Unique ID issued by UMIN | UMIN000029372 |
---|---|
Receipt number | R000033186 |
Scientific Title | Effects of exercise training on depressive symptom and cognitive function in hemodialysis patients |
Date of disclosure of the study information | 2017/10/02 |
Last modified on | 2023/06/13 15:31:47 |
Effects of exercise training on depressive symptom and cognitive function in hemodialysis patients
Exercise training in hemodialysis patients
Effects of exercise training on depressive symptom and cognitive function in hemodialysis patients
Exercise training in hemodialysis patients
Japan |
hemodialysis patients
Nephrology | Psychiatry |
Others
NO
In this study, we aim to examine the effects of 6-month exercise therapy in hemodialysis patients on the improvement of depressive symptoms and cognitive function.
Efficacy
Confirmatory
Explanatory
Not applicable
depressive symptom: PHQ-9
cognitive function: MoCA-J
pre-intervention, 3 months, 6 months, 12 months
sleep quality: Athens insomnia scale
behavioral and psychological symptoms of dementia: NPI-Q(The Neuropsychiatric Inventory Questionnaire)
ADL: Barthel Index
Physical function: Knee Extension Muscle Strength, Weight Bearing Index, Grip Strength
pre-intervention, 3 months, 6 months, 12 months
Interventional
Parallel
Randomized
Individual
Open -no one is blinded
Active
NO
NO
Institution is not considered as adjustment factor.
YES
Pseudo-randomization
2
Treatment
Behavior,custom |
intervention group: exercise training during dialysis
control group: strtching during dialysis
intervention group: 6 months
control group: 6 months
20 | years-old | <= |
Not applicable |
Male and Female
1) Hemodialysis outpatients
2) Patients from whom written informed consent was obtained
1)Patients who are contraindicated for exercise training. Concrete criteria are as follows:
-Patients who were diagnosed with heart failure and whose subjective symptoms of heart failure worsened within the past week
-Patients with unstable angina pectoris
Myocardial ischemic patients with low threshold
-Patients who developed acute myocardial infarction within the past month
-Patients with severe left ventricular efflux stenosis (obstructive hypertrophic cardiomyopathy, etc.)
-Patients with untreated exercise-induced severe arrhythmia (ventricular fibrillation, sustained ventricular tachycardia)
-Patients with poorly controlled arrhythmia
-Patients with active myocarditis / pericarditis
-Patients with acute aortic dissection
-Patients with other disorders in which exercise therapy is contraindicated (moderate or higher degrees of aortic aneurysm, severe hypertension, thrombophlebitis, embolism within the past 2 weeks, severe multiple organ disorder, etc.)
30
1st name | Naoshi |
Middle name | |
Last name | Horikawa |
Kawagoe Clinic, Saitama Medical University
The Department of Psychiatry
350-1123
21-7 Wakita-honcho, Kawagoe, Saitama, Japan
049-238-8111
nhorikawa@wa3.so-net.ne.jp
1st name | Naoshi |
Middle name | |
Last name | Horikawa |
Kawagoe Clinic, Saitama Medical University
The Department of Psychiatry
350-1123
21-7 Wakita-honcho, Kawagoe, Saitama, Japan
049-238-8111
nhorikawa@wa3.so-net.ne.jp
The Department of Psychiatry, Kawagoe Clinic, Saitama Medical University
self funding
Self funding
Misato Kenwa Clinic
Takano 4-494-1, Misato, Saitama
048-955-8551
nakamura-taira@umin.ac.jp
NO
みさと健和クリニック(埼玉県),三郷中央総合病院(埼玉県)
2017 | Year | 10 | Month | 02 | Day |
https://www.tandfonline.com/doi/full/10.1080/21642850.2021.1966302
Published
https://www.tandfonline.com/doi/full/10.1080/21642850.2021.1966302
42
In depression, cognitive function, and the NPI-Q, there were no significant effects. In subjective insomnia, a short-term effect in the intervention group compared to the control group was found. However, the effect had disappeared by the 12-month follow-up. In exercise self-efficacy, short- and long-term effects were found. A significant short-term effect in the resistance exercise. However, the effect was weakened in the long term.
2021 | Year | 10 | Month | 05 | Day |
Forty-two patients undergoing hemodialysis
Fifty-two participants who met the eligibility criteria were recruited, and forty-two participants participated in the program.
We had no adverse events.
The Borg RPE measures, each patient's participation status ratings by staff members who observed the program, participants' impression of the exercise program, The Japanese version of the Patient Health Questionnaire-9 (PHQ-9), The Japanese version of the Montreal Cognitive Assessment (MoCA-J) , The Japanese version of the Athens Insomnia Scale (AIS), The Japanese version of the Neuropsychiatric Inventory-Brief Questionnaire Form (NPI-Q), modified Exercise self-efficacy (Oka, 2003), Measurements of physical abilities.
Main results already published
2017 | Year | 05 | Month | 20 | Day |
2017 | Year | 07 | Month | 28 | Day |
2017 | Year | 08 | Month | 01 | Day |
2019 | Year | 01 | Month | 30 | Day |
2019 | Year | 01 | Month | 31 | Day |
2019 | Year | 02 | Month | 28 | Day |
2019 | Year | 06 | Month | 30 | Day |
2017 | Year | 10 | Month | 02 | Day |
2023 | Year | 06 | Month | 13 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000033186