scholarly journals Physical Exercise in People with Chronic Kidney Disease—Practices and Perception of the Knowledge of Health Professionals and Physical Activity and Sport Science Professionals about Their Prescription

Author(s):  
Víctor Martínez-Majolero ◽  
Belén Urosa ◽  
Sonsoles Hernández-Sánchez

There is evidence on the need to include physical exercise as a treatment for diseases. A large number of professionals are involved in this, but it is not known how physical exercise is prescribed and which professionals are involved. This research has two objectives: (a) to find out the current practices in Spain regarding the prescription of physical exercise in patients with Chronic Kidney Disease (CKD) and (b) to analyse the perception that different health and physical activity professionals have of their knowledge to prescribe of physical exercise in the treatment of CKD. This is an empirical research with an ex post facto retrospective analysis of the information in a descriptive and correlational way. A total of 692 health and sports professionals participated. A questionnaire validated by a committee of experts was administered. Descriptive analyses were carried out and the differences in the study variables were analysed using Chi-square tests and one-factor Analysis of Variance. From the results obtained, we conclude there is a need to develop specific training programmes in the field of physical exercise for health professionals, as well as the establishment of multiprofessional teams for the prescription of physical exercise in CKD treatment, including physical exercise professionals (Cafyde).

Author(s):  
Matheus Ribeiro Bizuti ◽  
Júlia Leão Batista Simões ◽  
Gabriel Rossi Francisco ◽  
Gabrielli Drechsler ◽  
Fabiana Brum Haag ◽  
...  

In March 11, 2020, the World Health Organization (WHO) characterized the rapid and uncontrollable spread of the new Coronavirus as a pandemic, given that this disease has high severity and morbidity and mortality. The epicenter of the SARS-CoV-2 outbreak was the city of Wuhan, China. Individuals with associated comorbidities, such as patients with chronic kidney disease (CKD), are at increased risk of being affected by the severe form of the disease. In this sense, it is known that people with CKD have a more sedentary lifestyle, with reduced physical exercise. Thus, physical exercise is able to modulate the inflammatory process resulting from CKD, acting as a regulator of the immune system, as well as assisting in the control of renal autophagy. It appears that physical activity contributes to the improvement of the population's quality of life and acts as an effect of disease prevention. Hence, people who live with CKD in times of the pandemic of COVID-19, by adopting physical activity as a life practice, will have the consequence of strengthening the immune system by modulating inflammation and increasing the control of renal autophagy. Therefore, the practice of exercise is suggested when facing COVID-19.


2018 ◽  
Vol 2 (1) ◽  
pp. 9
Author(s):  
Kadek G Pebriantari ◽  
IGA Puja Astuti Dewi

ABSTRAKLatar Belakang. Hemodialisis aman dan bermanfaat untuk pasien, namun bukan berarti tanpa efek samping. Berbagai komplikasi dapat terjadi pada saat pasien menjalani hemodialisis. Komplikasi ini dapat mengakibatkan timbulnya masalah baru yang lebih kompleks, yaitu dapat mempengaruhi kualitas hidup bahkan menimbulkan kematianTujuan. Untuk mengetahui hubungan komplikasi intra hemodialisis dengan kualitas hidup  pada pasien Chronic Kidney Disease (CKD) Stage V yang menjalani hemodialisis.Metode. Jenis penelitian adalah analitik korelasional dengan pendekatan cross-sectional. Sampel pada penelitian ini berjumlah 166 responden diambil dengan teknik non probability sampling yaitu total sampling. Pengumpulan data menggunakan kuesioner dan lembar observasi,dianalisa dengan uji non parametric (Chi Square).Hasil. Rata – rata jumlah komplikasi intra hemodialisis adalah kurang dari dua komplikasi (sedikit komplikasi). Hipertensi intra hemodialisis adalah komplikasi terbanyak yang ditemukan (52,3%). Kejang dan penurunan kesadaran merupakan komplikasi yang tidak pernah dialami oleh responden selama penelitian (0%).Kualitas hidup pasien CKD stage V yang menjalani HD di BRSU Tabanan masuk dalam kategori kualitas baik. Hasil uji statistik diperoleh nilai p < 0.001 bahwa ada hubungan yang signifikan antara komplikasi intra hemodialisis dengan  kualitas hidup pada pasien yang menjalani HD. Dari hasil analisis diperoleh pula nilai OR = 0,005, artinya responden yang memiliki banyak komplikasi mempunyai peluang 0,005 kali memiliki kualitas hidup buruk dibanding responden yang memiliki sedikit komplikasi.Kesimpulan. Ada hubungan yang signifikan antara komplikasi intra hemodialisis dengan  kualitas hidup pada pasien yang menjalani hemodialisis.KataKunci: Komplikasi Intra Hemodialisis, Kualitas Hidup, Hemodialisis ABSTRACTBackground: Hemodialysis is safe and beneficial to the patient. However, there are various complications may occur when the patients undergo hemodialysis. These complications can lead to the emergence of new problems which are more complex and affect to the quality of life and even cause death.Aim: To determine the relationship of intra hemodialysis complications with quality of life in patients with Chronic Stage Kidney Disease (CKD) Stage V who undergo hemodialysis.Method:This study employed correlational analytic design with cross-sectional approach. To conduct this study, there were 166 respondents recruited as the sample by using probability sampling with total sampling technique. The data were collected by using questionnaire and observation sheet. Further, the data were analyzed by non-parametric test (Chi Square).Finding: The findings indicated that the average number of intra hemodialysis complications is less than two complications (few complications). There were found that 52.3% patients who had complication of hypertension intra hemodialysis. On the other hand, there was 0%of the respondents experienced seizures and decreased awareness complications during the study. The quality of life of CKD stage V patients underwenthemodialysis at BRSU Tabanan is categorized as good quality. The statistical test obtained p <0.001, it meant that there was a significant relationship between intra hemodialysis complications with quality of life in patients underwenthemodialysis. It also found that the analysis results of OR = 0.005, it meant that respondents who had many complications have a chance of 0.005 times experienced poor quality of life rather than the patients who had few complications.Conclusion: There is a significant relationship between intra hemodialysis complications and quality of life in patients undergo hemodialysis. Keywords: Complications of Intra Hemodialysis, Quality of Life, Hemodialysis


