title: Effects of intradialytic exercise on the physical function, depression and quality of life for haemodialysis patients: a systematic review and meta-analysis of randomised controlled trials.
abstract: OBJECTIVE
  To determine the efficacy and safety of intradialytic exercises for haemodialysis patients, this study conducted a systematic review and meta-analysis of randomised controlled trials.
  
  
  BACKGROUND
  Patients receiving haemodialysis have poor physical function, psychological status and quality of life than the general population. Exercise training may improve these parameters for haemodialysis patients.
  
  
  METHODS
  Systemic review was performed, and a meta-analysis was conducted.
  
  
  METHODS
  Medline, PubMed, Cochrane Central Register of Controlled Trials, SPORTDiscus, Cumulative Index to Nursing and Allied Health Literature and Airiti Library were systematically searched for studies up to January 2015. In addition, the reference lists of eligible studies and relevant reviews were assessed.
  
  
  RESULTS
  Seventeen studies with a total of 651 participants were included. Compared with no resistance exercise, nonexercise and walks at home, intradialytic exercises significantly improved the peak oxygen consumption (SMD = 0·50, 95% CI: 0·26-0·74), haemoglobin (SMD = 0·34, 95% CI: 0·13-0·55), depression (SMD = -0·80, 95% CI: -1·10 to -0·50) and physical component of the quality of life (SMD = 0·46, 95% CI: 0·20-0·73). Intradialytic exercises are safe with no adverse events. However, significant improvements were not observed in the albumin level and mental component of the quality of life.
  
  
  CONCLUSIONS
  The study results facilitate selecting intradialytic exercise that improves and provides safety with respect to the peak oxygen consumption, haemoglobin, depression and physical component of the quality of life. Furthermore, regular exercise should be considered a crucial therapeutic modality for patients undergoing haemodialysis.
  
  
  CONCLUSIONS
  This study suggests that performing intradialytic exercises for 30 minutes per session three times a week for at least ≥8 weeks is beneficial. Regular exercise should be considered as a crucial therapeutic modality of managing patients undergoing haemodialysis, thus guiding in clinical practice.
authors.affiliation: Department of Nursing, Yuanpei University of Medical Technology, Hsinchu, Taiwan.
authors.forename: Yu-Chu
authors.initials: YC
authors.lastname: Chung
authors.affiliation: Graduate Institute of Integration of Traditional Chinese Medicine with Western Nursing, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan.
authors.forename: Mei-Ling
authors.initials: ML
authors.lastname: Yeh
authors.affiliation: Department of Nursing, Ching Kuo Institute of Management and Health, Taiwan.
authors.forename: Yueh-Min
authors.initials: YM
authors.lastname: Liu
mesh_terms: D005081:Exercise Therapy; D006801:Humans; D007676:Kidney Failure, Chronic / Q000451:nursing / Q000523:psychology / Q000628:therapy*; D011788:Quality of Life; D016032:Randomized Controlled Trials as Topic; D006435:Renal Dialysis
keywords: depression; exercise; intradialytic; physical function; quality of life