title: [The effect of intradialytic exercise program on the quality of life and physical performance in hemodialysis patients].
abstract: OBJECTIVE
  To determine the effect of a 16-week intradialytic exercise program consisting of 30 minutes of exercise during the first two hours of dialysis with three times a week frequency, on the quality of life (QoL), level of depression/anxiety and physical perfor- mance in hemodialysis (HD) patients.
  
  
  METHODS
  The clinical, longitudinal, prospective study with one-group repeated measures design was conducted during a 16-week period. A convenience sample of 52 HD patients, who had been on HD for a minimum of 6 months, were included. QoL, level of depression and anxiety (questionnaires: SF-36, Back Depression Inventory (BDI) and Back Anxiety Inventory (BAI)) and physical performance (modifying Visual Analogue Scale (VAS) and Manual Muscle Testing (MMT)) were assessed at baseline and after 4-month exercise program.
  
  
  RESULTS
  The following scales of SF-36 questionnaire were improved after 16-week exercise program: role functioning/emotional (P=0.01 8), energy/fatigue (P = 0.002) and social functi- oning (P = 0.030). Level of depression and anxiety were significantly decreased in males (P = 0.007 and P = 0.022, respectively) and females (P = 0.001 and P = 0.000, respectively). VAS scale and MMT were significantly increased in males (P = 0.000 and P = 0.001, respectively) and females (P = 0.01 9 and P = 0.001, respectively) after 16-week exercise program.
  
  
  CONCLUSIONS
  Exercise program improves some aspects of QoL and physical performance, and decreases the level of depression and anxiety in HD patients.
authors.forename: Halima
authors.initials: H
authors.lastname: Resić
authors.forename: Narcisa
authors.initials: N
authors.lastname: Vavra-Hadžiahmetović
authors.forename: Damir
authors.initials: D
authors.lastname: Čelik
authors.forename: Amra
authors.initials: A
authors.lastname: Kablar
authors.forename: Nihad
authors.initials: N
authors.lastname: Kukavica
authors.forename: Fahrudin
authors.initials: F
authors.lastname: Mašnić
authors.forename: Selma
authors.initials: S
authors.lastname: Ajanović
authors.forename: Amela
authors.initials: A
authors.lastname: Bećiragić
authors.forename: Aida
authors.initials: A
authors.lastname: Ćorić
mesh_terms: D000368:Aged; D001007:Anxiety / Q000209:etiology / Q000517:prevention & control*; D003863:Depression / Q000209:etiology / Q000517:prevention & control*; D015444:Exercise / Q000502:physiology*; D005260:Female; D006304:Health Status; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D010809:Physical Fitness / Q000502:physiology / Q000523:psychology; D011446:Prospective Studies; D011788:Quality of Life / Q000523:psychology*; D006435:Renal Dialysis / Q000009:adverse effects / Q000523:psychology*; D012648:Self Care / Q000379:methods; D012737:Sex Factors; D011795:Surveys and Questionnaires