Author(s):  
Nissa Aulia Belistiana Utami ◽  
Andi Suntoda Situmorang ◽  
Suherman Slamet

The education system in the Philippines has changed because it refers to the United Nations program, the Sustainable Development Goals. One of the changes is that each student is required to attend the Daily Physical Activity program before starting learning. This research is conducted at Malacampa Elementary School-Main, Tarlac City, Philippines. The purpose of this study is to determine what impacts occur after the implementation of the Daily Physical Activity which is carried out every morning in the long run. Daily Physical Activity is done by dancing 10 to 15 minutes. This type of research is an ex-post-facto study in which the researcher examines a program that is happening in the Philippines. Researchers take samples of one class, named class 6 SSES, amounting to 27 students. Based on the results of this study, there are positive impacts in the form of children being more enthusiastic in doing daily tasks and negative in the form of students feeling bored with less varied songs and movements.AbstrakSistem Pendidikan di Filipina berubah karena merujuk program PBB yaitu Sustainable Development Goals. Salah satu perubahannya yaitu setiap siswa wajib mengikuti program Daily Physical Activity sebelum memulai pembelajaran. Penelitian ini merupakan penelitian yang dilakukan di Malacampa Elementary School-Main, Tarlac City, Philippines. Tujuan dari penelitian ini yaitu untuk mengetahui dampak apa saja yang terjadi setelah diterapkannya Daily Physical Activity yang dilakukan setiap pagi hari dalam jangka waktu yang panjang. Daily Physical Activity yang dilakukan adalah menari 10 sampai 15 menit. Jenis penelitian ini merupakan penelitian ex-post facto di mana peneliti meneliti program yang sedang terjadi di Filipina. Peneliti mengambil sampel satu kelas, yaitu kelas 6 SSES yang berjumlah 27 siswa. Berdasarkan hasil penelitian ini yaitu adanya dampak positif berupa anak lebih antusias dalam melakukan tugas gerak di kesehariannya dan negatif berupa siswa merasa bosan dengan lagu dan gerakan yang kurang bervariatif.


