UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000046881
Receipt number R000052958
Scientific Title Effects of home-based exercise on physical function in older patients with chronic kidney disease
Date of disclosure of the study information 2022/04/01
Last modified on 2024/02/12 16:56:55

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Basic information

Public title

Effects of home-based exercise on physical function in older patients with chronic kidney disease

Acronym

Effects of home-based exercise on physical function in older patients with chronic kidney disease

Scientific Title

Effects of home-based exercise on physical function in older patients with chronic kidney disease

Scientific Title:Acronym

Effects of home-based exercise on physical function in older patients with chronic kidney disease

Region

Japan


Condition

Condition

chronic kidney disease

Classification by specialty

Nephrology Rehabilitation medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To determine the effect of home-based exercise on physical function after 6 months in older patients with chronic kidney disease

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

grip strength, knee extension strength, 10m walking speed, skeletal muscle mass index (SMI), short physical performance battery(SPPB), 6-min walk test (6MWT)

Key secondary outcomes



Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Educational,Counseling,Training

Type of intervention

Other

Interventions/Control_1

In the intervention group, a home exercise program will be conducted for 6 months after discharge from the hospital in addition to the educational program for chronic kidney disease patients at our hospital.
The home exercise program will be taught by a physical therapist using materials during the educational hospitalization. The content of the exercise program is based on the Guidelines for Renal Rehabilitation, and the aerobic exercise is walking, and the resistance training is lower limb-centered exercise with body weight. For walking, the number of steps will be recorded using a pedometer owned by the subject or a 3-axis accelerometer to be distributed in advance. Resistance training will consist of squats and calf raises 3 times a week, with 1-3 sets of 10-20 repetitions per set. After the implementation of the exercise program, the patients are instructed to write the number of walking steps and the number of resistance training sessions in the remarks column of the self-management handbook distributed at the time of admission.
After the patient is discharged from the hospital, the home exercise program and the number of exercise sessions will be continued for 6 months. A physiotherapist will provide monthly counseling on the exercise program by telephone. The content of the counseling is to explain the benefits of exercise and physical activity, to motivate the patient to exercise using the results of physical function assessment, to set goals with the patient based on the patient's life and physical function before hospitalization, to listen to factors that inhibit exercise and to plan countermeasures, and to provide feedback on the number of steps taken and the number of exercises performed. The number of steps taken and the number of exercises performed should be fed back.

Interventions/Control_2

The control group will undergo an inpatient education program for chronic kidney disease patients at our hospital for one to two weeks. The educational program will consist of instruction on lifestyle, diet, and medication by a physician, nurse, pharmacist, and nutritionist, as well as an assessment of motor function by a physical therapist and feedback of the results. The physical therapist's evaluation of the patient's motor function and feedback of the results will be conducted only on one day.

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

65 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1. patients with CKD in the conservative stage admitted to Seirei Sakura Shimin Hospital for educational purposes between February 2022 and May 2023
2. Patients with CKD stage G3 - G5 in eGFRcreat. 3.
3. Patients aged 65 years or older

Key exclusion criteria

1. Patients with an eGFRcreat value of 60 ml/min/1.73 m2 or higher in the most recent test results on the measurement date.
2. Patients with poorly controlled hypertension or heart disease
3. Patients with motor or central nervous system diseases that make it difficult to perform physical function assessment.
4. Those who have been diagnosed with dementia.
5. Patients who are not independent in their mobility (less than 6 points in the mobility item of FIM)
6. Those who underwent kidney biopsy during hospitalization.
7. Those who could not give consent for the study.

Target sample size

60


Research contact person

Name of lead principal investigator

1st name Aki
Middle name Aki
Last name Tabata

Organization

Seirei Sakura Citizen Hospital

Division name

Rehabilitation

Zip code

285-8765

Address

2-36-2 Ebaradai, Sakura-shi, Chiba 285-8765, Japan

TEL

+81434861151

Email

tabata4107@gmail.com


Public contact

Name of contact person

1st name Aki
Middle name
Last name Tabata

Organization

Seirei Sakura Citizen Hospital

Division name

Rehabilitation

Zip code

285-8765

Address

2-36-2 Ebaradai, Sakura-shi, Chiba 285-8765, Japan

TEL

09056390507

Homepage URL


Email

tabata4107@gmail.com


Sponsor or person

Institute

Seirei Christopher University

Institute

Department

Personal name



Funding Source

Organization

Seirei Christopher University

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Seirei Christopher University

Address

3453Mikatahara, Kita-ku, Hamamatsu, Shizuoka 433-8558, Japan

Tel

053-439-1400

Email

tabata4107@gmail.com


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2022 Year 04 Month 01 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Open public recruiting

Date of protocol fixation

2022 Year 04 Month 01 Day

Date of IRB

2021 Year 11 Month 04 Day

Anticipated trial start date

2022 Year 04 Month 01 Day

Last follow-up date

2024 Year 10 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2022 Year 02 Month 10 Day

Last modified on

2024 Year 02 Month 12 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000052958