About this trial
The goal of this study is to learn if a simple home exercise program can benefit patients with advanced chronic kidney disease. There is also an observational part of the study without an exercise program.
The study will record patients' mortality, cardiovascular events, emergency department visits, hospital stays, need for dialysis and 6 minutes walking distance. Also maximal oxygen uptake, quality of life and bone fractures are recorded and blood tests and X-rays analyzed. The prospective observational part of the study will investigate the link between cardiovascular and kidney health as well as exercise capacity and adverse outcomes.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age >40 years
Estimated glomerular filtration rate < 20ml/min/1.73m2 (CKD stage 4-5)
Informed consent from the patient is received
Disqualifiers
Maintenance dialysis dependency before inclusion
Pregnant women
Patient's lack of commitment to follow-up
Chronic or acute clinical condition with a prognosis less than 6 months
Trial design
Parallel
Treatments tested in this trial
EXERCISE TRAINING WITH OR WITHOUT MEDICATION
BehavioralSingle appointment with a registered physiotherapist educating the patient for rehabilitating physical training and exercise to be performed independently and regularly by the patient at home, minimum of three times a week, during the study period.
Treatment groups
Trial outcomes
Primary outcomes
Hospitalisations
Mortality
Major Adverse Cardiovascular or Cerebrovascular Event (MACCE)
Emergency Department Visits
Secondary outcomes
Maximal oxygen uptake in the exercise stress test
Measured by spiroergometry (adjusted by body weight ml/kg/min)
Change in Quality of life
Measured by RAND-36 questionnaire (8 domains and 2 composite scores, scale 0-100, higher score indicating better quality of life)
Bone fractures
Number of participants with incident fractures, total number of fractures
Sponsors and contacts
Click on the lead sponsor to view all of their trials.
Turku University Hospital
Lead sponsor
Satasairaala
Collaborator
Vaasa Central Hospital, Vaasa, Finland
Collaborator