A randomised, cluster controlled trial to investigate the effects of a programme of intradialytic exercise on cardiovascular outcomes in haemodialysis patients.
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Topic: Renal disorders
- Sponsor
- niversity of Leicester (UK)
- Enrollment
- 130
- Status
- Completed
- Last Updated
- last year
Overview
Brief Summary
2016 Protocol article in http://www.ncbi.nlm.nih.gov/pubmed/27391774 protocol 2021 Results article in https://doi.org/10.1016/j.kint.2021.02.027 Effects on left ventricular mass (added 04/05/2021) 2021 Results article in https://pubmed.ncbi.nlm.nih.gov/34854982/ Effect of cycling on microparticles or circulating markers of systemic inflammation (added 03/12/2021) 2020 Other publications in https://pubmed.ncbi.nlm.nih.gov/33148767/ Feasibility substudy in frail patients (added 25/07/2022) 2021 Other publications in https://pubmed.ncbi.nlm.nih.gov/34169195/ Cost-effective analysis (added 08/04/2024) 2018 Other publications in https://pubmed.ncbi.nlm.nih.gov/30005636/ Defining myocardial fibrosis in haemodialysis patients with non-contrast cardiac magnetic resonance (added 08/04/2024) 2020 Other publications in https://pubmed.ncbi.nlm.nih.gov/33258084/ The cardiovascular determinants of physical function in patients with end-stage kidney disease on haemodialysis (added 08/04/2024) 2020 Other publications in https://pubmed.ncbi.nlm.nih.gov/32507107/ The reliability and feasibility of non-contrast adenosine stress cardiovascular magnetic resonance T1 mapping in patients on haemodialysis (added 08/04/2024) 2024 Other publications in https://pubmed.ncbi.nlm.nih.gov/39050864/ Impact of physical activity on surrogate markers of cardiovascular disease (added 29/07/2024)
Investigators
Eligibility Criteria
Inclusion Criteria
- •1\. Be a prevalent haemodialysis patient (on haemodialysis for more than 3 months)
- •2\. Age 18 years or older
- •3\. Able and willing to give informed consent
Exclusion Criteria
- •1\. Unable to participate in current exercise program due to perceived physical or psychological barriers
- •2\. Unable to undergo MRI scanning (metal implants / prostheses, claustrophobia etc.)
- •3\. Unfit to undertake exercise according to the American College of Sports Medicine guidelines
- •4\. Contraindications to exercise testing (35\) that include:
- •4\.1\. Recent significant change in resting ECG that suggests significant ischaemia, recent myocardial infarction (2 weeks) or other acute cardiac event;
- •4\.2\. Unstable angina;
- •4\.3\. Uncontrolled cardiac dysrhythmias causing symptoms or haemodynamic compromise;
- •4\.4\. Symptomatic severe aortic stenosis
- •4\.5\. Uncontrolled symptomatic heart failure
- •4\.6\. Acute pulmonary embolus or pulmonary infarction
Outcomes
Primary Outcomes
Not specified