Effects of Exercise Program on Physical Fitness and Metabolic Equivalents for Patients with Chronic Kidney Disease

Wednesday, 1 August 2012

Shih-Yao Tseng, RN
Department of Nursing, Chi Mei Medical Center, Liouying, Tainan, Taiwan
Miaofen Yen, PhD, RN
Department of Nursing & Institute of Allied Health Sciences, National Cheng Kung University, Tainan city, Taiwan
Ching-Huey Chen, PhD, RN
Institute of Allied Health Sciences, National Cheng Kung University, Tainan, Taiwan
Chiu-Chu Lin, PhD
School of Nursing, Kaohsiung Medical University, Kaohsiung, Taiwan

Learning Objective 1: The learner will be able to understand how to design exercise programs for patient with chronic kidney disease.

Learning Objective 2: The learner will be able to understand the effects of physical fitness and total metabolic equivalents for patients with chronic kidney disease.

Purpose: The purpose of this study was to explore physical fitness and total metabolic equivalents per week outcomes of exercise program for patients with chronic kidney disease.

Methods: Sixty-seven patients with chronic kidney disease were randomly assigned to the experimental (n = 29) or control group (n = 38). Both groups received a booklet about principles and rules of exercise. Patients in the experimental group received exercise program with 30 to 40 minutes face to face discussion on the importance in change in the exercise. The Exercise program included type of exercise, strengths, frequency and time for CKD patients. The control group received routine care. The two group status on physical fitness and total metabolic equivalents were evaluated on the third and sixth month. Mixed model analysis was used to test physical fitness and total metabolic equivalents. 

Results: The body mass index and waist-hip-ratio in experimental group decreased significantly in compare with control group in the third month (p < .05). There was no statistic significance on physical fitness and total metabolic equivalents per week between groups.

 Conclusion: These results support that the exercise program may decrease the body mass index and waist-hip-ratio in patients with chronic kidney disease.