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Effects of Nutritional Protocol Changes on Hemodialysis Adequacy and Patient Health During the COVID-19 Pandemic.
Med Sci Monit
November 2024
Division of Nephrology, Department of Internal Medicine, Cerrahpasa Medical Faculty, Istanbul University - Cerrahpasa, Istanbul, Turkey.
BACKGROUND During the COVID-19 pandemic, strict feeding restrictions were implemented in many dialysis centers to minimize transmission between patients. This study aims to evaluate the effects of these feeding restrictions on dry weight, intradialytic hypotension (IDH), and dialysis adequacy in hemodialysis patients. MATERIAL AND METHODS In this retrospective single-center study involving 76 hemodialysis patients, data from 2 consecutive 6-month periods were analyzed: the first before the COVID-19 pandemic when intradialytic nutrition was supported, and the second during the pandemic when intradialytic nutrition was restricted.
View Article and Find Full Text PDFComparisons of Intradialytic Exercise Versus Home-Based Exercise in Hemodialysis Patients: A Narrative Review.
Biomedicines
October 2024
Division of Nephrology, Department of Internal Medicine, Camillian Saint Mary's Hospital Luodong, No. 160, Zhongzheng S. Rd., Luodong 265, Yilan, Taiwan.
With the increasing prevalence of end-stage kidney disease, the number of patients requiring hemodialysis (HD) continues to rise. While life-sustaining, HD is often associated with adverse effects such as muscle loss, physical deconditioning, fatigue, and compromised health-related quality of life (HRQoL). Recent research suggests that intradialytic exercise (IDE) and home-based exercise (HBE) may mitigate these adverse effects and improve patient outcomes.
View Article and Find Full Text PDFClosed Loop Ultrafiltration Feedback Control in Hemodialysis: A Narrative Review.
Toxins (Basel)
August 2024
Renal Research Institute, New York, NY 10065, USA.
While life-sustaining, hemodialysis is a non-physiological treatment modality that exerts stress on the patient, primarily due to fluid shifts during ultrafiltration. Automated feedback control systems, integrated with sensors that continuously monitor bio-signals such as blood volume, can adjust hemodialysis treatment parameters, e.g.
View Article and Find Full Text PDFDialysate sodium and short-term blood pressure variability in patients with intradialytic hypertension: a randomized crossover study.
J Hum Hypertens
November 2024
First Department of Nephrology, Hippokration Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Article Synopsis
- Increased blood pressure variability (BPV) in hemodialysis patients is linked to higher cardiovascular risks, particularly in those with intradialytic hypertension (IDH).
- A study tested the effects of low (137 mEq/L) versus standard (140 mEq/L) dialysate sodium concentrations on BPV among 29 IDH patients through a crossover design.
- Results showed that while mean blood pressure was lower with low sodium, BPV levels did not significantly differ between the two sodium concentrations, suggesting the need for further research into different interventions for managing BP and BPV in these patients.
Comparison of the efficacy of intradialytic core stabilization and aerobic exercises for hemodialysis patients: randomized controlled single-blind study.
Disabil Rehabil
June 2024
Hemodialysis Unit, Mus Public Hospital, Muş, Turkey.
Article Synopsis
- - The study aimed to compare the effects of intradialytic core stabilization exercises and aerobic exercises on the physical performance, fatigue, quality of life, and dialysis adequacy of patients undergoing hemodialysis.
- - Involving 39 hemodialysis patients, the research found that both exercise types improved physical performance and reduced fatigue, but showed no significant impact on dialysis adequacy measures.
- - Core stabilization exercises slightly outperformed aerobic exercises in improving kidney disease-related quality of life, suggesting both exercise methods are beneficial for hemodialysis patients.
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