A Simple Exercise Program for Patients With End-Stage Kidney Disease to Improve Strength and Quality of Life: Clinical Research Protocol.
Rita S Suri, Louise Moist, Charmaine Lok...
https://pubmed.ncbi.nlm.nih.gov/37901358Actively Recruiting
Phase Not Applicable
Age: 18Years +
All Genders
ID03787589
A Simple Exercise Program for Patients With End Stage Kidney Disease to Improve Strength and Quality of Life: A Feasibility Study
Led by Ottawa Hospital Research Institute · Updated on 2024-06-26
90
Participants Needed
1
Research Sites
32 weeks
Total Duration
On this page
Sponsors
O
Ottawa Hospital Research Institute
Lead Sponsor
C
Canadian Institutes of Health Research (CIHR)
Collaborating Sponsor
AI-Summary
What this Trial Is About
Researchers are evaluating an exercise program compared to standard care in adults with end stage kidney disease who are receiving chronic dialysis. The study aims to find out how feasible it is to recruit patients, how well participants stick to the exercise program, and how the intervention impacts important patient outcomes. This research is conducted over three years to understand the effects of adding exercise to usual dialysis care. The exercise program lasts for 12 months and includes using Nordic Walking poles, accessing online exercise resources at home, regularly tracking steps with a pedometer, and receiving monthly verbal encouragement from dialysis unit staff. Participants are randomly assigned to either receive this exercise prescription plus standard care or standard care alone, where they also get monthly exercise encouragement. The exercise prescription gradually increases walking steps over the first six months followed by a six-month maintenance phase. During the study, participants will be monitored for how well they follow the exercise plan and their hand grip strength, quality of life, sleep quality, hospitalization rates, length of hospital stays, living status changes, and safety related to the exercise program. These assessments occur throughout the 12 months of intervention, with recruitment feasibility tracked over 30 months. The study provides regular support and tracks progress using pedometers and monthly contacts to encourage exercise adherence.
CONDITIONS
Brief Title
Exercise in Patients With End Stage Kidney Disease
Who Can Participate
Age: 18Years +
All Genders
Eligibility Criteria
You may qualify if you...
- All ambulatory adult patients with end stage kidney disease
- Treatment with peritoneal dialysis or hemodialysis for greater than six months
- Able to understand English or French
- Able to use Nordic Walking poles
- Able and willing to provide informed consent
You will not qualify if you...
- Any absolute contraindication to exercise such as unstable angina or uncontrolled hypertension (systolic blood pressure >180 mmHg or diastolic >110 mmHg) or deemed unsuitable for exercise by the treating physician
- Baseline step count greater than 8000 steps a day
- Planned living donor kidney transplant
- Potential for recovery of renal function
- Patients who feel unsafe using Nordic Walking poles in place of their mobility aid
- Participation in another interventional trial that may affect the results of this study
AI-Screening
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Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
Outpatient Treatment
Duration - 12 months
Participants receive an exercise prescription to increase their daily steps in phases over the first 6 months, followed by a 6-month maintenance phase. They are instructed on using Nordic walking poles to assist with walking and are encouraged to wear a pedometer to monitor adherence.
Regular monitoring visits coordinated with dialysis sessions
Trial Site Locations
Total: 1 location
1
Ottawa Hospital
Ottawa, Ontario, Canada, K1H 1A2
Actively Recruiting
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Research Team
D
Deborah Zimmerman, MD, MSc
How is the study designed?
Study Type
INTERVENTIONAL
Masking
SINGLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
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