What specific exercise training is most effective exercise training method for patients on maintenance hemodialysis with sarcopenia: a network meta-analysis
Author: Ying Li#1, Jingjing Li#2, Xiaoan Chen1, Yuegong Shi1, Jie Shen3, Ting Huang4
Affiliation:
1 College of Sports Science, Jishou University, Jishou, China.
2 Blood Purification Center, The Fourth People's Hospital of Lianyungang, Affiliated Hospital of Nanjing Medical University Kangda College, Jiangsu, China.
3 Department of Nephrology, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, China.
4 Nursing Department, The Third People's Hospital of Ganzhou, Ganzhou, Jiangxi, China.
Conference/Journal: Front Nutr
Date published: 2024 Nov 22
Other:
Volume ID: 11 , Pages: 1484662 , Special Notes: doi: 10.3389/fnut.2024.1484662. , Word Count: 219
Objective:
The present study aimed to investigate the influence of different exercise methods on sarcopenia patients receiving maintenance hemodialysis (MHD) by conducting a network meta-analysis.
Methods:
The PubMed, Embase, Cochrane Library, Web of Science, China National Knowledge Infrastructure (CNKI), and Wanfang databases were searched online for relevant articles published until May 2024. Based on the inclusion and exclusion criteria, we selected 10 articles that compared the effects of 7 exercise interventions on sarcopenia patients receiving MHD.
Results:
The results of network meta-analysis showed that resistance training (RT) [standardized mean difference (SMD) = 4.54; 95% confidence interval (CI): 3.27-5.80] significantly improved the handgrip strength (HGS) of sarcopenia patients receiving MHD as compared to Baduanjin exercise (BAE) (SMD = 4.19; 95% CI: 2.31-6.07), bicycle exercise (BIE) (SMD = 4.06; 95% CI: 0.02-8.10), and combined movement (CE) (SMD = 3.50; 95% CI: 3.13-3.87). Compared to normal care (NC), BAE (SMD = 0.15; 95% CI: 0.07-0.23), RT (SMD = 0.34; 95% CI: 0.06-0.62), and CE (SMD = 0.37; 95% CI: 0.16-0.58) significantly improved skeletal muscle mass index (SMI) in sarcopenia patients receiving MHD.
Conclusion:
This study showed that RT has a positive effect on improving HGS in sarcopenia patients receiving MHD. CE also showed good results in enhancing SMI in MHD patients with sarcopenia. More randomized controlled trials are required to better understand the effectiveness of these exercise interventions and the potential underlying mechanisms.
Keywords: MHD; maintenance hemodialysis; meta; network meta-analysis; sarcopenia.
PMID: 39650714 PMCID: PMC11622696 DOI: 10.3389/fnut.2024.1484662
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