About this trial
The goal of this clinical trial is to discuss the effects of physical activity on nutrition, inflammation, muscle metabolism, and the occurrence of cardiovascular and cerebrovascular events in patients with maintenance haemodialysis. The main question it aims to answer is: can exercise improve nutritional and inflammatory status, enhance muscle strength, and reduce the incidence of cardiovascular and cerebrovascular events in patients with maintenance haemodialysis.
Researchers will compared active exercise group to conventional treatment group to see the impact of exercise on maintenance haemodialysis patients.
Participants will:
Choose low-intensity aerobic exercise workouts such as walking (no less than 8,000 steps per day) or jogging, swimming, Tai Chi, etc., according to their individual conditions, for no less than 30 minutes at a time, at least 3 times per week, and the intensity of the exercise should be based on an RPE score of 12 to 16.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
MHD more than 3 months, 3 times per week, 3-4h each time;
Urea clearance index (Kt/V) >1.2;
Stable condition, no serious infection, tumour and cardiovascular disease;
Willing to join the study and sign the informed consent form.
Disqualifiers
Combined with serious heart and lung disease: such as repeated heart failure, severe arrhythmia, unstable angina pectoris, severe pericardial effusion, severe heart valve disease, hypertrophic cardiomyopathy, aortic coarctation, severe emphysema, pulmonary heart disease, severe pulmonary hypertension (average pressure of the pulmonary artery > 55mmHg), etc.;
Combined with chronic joints, muscles, or vascular disease can not be or is not suitable for regular exercise, such as cerebrovascular disease; combined chronic joint, muscle or vascular disease can not or are not suitable for regular exercise, such as cerebrovascular disease sequelae, serious lower limb joint damage, severe myopathy, deep vein thrombosis, etc.;
unwilling to cooperate with the movement of people
Trial design
Parallel
Treatments tested in this trial
exercise
Behavioralsuch as walking, jogging, swimming, Tai Chi, etc. It needs to be at a certain frequency and intensity
Treatment groups
Trial outcomes
Primary outcomes
Mid-upper arm circumference of the non-internal fistula side(AC)
Measure the circumference of the non-internal fistula at the midpoint of the upper arm using a soft tape measure, in centimetres
triceps skin-fold thickness of the non-internal fistula side(TSF)
Measurement of the skinfold at the midpoint of the upper arm on the non-internal fistula side by using a skinfold thickness gauge, in centimetres
upper arm muscle circumference of the non-internal fistula side(AMC)
AMC(cm)= AC(cm) - 3.14 x TSF(cm)
calf circumference
Measure the calf circumference using a soft tape measure, in centimetres
Secondary outcomes
prealbumin
laboratory measurement indicators:prealbumin(g/L)
albumin
laboratory measurement indicators:albumin(g/L)
haemoglobin
laboratory measurement indicators:haemoglobin(g/L)
blood lipids
laboratory measurement indicators:triglycerides, cholesterol, low-density lipoprotein, high-density lipoprotein
Sponsors and contacts
Click on the lead sponsor to view all of their trials.
Yunfeng Xia
Lead sponsor
First Affiliated Hospital of Chongqing Medical University
Sponsor institution