نوع مقاله : مقاله پژوهشی Released under CC BY-NC 4.0 license I Open Access I
نویسندگان
1 گروه علوم ورزشی، دانشکدۀ علوم تربیتی و روانشناسی، دانشگاه شهید مدنی آذربایجان، تبریز، ایران.
2 نویسنده مسوول، گروه علوم ورزشی، دانشکدۀ علوم تربیتی و روانشناسی، دانشگاه شهید مدنی آذربایجان، تبریز، ایران.
3 مرکز تحقیقات بیماری‌های کلیوی، دانشگاه علوم پزشکی تبریز، تبریز، ایران.
4 مرکز تحقیقات بیماری‌های غدد درون‌ریز، دانشگاه علوم پزشکی تبریز، تبریز، ایران
چکیده
مقدمه: بیماری شریان محیطی، بخش مهمی از عوارض بیماری مزمن کلیه را تشکیل می‌دهد. اندازه‌گیری شاخص پایی-بازویی (ABI) معتبرترین روش تشخیص این بیماری است. بر اساس بررسی‌ها فعالیت بدنی می‌تواند با تأثیر بر عملکرد عروق و کارایی همودیالیز، بر وضعیت جسمانی و کیفیت زندگی بیماران همودیالیزی تأثیر بگذارد. در پژوهش حاضر، تأثیر تمرین هوازی حین همودیالیز بر شاخص پایی- بازویی، کیفیت زندگی و کفایت دیالیز بررسی شد.
روش پژوهش: در این پژوهش 30 بیمار همودیالیزی (با میانگین سن 02/4± 56 سال) از مراکز درمانی دیالیز، انتخاب شدند. بیماران به دو گروه تمرین (15 نفر) و کنترل (15 نفر) تقسیم شدند. گروه تمرین در دورۀ 12 هفته‌ای تمرین هوازی (رکاب‌زنی در حالت درازکش) حین دیالیز شرکت کرد، اما گروه کنترل روال عادی درمان را سپری کرد. پیش و پس از پایان دورۀ تمرینی، داده‌های مربوط به اندازه‌گیری متغیرها جمع‌آوری شد و تجزیه‌وتحلیل آماری به‌وسیلۀ نرم‌افزار Spss صورت گرفت.
یافته‌ها: بین میانگین شاخص پایی-بازویی (0.018=P)، کفایت دیالیز (0.004=P)، کیفیت زندگی مرتبط با سلامتی (0.000=P)، عملکرد بدنی (0.000=P)، روابط (0.000=P) و کیفیت خواب (0.006=P) گروه تمرین و کنترل در پیش و پس از مداخله تفاوت معناداری وجود داشت. همچنین بین تغییرات شاخص پایی-بازویی و کیفیت زندگی (0.05=P) و بین کفایت دیالیز و کیفیت زندگی (0.025=P) ارتباط معناداری وجود دارد. با این حال بین شاخص پایی-بازویی و کفایت دیالیز ارتباط معناداری مشاهده نشد (0.920=P).
نتیجه‌گیری: تمرین هوازی حین همودیالیز تأثیر معناداری بر کاهش شاخص پایی-بازویی، افزایش کفایت دیالیز و کیفیت زندگی بیماران دارد. ازاین‌رو این نوع تمرین می‌تواند به‌عنوان راهبرد مهم در کاهش بیماری قلبی و بهبود کیفیت زندگی بیماران استفاده شود.
کلیدواژه‌ها
موضوعات
عنوان مقاله [English]
The Effect of Intradialytic Aerobic Exercise on Ankle-Brachial Index, Quality of life, and Dialysis Adequacy of Hemodialysis Patients
نویسندگان [English]
- Monir Nasirzadeh 1
- Roghayeh Fakhrpour 2
- Hamid Tayebi Khosroshahi 3
- Majid Mobasseri 4
1 Department of Sports Sciences, Faculty of Educational Sciences and Psychology, Azerbaijan Shahid Madani University, Tabriz, Iran.
2 Corresponding Author: Department of Sports Sciences, Faculty of Educational Sciences and Psychology, Azerbaijan Shahid Madani University , Tabriz, Iran.
3 Endocrine Research Center, Tabriz University of Medical Science, Tabriz, Iran.
4 Endocrine Diseases Research Center, Tabriz University of Medical Sciences, Iran.
چکیده [English]
Introduction: Peripheral artery disease is an important part of the complications of chronic kidney disease. Measuring Ankle-Brachial Index (ABI) is the most reliable method of diagnosing this disease. According to studies, physical activity can affect the physical condition and quality of life of hemodialysis patients by affecting the function of blood vessels and the efficiency of hemodialysis. In this study, the effect of intradialytic aerobic exercise on ABI, quality of life, and dialysis adequacy was investigated.
Methods: In this study, 30 hemodialysis patients (with a mean age of 56 ± 4.02 years) were selected from dialysis treatment centers. Patients were divided into two Exercise (15 people) and Control (15 people) groups. The exercise group participated in 12 weeks of aerobic exercise (recumbent pedaling) during dialysis, but the control group underwent the usual treatment routine. Before and after the end of the exercise period, measured data were collected and statistical analysis was performed using SPSS software.
Results: Results: Results show that there was a significant difference in the mean ABI (P=0.018), dialysis adequacy (P=0.004), health-related quality of life (P=0.000), physical performance (P=0.000), relationships (P=0.000) and sleep quality (P=0.006) between the Exercise and Control groups before and after the intervention. Also, There was a significant relationship between ABI changes and quality of life (P=0.05) and between dialysis adequacy and quality of life (P=0.025), but no significant relationship was observed between ABI and dialysis adequacy (P=0/920).
Conclusion: Intradialytic Aerobic exercise has a significant effect on reducing ABI, increasing dialysis adequacy, and the patient's quality of life. Therefore, this type of exercise can be used as an important strategy to reduce heart disease and improve the quality of life of hemodialysis patients.
کلیدواژه‌ها [English]
- Aerobic Training
- ankle-Brachial Index (ABI)
- Dialysis Adequacy
- Hemodialysis
- Quality of life
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