Sustained exercise programs for hemodialysis patients: The characteristics of successful approaches in Portugal, Canada, Mexico, and Germany

Detalhes bibliográficos
Autor(a) principal: Viana, João L.
Data de Publicação: 2019
Outros Autores: Martins, Pedro, Parker, Kristen, Madero, Magdalena, Pérez Grovas, Héctor, Anding, Kirsten, Degenhardt, Stefan, Gabrys, Iwona, Raugust, Shauna, West, Christina, Cowan, Theresa E., Wilund, Kenneth R.
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10400.24/1760
Resumo: Despite having good intentions, hemodialysis (HD) clinics often fail to sustain exercise programs that they initiate. There are many reasons for this, including a lack of funding, inadequate training of the clinic staff, a lack of exercise professionals to manage the program or train the staff, and the many challenges inherent to exercising a patient population with multiple comorbid diseases. Despite these barriers, there are several outstanding examples of successful exercise programs in HD clinics throughout the world. The aim of this manuscript is to review the characteristics of four successfully sustained HD exercise programs in Portugal, Canada, Mexico, and Germany. We describe the unique approaches they have used to fund and manage their programs, the varied exercise prescriptions they incorporate, the unique challenges they face, and discuss the benefits they have seen. While the programs differ in many regards, a consistent theme is that they each have substantial and committed support from the entire clinic staff, including the nephrologists, administration, nurses, dietitians, and technicians. This suggests that exercise programs in HD clinics can be successfully implemented and sustained provided significant effort is made to foster a culture of physical activity throughout the clinic.
id RCAP_0f2f1aab6835db8b1a29582a63b443a2
oai_identifier_str oai:repositorio.umaia.pt:10400.24/1760
network_acronym_str RCAP
network_name_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository_id_str 7160
spelling Sustained exercise programs for hemodialysis patients: The characteristics of successful approaches in Portugal, Canada, Mexico, and GermanyAgedCanadaExercise TherapyFemaleGermanyHumansInternationalityKidney Failure, ChronicMaleMexicoMiddle AgedMuscle WeaknessMuscular DiseasesPortugalProgram DevelopmentProgram EvaluationRenal DialysisTreatment OutcomeQuality of LifeDespite having good intentions, hemodialysis (HD) clinics often fail to sustain exercise programs that they initiate. There are many reasons for this, including a lack of funding, inadequate training of the clinic staff, a lack of exercise professionals to manage the program or train the staff, and the many challenges inherent to exercising a patient population with multiple comorbid diseases. Despite these barriers, there are several outstanding examples of successful exercise programs in HD clinics throughout the world. The aim of this manuscript is to review the characteristics of four successfully sustained HD exercise programs in Portugal, Canada, Mexico, and Germany. We describe the unique approaches they have used to fund and manage their programs, the varied exercise prescriptions they incorporate, the unique challenges they face, and discuss the benefits they have seen. While the programs differ in many regards, a consistent theme is that they each have substantial and committed support from the entire clinic staff, including the nephrologists, administration, nurses, dietitians, and technicians. This suggests that exercise programs in HD clinics can be successfully implemented and sustained provided significant effort is made to foster a culture of physical activity throughout the clinic.Repositório Científico da UMAIAViana, João L.Martins, PedroParker, KristenMadero, MagdalenaPérez Grovas, HéctorAnding, KirstenDegenhardt, StefanGabrys, IwonaRaugust, ShaunaWest, ChristinaCowan, Theresa E.Wilund, Kenneth R.2021-04-28T14:09:01Z2019-01-01T00:00:00Z2019-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articletext/htmlhttp://hdl.handle.net/10400.24/1760eng10.1111/sdi.12814info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2022-09-26T16:01:06Zoai:repositorio.umaia.pt:10400.24/1760Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:10:07.165362Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Sustained exercise programs for hemodialysis patients: The characteristics of successful approaches in Portugal, Canada, Mexico, and Germany
title Sustained exercise programs for hemodialysis patients: The characteristics of successful approaches in Portugal, Canada, Mexico, and Germany
spellingShingle Sustained exercise programs for hemodialysis patients: The characteristics of successful approaches in Portugal, Canada, Mexico, and Germany
Viana, João L.
