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Effects of intradialytic exercise in combination with melatonin supplementation on functional capacity, postural balance, and quality of life in hemodialysis patients.

Therapeutic apheresis and dialysis : official peer-reviewed journal of the International Society for Apheresis, the Japanese Society for Apheresis, the Japanese Society for Dialysis Therapy
August 1, 2023
Houssem Marzougui et al. (11 authors)
Randomized Controlled TrialJournal ArticleHuman StudyClinical
Study Details

Study Goal

The researchers aimed to determine whether combining intradialytic concurrent training with melatonin supplementation improves functional capacity, muscle strength, postural balance, and quality of life in hemodialysis patients.

Results Summary

Melatonin combined with exercise improved postural balance in dual-task conditions and some quality-of-life domains more than exercise alone, while both exercise groups showed benefits in functional capacity, muscle strength, and postural balance.

Population

Hemodialysis patients

Effective Dosage

Not specified

Duration

12 weeks

Interactions

None mentioned

Extracted Claims (7)
InterventionDirectionEndpointPopulationDosageImpactClaim #
intradialytic concurrent (resistance-endurance) training combined with melatonin (MEL) supplementation
increase
functional capacity
hemodialysis (HD) patients
-
improved
#1
intradialytic concurrent (resistance-endurance) training combined with melatonin (MEL) supplementation
increase
muscle strength
hemodialysis (HD) patients
-
improved
#2
intradialytic concurrent (resistance-endurance) training combined with melatonin (MEL) supplementation
increase
quality of life (QoL)
hemodialysis (HD) patients
-
improved
#3
intradialytic concurrent (resistance-endurance) training combined with melatonin (MEL) supplementation
increase
postural balance parameters in eyes open and eyes closed conditions
hemodialysis (HD) patients
-
improved
#4
intradialytic concurrent (resistance-endurance) training combined with melatonin (MEL) supplementation
increase
postural balance parameters in the dual task condition
hemodialysis (HD) patients
-
improved
#5
intradialytic concurrent (resistance-endurance) training
increase
physical function, muscle strength, postural balance, and QoL
HD patients
-
induced beneficial effects
#6
MEL supplementation combined with intradialytic exercise
increase
postural balance and QoL
-
-
lead to better improvements
#7
Abstract

INTRODUCTION: We evaluated the effect of intradialytic concurrent (resistance-endurance) training combined with melatonin (MEL) supplementation on functional capacity, muscle strength, postural balance, and quality of life (QoL) in hemodialysis (HD) patients. METHODS: Thirty-three HD patients were randomized into three groups: Exercise (EX)-MEL (n = 11); EX-Placebo (PLA) (n = 11) and Control (C)-PLA (n = 11). Participants included in the EX-MEL and EX-PLA groups were submitted to concurrent training for 12 weeks. RESULTS: EX-MEL and EX-PLA improved functional capacity, muscle strength, QoL, and postural balance parameters in eyes open and eyes closed conditions. Parameters of postural balance in the dual task condition were improved only in EX-MEL. EX-MEL induced better results in some domains of QoL compared with EX-PLA. CONCLUSION: Intradialytic concurrent training induced beneficial effects on physical function, muscle strength, postural balance, and QoL in HD patients. MEL supplementation combined with intradialytic exercise lead to better improvements in postural balance and QoL.

Medical Subject Headings (MeSH)
HumansQuality of LifeMelatoninRenal DialysisMuscle StrengthPostural BalanceDietary SupplementsPolyesters
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality75/10
Citation Metrics
Total Citations2
Citations/Year1.0
Relative Citation Ratio1.03
NIH Percentile51.4%
Research Impact Scores
APT Score0.25
Weight Score2.43
Normalized Score0.69
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