by audiovisual media

Study type: Interventional

Funder types: Other; Industry

Identifiers

NCT06660160

GrExID

Details and patient eligibility

About

People with chronic kidney disease (CKD) undergoing hemodialysis (HD) experience muscular complications, such as sarcopenia, which worsen their functional capacity and increase mortality. Exercise programs during HD are an effective strategy to combat sedentary behavior, and implementing them through innovative technologies could facilitate their adoption in clinics, benefiting more patients. Therefore, the study's objectives are to assess the feasibility and safety of a group exercise program supported by audiovisual media conducted during HD sessions. Additionally, it will analyze factors influencing adherence, identify potential causes for interruptions or failure to perform the prescribed exercise, and evaluate the risk and prevalence of sarcopenia, its association with low muscle strength, poor muscle quality, and physical inactivity.

Full description

A 4-week randomized experimental study will be conducted, using an exercise protocol during HD, broadcast simultaneously on television. The frequency of exercise completion, reasons for non-completion, adverse events, as well as sarcopenia, muscle strength, muscle characteristics through ultrasound and electrical bioimpedance, and physical activity levels will be evaluated.

Enrollment: 45 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Over 18 years old of both sexes;
• Undergoing HD for at least three months in three sessions per week, four hours, totaling 12 hours per week.

Exclusion criteria

• Lower limb amputations;
• Neurological, musculoskeletal, or osteoarticular disorders;
• Severe and unstable comorbidities;
• Undergoing high doses of corticosteroids (>30 mg/day);
• Inability to understand the measurement methods used.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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45 participants in 2 patient groups

Intervention Group (IG)

Experimental group

Description:

Patients over 18 years old of both sexes, who have been undergoing HD for at least three months, generally in three sessions per week that are in the room that was randomized to do exercise.

Treatment:

Other: Exercise program supported by audiovisual media

Control Group (CG)

No Intervention group

Description:

Patients over 18 years old of both sexes, who have been undergoing HD for at least three months, generally in three sessions per week that are in the room that was randomized to will continue with the usual treatment.