Sustained exercise programs for hemodialysis patients: The characteristics of successful approaches in Portugal, Canada, Mexico, and Germany
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Outros Autores: | , , , , , , , , , , |
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. |
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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 |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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