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Benefits of exercise training in patients receiving haemodialysis: a systematic review and meta-analysis
  1. Ying Wang1,2,
  2. Meg J Jardine1,3
  1. 1Department of Renal Medicine, Concord Repatriation General Hospital, Sydney, Australia
  2. 2Department of Renal Medicine, Royal Prince Alfred Hospital, Sydney, Australia
  3. 3Renal & Metabolic Division, The George Institute for Global Health, The University of Sydney, Australia
  1. Correspondence to Dr Meg Jardine, Renal & Metabolic Division, The George Institute for Global Health, PO Box M201, Missenden Road, NSW 2050, Australia; mjardine{at}georgeinstitute.org.au

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Background

Patients receiving haemodialysis have poor physical strength,1 muscle metabolism2 and quality of life3 than the general population. Exercise training may improve these parameters for people requiring maintenance haemodialysis.

Aim

This systematic review with meta-analysis aimed to examine the impact of exercise training on peak VO2, strength, cardiac function, quality of life, adherence, safety and energy intake of patients receiving haemodialysis.

Searches and inclusion criteria

Randomised clinical trials of exercise interventions conducted in patients receiving haemodialysis were identified by systematic searches of Medline, Embase, Cochrane Central Register of Controlled Trials and CINAHL up to 2010 with no language restriction. The actual search strategy is not included. Search terms may not have included all outcome descriptors (eg, the primary outcome, peak VO2) or all possible terms used to identify patients receiving haemodialysis and, in particular, did not appear to include the terminology of the KDOQI kidney classification4 (eg, ‘dialysis’, ‘end stage kidney/renal disease/failure’, ‘chronic kidney disease’) excluding at least one eligible study.5 Included studies reported the post-training mean and SD of at …

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