Effects of a Walking Intervention in Older Patients With Chronic Kidney Disease: Feasibility Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 80
- 试验地点
- 1
- 主要终点
- walking speed
研究概览
简要总结
Chronic kidney disease (CKD) affects more than 26 million individuals (13 percent) of the U.S. population, with a projected 70 percent increase by the year 2015 to over 40 million individuals. Impairments in physical function and mobility limitations have been reported in older Chronic Kidney Disease patients, however the consequences of impaired functioning on participation in daily life and quality of life have not been studied. Early identification and interventions to mitigate deterioration in physical function and mobility should lead to improved health and quality of life outcomes in older patients with Chronic Kidney Disease. Although older individuals with Chronic Kidney Disease have reduced survival expectancy, maintaining physical function and mobility may contribute to longer active life expectancy, and higher quality of life despite their diagnosis.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 60 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Male and female patients over the age of 60 years
- •Diagnosed with moderate to severe CKD (stage 2-4)
- •Ambulatory (with or without use of an assistive device such as a cane or walker)
- •Living in the community, cognitively able to provide consent and understand directions for the tests
- •Cognitive ability to understand and carry out an independent home walking program
- •Access and ability to communicate with study staff on a weekly basis and available for follow-up testing.
排除标准
- •Inability to carry out a program of walking independently at home
- •Unavailable for follow-up testing, estimated GFR >60 ml/minx1.73m2 and < 15 ml/minx1.73 m2
- •Recent cardiac event (within the past 6 months)
- •Uncontrolled hypertension
- •Uncontrolled diabetes
- •Pulmonary disease that may limit the ability to progress with walking
- •Progressive neuromuscular disease
- •Any orthopedic or neuromuscular condition that may be exacerbated by increased walking activity
- •diabetic foot ulcer.
研究组 & 干预措施
walking intervention
Subjects are randomized to walking/functional strength program with weekly coaching or usual care. The program is for 12 weeks. The intervention includes 3 lower extremity strengthening exercises, and progressive walking.
干预措施: walking (Behavioral)
usual care
these subjects receive information on walking program, however do not receive any coaching over 12 weeks
结局指标
主要结局
walking speed
时间窗: baseline to 3 months
次要结局
未报告次要终点
研究者
Patricia Painter
Associate Research Faculty
University of Utah