Moderate Versus Low Intensity Aerobic Exercise on Bone Mineral Density in Patients on Hemodialysis

Nesreen El-Nahas; Heba Bahey; Shimaa N.Aboelazm

Moderate Versus Low Intensity Aerobic Exercise on Bone Mineral Density in Patients on Hemodialysis

Shimaa N.Aboelazm §

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Nesreen G. El-Nahas ‡

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Heba A. Bahey ¶

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§ Cairo University, Misr University for Science and Te...

‡ Department of physical therapy for Cardiovascular Re...

¶ Ph.D of Physical Therapy for Surgery, Faculty of Phy...

Moderate Versus Low Intensity Aerobic Exercise on Bone Mineral Density in Patients on Hemodialysis

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Abstract

Chronic kidney disease (CKD) is recognized as a major health problem reflecting the growing elderly population and increasing numbers of patients with diabetes and hypertension. Medical researches confronted with mana- gement of complex medical problems that are unique to patie- nts with chronic renal impairment and renal dialysis where pati- ents suffer from hypocalcemia that subjected them to oste- oporosis. Objective: The aim of this study was to compare the effect of two different intensities of aerobic exercises on bone mass density in patients on haemodialysis Subjects: Thirty m-ale patients underwent renal haemodialysis for 2 years ago with mean age (52.75±4.51)were recruited from Police hos-pital . Methods: They were assigned randomly into two gro- ups, 15 patients in each group. Group (A) attended a program of moderate intensity aerobic treadmill exercise (60-70%MHR), where Group (B) attended a program of light intensity aerobic treadmill exercise (40-60%MHR), both for 6 months (3 sessions of exercise per week) prior to the dialysis session. Laboratory investigations for serum calcium and phosphorus level in addition to a dual X ray absorpimetry (DXA) were ap- plied at baseline and after 6 months of training for both gro- ups. Results: The study revealed a significant difference in bo-ne mineral density in favor of group A with P- value 0.01 as w-ell as a significant increase in serum calcium by 12.29 %, 4.23 % and significant decrease in serum phosphorus with 21.67 %, 6.52 % for group A and B respectively. Conclusion: Mod-erate intensity aerobic exercise is more effective than light inte-nsity aerobic exercise in modulating serum calcium and pho-sphorus and thus improving BMD in patients with hemod-ialysis.

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Funding

No external funding was declared for this work.

Conflict of Interest

The authors declare no conflict of interest.

Ethical Approval

No ethics committee approval was required for this article type.

Data Availability

Not applicable for this article.

How to Cite This Article

Shimaa N.Aboelazm, Nesreen G. El-Nahas, Heba A. Bahey. 2014. "Moderate Versus Low Intensity Aerobic Exercise on Bone Mineral Density in Patients on Hemodialysis". Global Journal of Medical Research - I: Surgeries & Cardiovascular System GJMR-I Volume 13 (GJMR Volume 13 Issue 28 (I5)).

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GJMR Volume 13 Issue 28 (I5)

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Journal Specifications

Crossref Journal DOI 10.17406/gjmra

Print ISSN 0975-5888

e-ISSN 2249-4618

Keywords

bone mass density /osteoporosis/ renal haemodialysis/ aerobic exercises

Classification

GJMR-I Classification NLMC Code: WB 541

Submission ReceivedApril 9, 2013
Peer Review Double Blind
Handling Editor
Accepted April 30, 2013
Published October 23, 2013

Version of record

v1.2

Issue date

October 23, 2013

Language

English

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Total Score: 103

Country: Egypt

Subject: Global Journal of Medical Research - I: Surgeries & Cardiovascular System

Authors: Nesreen G. El-Nahas, Heba A. Bahey, Shimaa N.Aboelazm (PhD/Dr. count: 0)

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