Sari Pediatri ◽  
2020 ◽  
Vol 21 (4) ◽  
pp. 213
Author(s):  
Aninditya Dwi Messaurina ◽  
Agung Triono ◽  
Retno Palupi Baroto ◽  
Cahya Dewi Satria ◽  
Sumadiono Sumadiono

Latar belakang. Defisiensi vitamin D banyak ditemukan pada anak lupus eritematosus sistemik (LSE) dibandingkan dengan anak normal. Berbagai penelitian membuktikan defisiensi vitamin D berkontribusi terhadap perkembangan chronic kidney disease. Belum ada penelitian hubungan vitamin D dengan derajat fungsi ginjal pada anak Lupus. Tujuan. Mengetahui hubungan antara 25-hidroksivitamin D dengan derajat fungsi ginjal pada anak Lupus.Metode. Menggunakan desain cross sectional dengan melibatkan 62 anak Lupus di bagian Ilmu Kesehatan Anak RSUP Dr. Sardjito yang telah mendapatkan protokol dari Januari 2014 sampai April 2018. Hubungan antara kadar serum 25-hidroksivitamin D dan derajat fungsi ginjal dianalisis menggunakan Independent T-test, sedangkan jenis kelamin, kalsium, steroid, dan aktivitas penyakit dengan uji chi-square. Defisiensi vitamin D didefinisikan konsentrasi 25-hidroksivitamin D<20 ng/ml, sedangkan gangguan ginjal didefinisikan GFR<90/ml/mnt/1.73m2.Hasil. Sebagian besar subyek berjenis kelamin perempuan, 93,5% vs 6,5% dengan rerata usia 14,6±3,1 tahun, dan rerata skor Mex-SLEDAI 7,6±5,6. Secara keseluruhan 66% subyek penelitian mengalami defisiensi vitamin D. Analisis dengan Independent T-tes menunjukkan rerata vitamin D yang mengalami gangguan ginjal 14,14±4,9 lebih rendah dibandingkan normal dengan rerata 19,43±10,3 dengan perbedaan yang bermakna p=0,004. Jenis kelamin, kalsium, steroid, dan aktivitas penyakit tidak berpengaruh signifikan terhadap derajat fungsi ginjal, p>0,05.Kesimpulan. Terdapat hubungan signifikan 25-hidroksivitamin D dengan derajat fungsi ginjal pada anak lupus.


Author(s):  
Susanti Dwi Ariani ◽  
Dodik Tugasworo ◽  
Maria Imakulata Widiastuti Samekto

RISK FACTORS OF STROKE IN STAGE V CHRONIC KIDNEY DISEASE WHO UNDERWENT HEMODIALYSISABSTRACTIntroduction: Chronic kidney disease (CKD) and end-stage renal disease are associated with a significantly in- creased risk of stroke. Incidence and mortality of stroke in CKD patients is higher rather than among the general popula- tion. Stroke in hemodialysis patients is also associated with high mortality.Aims: To analyze risk factors that have a relationship with the occurrence of stroke in patients with stage V CKD who underwent hemodialysis in Dr. Kariadi Hospital, Semarang.Method: A case control with retrospective cohort study of patients diagnosed with stage V CKD undergoing hemo- dialysis in Dr. Kariadi Hospital, Semarang, from March 2016 to August 2017. Subject was divided into case group, who experienced stroke, and control group, who did not experience stroke. Bivariate analysis was performed with Chi-square test, multivariate analysis with logistic regression test and rasio Odds.Results: There were 140 subjects with stage V CKD, 70 subjects in each groups. In case group, 85.7% experienced ischemic stroke while the rest hemorrhagic stroke. The duration of hemodialysis was related to the incidence of stroke. In multivariate analysis, patients with diabetes mellitus were more likely to have a stroke by 0.14 times compared to patients who did not have diabetes mellitus, and patients who underwent hemodialysis >12 months, were more likely to have a stroke 4.05 times greater than patients who underwent hemodialysis <12 months.Discussion: There is a relationship between diabetes mellitus and duration of hemodialysis with the occurrence of ischemic stroke, in stage V CKD patients who underwent hemodialysis.Keywords: Chronic kidney disease, hemodialysis, strokeABSTRAKPendahuluan: Penyakit ginjal kronik (PGK) dan penyakit ginjal stadium akhir terkait dengan peningkatan risiko yang signifikan dari stroke. Insiden dan mortalitas stroke pada pasien PGK lebih tinggi dibandingkan populasi umum. Stroke pada pasien dialisis juga dihubungkan dengan mortalitas yang tinggi.Tujuan: Untuk menganalisis faktor-faktor risiko yang memengaruhi terjadinya stroke pada pasien dengan PGK stadium V yang menjalani hemodialisis (HD) di RSUP Dr. Kariadi, Semarang.Metode: Penelitian kasus kontrol dengan pendekatan kohort retrospektif terhadap pasien penyakit ginjal kronik stadium V yang menjalani HD di RSUP Dr. Kariadi, Semarang dari bulan Maret 2016 hingga Agustus 2017. Subjek dibagi ke dalam kelompok kasus, yaitu yang mengalami stroke dan kelompok kontrol yang tidak mengalami stroke. Dilakukan analisis bivariat dengan uji Chi-square dan analisis multivariat dengan uji regresi logistik serta rasio Odds.Hasil: Didapatkan 140 subjek dengan PGK stadium V yang masing-masing kelompok terdiri dari 70 orang. Pada kelompok kasus, sebanyak 85,7% adalah stroke iskemik dan sisanya stroke hemoragik. Lama HD berhubungan dengan kejadian stroke. Pada uji multivariat, subjek yang menderita diabetes melitus (DM) berisiko mengalami stroke sebesar 0,14 kali dibandingkan yang tidak DM dan subjek yang menjalani HD >12 bulan berisiko mengalami stroke 4,05 kali lebih besar dibandingkan yang menjalani HD <12 bulan.Diskusi: Terdapat pengaruh faktor risiko DM dan lama hemodialisis terhadap kejadian stroke iskemik pada pasien PGK stadium V yang menjalani HD.Kata kunci: Hemodialisis, penyakit ginjal kronik, stroke


