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Effect of Exercise Training on Functional Capacity, Muscle Strength, Exercise Capacity, Dialysis Efficacy and Quality of Life in Children and Adolescents With Chronic Kidney Disease: A Systematic Review and Meta-Analysis Publisher Pubmed



Kajbafvala M1 ; Shahali S1 ; Ebrahimi Takamjani I1 ; Ashnagar Z2 ; Hosseini R3 ; Shahabi S4 ; Hejazi A5
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Authors Affiliations
  1. 1. Iranian Center of Excellence in Physiotherapy, Rehabilitation Research Center, Department of Physiotherapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran
  2. 2. Department of Physiotherapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Department of Pediatric Nephrology, Ali-Asghar Children’s Hospital, Iran University of Medical Sciences, Tehran, Iran
  4. 4. Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran
  5. 5. Department of Physiology, School of Medicine, Iran University of Medical Sciences, Tehran, Iran

Source: International Urology and Nephrology Published:2024


Abstract

Purpose: To synthesize the effect of exercise training on functional capacity, muscle strength, exercise capacity, dialysis efficacy, and quality of life (QOL) in children and adolescents with CKD. Methods: PubMed/Medline, Scopus, PEDro, Web of Science, CINAHL, Cochrane, and Embase were searched from inception to September 30, 2023. Randomized control trials (RCTs) and clinical trials that assessed the effect of exercise training programs on functional capacity, muscle strength, exercise capacity, dialysis efficacy, and QOL in children and adolescents with CKD were included. Random effect model and meta-regression were used for the meta-analysis. Results: Four clinical trials and three RCTs were included. The results showed that exercise training improves strength, but meta-analysis did not show a significant effect of exercise on functional capacity (WMD: 1.02; 95% CI: − 0.14 to 2.18; p = 0.083) and QOL (WMD: 8.00; 95% CI: − 3.90 to 19.91; p = 0.187). Subgroup analysis revealed that more than 25 sessions and 45 min per session of intervention, a PEDro score of more than 5, and being younger than 12 years of age had a large effect on functional capacity and QOL results. Due to the limited number of studies that reported the effect of exercise on dialysis efficacy and exercise capacity, the findings were inconclusive. Conclusion: Exercise training could benefit children and adolescents with CKD by increasing their strength. Longer exercise interventions may be beneficial for improving functional capacity and QOL. Future well-designed RCTs should overcome the existing limitations using adequate sample sizes and longer exercise durations. © The Author(s), under exclusive licence to Springer Nature B.V. 2023.
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