Table 1. Patient Characteristics.

From: The Impact of Intradialytic Exercise on Activities of Daily Living and Physical Function in Hospitalized Hemodialysis Patients: A Study of Efficacy and Safety

All group Non - IDE group IDE group p-value
n=76 n=63 n=13
Age (year) 75.5 (9.31) 75.0 (1.2) 77.5 (2.8) 0.42
Sex [men, (n)%] 48 (63.2) 41 (65.1) 7 (53.8) 0.53
BMI (kg/m2) 21.4 (4.2) 22 (0.8) 21 (0.9) 0.42
GNRI 81.6 (9.1) 82.4 (1.2) 80.3 (2.4) 0.44
 Prevalence of malnutrition (GNRI < 91.2) [(n)%] 58 (87.9) 45 (84.9) 13 (100) 0.12
Rehabilitation time (min/day) All 39.1 (1.9) 37.0 (1.9) 49.0 (5.6) 0.01
HD days 40.9 (2.0) 38.8 (1.8) 51.7 (6.8) 0.01
Non-HD days 47.6 (2.5) 46.4 (2.7) 53.0 (6.3) 0.31
HDS-R (points) 25.7 (3.2) 25.8 (0.38) 25.1 (0.78) 0.42
Laboratory Data
 Alb (g/dL) 2.9 (0.4) 3.0 (0.1) 2.8 (0.2) 0.41
 BUN (mg/dL) 41.9 (15.2) 42.1 (1.6) 40.8 (6.6) 0.85
 Cre (mg/dL) 6.9 (2.1) 7.2 (0.3) 5.9 (0.5) 0.02
 Na (mEq/L) 134.7 (3.4) 135.1 (0.4) 133.1 (0.9) 0.05
 K (mEq/L) 3.8 (0.5) 3.9 (0.1) 3.5 (0.1) 0.04
 Cl (mEq/L) 101.5 (3.8) 101.9 (0.5) 99.6 (1.1) 0.07
 P (mg/dL) 3.7 (1.2) 3.8 (0.2) 3.3 (0.3) 0.11
 Ca (mg/dL) 9.1 (0.9) 9.1 (0.1) 9.2 (0.2) 0.71
 eGFR (mL/min/1.73m2) 6.8 (2.5) 6.5 (0.3) 8.1 (0.9) 0.11
 CRP (mg/dL) 0.89 (1.24) 0.96 (0.17) 0.72 (0.45) 0.60
 Hb (g/dL) 10.3 (1.3) 10.3 (0.2) 10.3 (0.4) 0.91
 INT-PTH 132.3 (116.0) 136.9 (18.1) 126.7 (41.7) 0.83
 Hemodialysis duration (months) 87.2 (88.8) 91.2 (13.2) 55.5 (21.7) 0.16
 Hemodialysis Time (min) 229.0 (22.4) 230 (2.7) 223.8 (7.3) 0.43
 Kt/v 1.35 (0.32) 1.36 (0.04) 1.33 (0.09) 0.77
 %CGR (%) 68.3 (25.6) 69.2 (3) 63.6 (9.3) 0.57
 nPCR (g/kg/day) 0.66 (0.15) 0.65 (0.02) 0.70 (0.06) 0.43
Reason for rehabilitation [Yes, n(%)]
 Orthopedic 53 (69.7) 44 (69.8) 9 (69.2) 0.62
 Pulmonary 10 (13.2) 6 (9.5) 0 (0.0)
 Neurologic 6 (7.9) 8 (12.7) 2 (15.4)
 Deconditioning 7 (9.2) 5 (7.9) 2 (15.4)
Conditions requiring HD treatment [Yes, n(%)]
 Diabetic nephropathy 27 (35.5) 21 (33.3) 6 (46.2) 0.24
 Nephrosclerosis 10 (13.2) 9 (14.3) 1 (7.7)
 Chronic glomerulonephritis 2 (2.6) 1 (1.6) 1 (7.7)
 Other 11 (14.5) 8 (12.7) 3 (23.1)
 Unknown 26 (34.2) 24 (38.1) 2 (15.4)
Comorbidity [Yes, (%)]
 Diabetes mellitus 47 (61.8) 39 (61.9) 8 (61.5) 1.00
 Cancer 8 (10.5) 7 (11.1) 1 (7.7) 1.00
 Ischemic heart disease 29 (38.2) 25 (39.7) 4 (30.8) 0.76
 Hypertension 30 (39.5) 23 (36.5) 7 (53.8) 0.35
 Cerebrovascular disease 21 (27.6) 19 (30.2) 2 (15.4) 0.50
 Arteriosclerosis obliterans 15 (19.7) 14 (22.2) 1 (7.7) 0.44
 Valvular Heart Disease 4 (5.3) 3 (4.8) 1 (7.7) 0.54
Admission Physical function Reference Value
 Grip strength (kg) Men: 28,
Women 18
15.4 (5.3) 15.4 (0.8) 14.8 (1.5) 0.71
 IKES (%) 40 26.4 (9.5) 25.76 (1.2) 28.76 (2.7) 0.38
 10MWS (m/s) 1.0 0.66 (0.27) 0.65 (0.05) 0.72 (0.1) 0.52
 SPPB (points) 9 2.8 (3.5) 2.7 (0.3) 3.3 (0.9) 0.55
 TUG (sec) 13.5 28.5 (21.0) 28.5 (1.5) 27.7 (5.3) 0.88
 Barthel Index (points) 75 53.9 (21.0) 55.7 (2.9) 50.8 (5.4) 0.43
Table 2. Comparison of Rehabilitation Outcomes.