2019 ◽  
Vol 4 (2) ◽  
pp. 24-33
Author(s):  
Adeyemi Muyiwa ◽  
Margaret Moronke Dosunmu ◽  
Abolaji Olugbenga Bukki

The skills and competencies exhibited by the secretarial staff in a University setting show how vast is such secretary in the art of delivery of his/her services.  A secretarial staff has been considered to be the brain box of any organisation.  They are incharge of all information emanating and disseminating from the establishment; as such the role of the secretarial staff as the custodian of information in the university cannot be over-emphasized.  The aim of the study was to determine the levels of the University secretarial staff employability skills and organizational citizenship behaviour in South-West, Nigeria.  The study adopted a descriptive research design of ex-post facto type. Two research questions were raised. The sample for the study consisted of 1,209 secretarial staff in 36 universities in South-West, Nigeria selected through stratified random sampling technique.  Three instruments were used for data collection, namely: Demographic Data Form, Graduate Employability Scale (GESS), ‘r’=0.86; Organisational Citizenship Behaviour Scale (OCBS), ‘r’=0.96. Multiple Regression Analysis (MRA) and Pearson Product Moment Correlation (PPMC) were used to analyse the data at 0.05 level of significance.  The results revealed that the University secretarial staff generally possessed a high level of employability skills (50.5%) and organizational citizenship behaviour (50.8%).It was concluded that the secretarial staff generally possessed the employability skills and organisational citizenship behaviour which are needed to perform optimally in their duties. The study recommended, among others, that the secretarial staff should endeavour to seek for more knowledge to equip them with relevant employability skills that will make them to be assets to the organization. The University secretarial staff should be exposed to regular training programmes with an emphasis on how to enhance their employability skills and further improve their knowledge. Also, there is need to compensate any secretarial staff who displays the traits of organizational citizenship behavior.This will serve as motivation for other secretarial staff.


2016 ◽  
Vol 22 (24) ◽  
pp. 3700-3714 ◽  
Author(s):  
Antonia Kaltsatou ◽  
Christina Karatzaferi ◽  
Georgia I. Mitrou ◽  
Konstantina P. Poulianiti ◽  
Giorgos K. Sakkas

2022 ◽  
pp. 323-363
Author(s):  
Heather Waters ◽  
Michele MacDonald Werstuck

2020 ◽  
Vol 35 (Supplement_2) ◽  
pp. ii18-ii22 ◽  
Author(s):  
Francesca Mallamaci ◽  
Anna Pisano ◽  
Giovanni Tripepi

Abstract It is well known from observational studies that sedentary lifestyle and reduced physical activity are common in dialysis and chronic kidney disease (CKD) patients and associate with an increased risk of morbidity and mortality in this patient population. Epidemiological studies indicate that CKD patients undergo physical activity ~9 days/month and 43.9% of dialysis patients report not exercising at all. On the basis of awareness about the strong link between sedentary lifestyle and adverse clinical outcomes, the National Kidney Foundation and Kidney Disease: Improving Global Outcomes have provided specific recommendations for physical activity in patients with kidney disease. Given the fact that CKD is a public health problem and it is still debated which type of exercise should be prescribed in these patients, this review focuses on the most robust evidence accumulated so far on the beneficial effect of various types of physical exercise on clinical outcomes in CKD and dialysis patients. This review does not treat this very important topic in another CKD category of patients, such as kidney-transplanted patients, for whom a special issue should be dedicated.


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