The Effect of Intradialysis Resistance Training on Quality of Life and Physical Activity of End-Stage Chronic Renal Failure Patients Hemodialysis

Introduction: Patients with Chronic Kidney Failure have a decreased ability to excrete metabolic wastes. Metabolic wastes that accumulate in the musculoskeletal system are called uremic myopathy. Uremic myopathy is characterized by an increase in muscle protein catabolism which results in a decrease in contractility and muscle mass which causes the patient to tire easily and triggers sedentary behavior and reduces physical activity and quality of life. Objective: The purpose of this study was to determine the effect of intradialysis resistance exercise on quality of life and level of physical activity in end-stage chronic kidney disease patients undergoing hemodialysis 2 times per week. Methods: Thirty-nine subjects receive low-intensity resistance exercise for 2 sets of 15 repetitions. Progression of exercise is done by increasing the volume of exercise. Exercises are carried out twice a week for 24 training sessions under the supervision in the hospital. The examination was carried out before and after 24 training sessions including filling out the KDQOL (Kidney Disease and Quality of Life) and IPAQ (International Physical Activity Questionnaire) questionnaires. Statistical analysis using t-test and sign-test Results: The results showed significant changes in all the variables studied, KDQOL score (p=0.00) and the level of physical activity (p=0.00). The average KDQOL scores before and after exercise were 166.67 and 243.16. Twenty-five research subjects has increased in physical activity level, and fourteen research subjects did not increase in physical activity level Conclusion: Intradialysis resistance exercise improves quality of life and physical activity level of end-stage chronic kidney disease patients undergoing hemodialysis 2 times per week Keywords: Chronic kidney disease, hemodialysis, physical activity, quality of life, resistance training