From: The Impact of Intradialytic Exercise on Activities of Daily Living and Physical Function in Hospitalized Hemodialysis Patients: A Study of Efficacy and Safety

All Non-IDE group IDE group
n=76 n=63 n=13 p-value
Length of hospital stays (days) All 49.9 (1.8) 48.6 (1.9) 56.2 (4.0) 0.097
HD days 21.3 (0.8) 20.7 (0.8) 23.9 (1.8) 0.105
Non-HD days 21.6 (0.8) 21.1 (0.8) 24.2 (1.7) 0.111
Barthel Index Gain (points) 20.2 (1.6) 18.1 (1.4) 30.4 (5.4) < 0.001
Barthel Index efficiency (points/days) 0.41 (0.05) 0.38 (0.05) 0.54 (0.08) 0.114
Discharge
 Grip strength (kg) 15.9 (6.3) 16.8 (1.9) 14.2 (2.7) 0.404
 IKES (%) 28.7 (12.5) 28.1 (1) 32 (4.3) 0.368
 10MWS (m/s) 0.70 (0.26) 0.69 (0.05) 0.77 (0.1) 0.516
 SPPB (points) 4.9 (3.9) 4.8 (0.4) 5.2 (1.0) 0.695
 TUG (sec) 20.4 (8.6) 20.3 (0.7) 20.9 (2.8) 0.819
 Barthel Index (points) 69.2 (23.5) 65.6 (4.7) 81.2 (3.7) 0.010
Table 3. Comparison of Physical Function and ADL Indices between Non-IDE Group and IDE Group.

From: The Impact of Intradialytic Exercise on Activities of Daily Living and Physical Function in Hospitalized Hemodialysis Patients: A Study of Efficacy and Safety

Non -IDE group (control) IDE group ΔIDE - ΔNon - IDE group
ΔPost - Pre (95CI) p-value ΔPost - Pre (95CI) p-value Difference (95CI) p-value
Grip strength (kg) 0.85 (-0.27 to 1.97) 0.169 1.55 (1.46 to 1.65)* 0.017 2.10 (-0.40 to 4.60) 0.115
IKES (%) -1.95 (-5.46 to 1.55) 0.299 0.07 (-0.14 to 0.29) 0.987 7.40 (-2.20 to 17.02) 0.149
10MWS (m/s) 0.04 (-0.03 to 0.13) 0.279 0.30 (0.12 to 0.47) 0.073 0.25 (0.05 to 0.45)* 0.036
SPPB (points) 1.06 (-0.003 to 2.116) 0.096 2.44 (1.34 to 3.55)* 0.006 1.23 (-0.48 to 2.94) 0.192
TUG (sec) -10.80 (-19.49 to -2.12)* 0.035 -4.08 (-5.26 to -2.90) 0.975 -3.07 (-20.74 to 14.60) 0.739
Barthel Index (points) 16.26 (9.59 to 22.93)* 0.000 28.90 (19.76 to 37.94)* 0.000 13.67 (0.96 to 26.38)* 0.047
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