Clinical trial NCT01007838: Intradialytic Progressive Resistance Training for Maintenance Haemodialysis Patients
Official title: Effects of Progressive Resistance Training During Haemodialysis on Muscle Quantity and Function in Patients With Chronic Kidney Disease
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Chronic Kidney Disease
Keywords: Progressive Resistance Training/Exercise
Muscle wasting
Chronic Kidney Disease
Lead sponsor: Bangor University
Sponsor class: OTHER
Collaborators: name: Betsi Cadwaladr University Health Board
First posted: 2009-11-04
Enrollment: 32
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: The purpose of this study is to investigate the effects of a 12 week progressive resistance training during haemodialysis on muscle quantity and physical functioning in chronic kidney disease patients receiving maintenance haemodialysis.

It is hypothesised, based on previous literature involving similar resistance training protocols in other catabolic conditions, that the resistance training will result in a significant increase in muscle quantity as well a physical function.

Detailed description: Muscle wasting is common in patients with chronic kidney disease and has been associated with decreased ability to complete activities of daily living, increased hospitalisation and therefore and decreased quality of life.

In other catabolic conditions, such as cancer or rheumatoid arthritis, exercise is an established treatment to reverse muscle wasting. It is uncertain whether exercise has this effect in the chronic kidney disease population due to an altered hormone system that may prevent the anabolic effects of exercise from occurring. However, progressive resistance training, which is exercise that is most effective at eliciting an anabolic response has not been effectively carried out with haemodialysis patients.

Therefore, this study aims to investigate whether or not a twelve week intradialytic progressive resistance training programme will have an effect on muscle quantity, physical function and quality of life in patients receiving maintenance haemodialysis.

Eligibility criteria: Inclusion Criteria:

* Chronic kidney diseases stage five requiring maintenance hemodialysis.

Exclusion Criteria:

* Patients who have been receiving dialysis for less than 3 months;
* Are under the age of 18years;
* Have medical contradictions to participate in the exercise programs;
* Any uncontrolled medical condition which does not allow participation in exercise;
* Have known neuro-muscular disorders;
* Have any other uncontrolled medical condition, including pregnancy;
* Are not independently ambulant for 50 m;
* Have received anabolic intervention, or had catabolic conditions within the last 3 months;
* Have a cardiac pacemaker or other unsuitable implanted device for magnetic resonance;
* Are vulnerable to heat stress;
* Or are unable to give consent.

Primary outcomes:
measure: Muscle Cross Sectional Area
timeFrame: Change from baseline in cross sectional area at 12 weeks
Secondary outcomes:
measure: Muscle Strength
timeFrame: Change from baseline in muscle strength at 12 weeks
Other outcomes:
Locations:
city: Bangor
country: United Kingdom
facility: Renal unit, Ysbyty Gwynedd, North West Wales NHS Trust
state: Gwynedd
Study officials:
affiliation: Bangor University
name: Jamie H MacDonald, PhD
role: PRINCIPAL_INVESTIGATOR
References: