Monday, December 04, 2017

Pedal power at Dialysis

I was reading on the Big D and me blog that exercising at dialysis by using a portable foot pedal exercise bike can improve dialysis treatment outcomes. See https://bigdandme.blog/2009/08/07/riding-an-exercise-bike-on-dialysis/ and https://bigdandme.blog/2009/10/02/riding-an-exercise-bike-dialysis-part-2/.

I'm very interested in how it can increase the removal of phosphate. I just seem to have too many dairy drinks and foods.

I wanted to find some other references that were more of a scientific nature. I found: 


- Time and exercise improve phosphate removal in hemodialysis patients.

Presented in part at the Australian and New Zealand Society of Nephrology Annual Scientific Meeting, Perth, Australia, September 1–3, 2003.

You can see the summary, but need a login to view the full article. See http://www.ajkd.org/article/S0272-6386(03)01221-6/pdf -

- A structured exercise programme during haemodialysis for patients with chronic kidney disease: clinical benefit and long-term adherence. 27th August 2015. See: http://bmjopen.bmj.com/content/5/8/e008709

- Aerobic exercise increases phosphate removal during hemodialysis: A controlled trial. January 2014. See
https://www.researchgate.net/publication/259805418_Aerobic_exercise_increases_phosphate_removal_during_hemodialysis_A_controlled_trial
 

- Intradialytic exercise improves physical function and reduces intradialytic hypotension and depression in hemodialysis patients. August 2017. See https://www.researchgate.net/publication/319299252_Intradialytic_exercise_improves_physical_function_and_reduces_intradialytic_hypotension_and_depression_in_hemodialysis_patients 

It would seem that this is good for you and can improve health outcomes. Turns out my unit has one cycling unit that can be attached to a dialysis chair. It is used for restless legs. I was going to look into purchasing one but will give this a go first. The one in our unit does not record anything (eg time, kms, etc), I'd probably prefer one that keeps track of things. If it works out well, I'll look at purchasing one (or trying for a donation).

Having measurements might be good encouragement for some. I've been reading on the Big D and me blog how another centre (in the US) use a bike pedal machine to run a race around Idaho. See news article here: http://tdn.com/news/local/dialysis-patients-improve-energy-treatment-through-cycling/article_90a03ce2-1aa0-11df-ac61-001cc4c03286.html (from Feb 15 2010)

I'll post some updates on this topic in a little while.

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