Article ; Online: Intradialytic exercise in the treatment of social frailty: a single-center prospective study-preliminary results during the unexpected COVID-19 pandemic.
Renal replacement therapy
2020 Volume 6, Issue 1, Page(s) 36
Abstract: ... enrolled in this single-center prospective single-arm interventional study. Patients received five ... This study aimed to evaluate both the association of social frailty with the physical function and ... the efficacy of intradialytic exercise as a therapy for social frailty among hemodialysis patients.: Methods ...
| Abstract | Background: Social frailty-the lack of a connection to society and infrequent social activities-has been reported to be associated with future declines in physical function in elderly individuals. This study aimed to evaluate both the association of social frailty with the physical function and the efficacy of intradialytic exercise as a therapy for social frailty among hemodialysis patients. Methods: All 16 outpatient hemodialysis patients in the hemodialysis department of a single medical center were enrolled in this single-center prospective single-arm interventional study. Patients received five questions which asked about going out infrequently, lack of visiting friends, feeling unhelpful to friends or family, living alone, and lack of talking with someone. Those to whom two or more of the above were applicable were categorized as socially frail. All patients were placed into exercise therapy to be performed during their thrice-weekly hemodialysis visits. Participants' physical function (walking speed), muscle strength (grip strength), muscle mass (appendicular skeletal muscle mass index), and social frailty were evaluated at baseline and after 3 months of therapy. Results: Four (25%) of the 16 participants (median age 71.5 years, 8 women) were categorized as being socially frail. In comparison to the non-socially frail group (non-SF), the socially frail group (SF) had a significantly lower walking speed (0.70 ± 0.12 m/s vs 1.15 ± 0.26 m/s, Conclusions: Social frailty was associated with reduced physical function among hemodialysis patients. Intradialytic exercise therapy improved physical function regardless of the presence of social frailty. Trial registration: UMIN-CTR, UMIN-CTR000038313. Registered November 1, 2019, https://upload.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000043639. |
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| Language | English |
| Publishing date | 2020-08-05 |
| Publishing country | England |
| Document type | Journal Article |
| ISSN | 2059-1381 |
| ISSN (online) | 2059-1381 |
| DOI | 10.1186/s41100-020-00285-w |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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