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Published online: August 25, 2017
(Accepted for publication June 15, 2017)
DOI: 10.7752/jpes.2017.s3142
Abstract
Problem statement: Exercise is an essential component of care for CKD patients. This study examined the effect of exercise program on blood biochemical values in CKD patients.
Approach: A total of 94 subjects diagnosed with CKD by a nephrology outpatient clinic at a medical center in northern Taiwan participated in this quasi-experimental study. Subjects were randomly divided into an experimental group (n = 45) or a control group (n = 49). Experimental group subjects agreed to join a 3month exercise program. Both groups completed the pretest and posttest of blood biochemical data which obtained from patient medical files. Data were analyzed using analysis of covariance.
Results: The preexercise cholesterol values (from 198.03±43.52 to 160.97±37.39 mg/dl) of the experimental group differed significantly from their postexercise values. However, changes in red blood cell count, hemoglobin, hematocrit, and blood sugar were all insignificant in the experimental group. No significant change in any of these items was detected in the control group. The cholesterol value of the experimental group (158.75 mg/dl) was significantly lower than that of the control group (177.29 mg/dl) after applying analysis of covariance, using the pretest results of both groups as the covariate.
Conclusions: The exercise program was found to reduce cholesterol levels in CKD patients effectively, to encourage more patients to do exercise regularly, and to offer clinical nursing staff an approach to encourage and teach CKD patients to exercise.
Keywords: blood biochemical values, chronic kidney disease, exercise program.
Introduction
Taiwan ranks number one in the world in terms of the incidence and prevalence of end-stage renal disease (ESRD). The dialysis-related expenditures of Taiwan's National Health Insurance (NHI; 2009) totaled 30.8 billion NT dollars, representing more than 5% of the NHI annual budget in 2007. This huge cost represents a heavy financial burden on the government and society. To reduce the current high incidence, prevalence, and medical expenses, kidney disease should be managed with optimal intervention and treatment as early as possible. In addition to pharmaceutical interventions, it is essential to establish correct renal disease concepts, proper diet plans, good blood pressure and blood sugar (BS) controls, appropriate compliance with the medication regimen, appropriate exercise and health habits, and...