Aged
Canada
Exercise Therapy
Female
Germany
Humans
Internationality
Kidney Failure, Chronic
Male
Mexico
Middle Aged
Muscle Weakness
Muscular Diseases
Portugal
Program Development
Program Evaluation
Renal Dialysis
Treatment Outcome
Quality of Life
title_short Sustained exercise programs for hemodialysis patients: The characteristics of successful approaches in Portugal, Canada, Mexico, and Germany
title_full Sustained exercise programs for hemodialysis patients: The characteristics of successful approaches in Portugal, Canada, Mexico, and Germany
title_fullStr Sustained exercise programs for hemodialysis patients: The characteristics of successful approaches in Portugal, Canada, Mexico, and Germany
title_full_unstemmed Sustained exercise programs for hemodialysis patients: The characteristics of successful approaches in Portugal, Canada, Mexico, and Germany
title_sort Sustained exercise programs for hemodialysis patients: The characteristics of successful approaches in Portugal, Canada, Mexico, and Germany
author Viana, João L.
author_facet Viana, João L.
Martins, Pedro
Parker, Kristen
Madero, Magdalena
Pérez Grovas, Héctor
Anding, Kirsten
Degenhardt, Stefan
Gabrys, Iwona
Raugust, Shauna
West, Christina
Cowan, Theresa E.
Wilund, Kenneth R.
author_role author
author2 Martins, Pedro
Parker, Kristen
Madero, Magdalena
Pérez Grovas, Héctor
Anding, Kirsten
Degenhardt, Stefan
Gabrys, Iwona
Raugust, Shauna
West, Christina
Cowan, Theresa E.
Wilund, Kenneth R.
author2_role author
author
author
author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Repositório Científico da UMAIA
dc.contributor.author.fl_str_mv Viana, João L.
Martins, Pedro
Parker, Kristen
Madero, Magdalena
Pérez Grovas, Héctor
Anding, Kirsten
Degenhardt, Stefan
Gabrys, Iwona
Raugust, Shauna
West, Christina
Cowan, Theresa E.
Wilund, Kenneth R.
dc.subject.por.fl_str_mv Aged
Canada
Exercise Therapy
Female
Germany
Humans
Internationality
Kidney Failure, Chronic
Male
Mexico
Middle Aged
Muscle Weakness
Muscular Diseases
Portugal
Program Development
Program Evaluation
Renal Dialysis
Treatment Outcome
Quality of Life
topic Aged
Canada
Exercise Therapy
Female
Germany
Humans
Internationality
Kidney Failure, Chronic
Male
Mexico
Middle Aged
Muscle Weakness
Muscular Diseases
Portugal
Program Development
Program Evaluation
Renal Dialysis
Treatment Outcome
Quality of Life
description Despite having good intentions, hemodialysis (HD) clinics often fail to sustain exercise programs that they initiate. There are many reasons for this, including a lack of funding, inadequate training of the clinic staff, a lack of exercise professionals to manage the program or train the staff, and the many challenges inherent to exercising a patient population with multiple comorbid diseases. Despite these barriers, there are several outstanding examples of successful exercise programs in HD clinics throughout the world. The aim of this manuscript is to review the characteristics of four successfully sustained HD exercise programs in Portugal, Canada, Mexico, and Germany. We describe the unique approaches they have used to fund and manage their programs, the varied exercise prescriptions they incorporate, the unique challenges they face, and discuss the benefits they have seen. While the programs differ in many regards, a consistent theme is that they each have substantial and committed support from the entire clinic staff, including the nephrologists, administration, nurses, dietitians, and technicians. This suggests that exercise programs in HD clinics can be successfully implemented and sustained provided significant effort is made to foster a culture of physical activity throughout the clinic.
publishDate 2019
dc.date.none.fl_str_mv 2019-01-01T00:00:00Z
2019-01-01T00:00:00Z
2021-04-28T14:09:01Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10400.24/1760
url http://hdl.handle.net/10400.24/1760
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1111/sdi.12814
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
repository.mail.fl_str_mv
_version_ 1799130557679927296