Exercise interventions improve depression and anxiety in chronic kidney disease patients: a systematic review and meta-analysis
Tóm tắt
This systematic review examined the effects of exercise interventions on depression and anxiety in chronic kidney disease patients. Electronic searches were conducted between August 2019 and February 2020 at PubMed, MEDLINE, Web of Science, EBSCO, Scopus, LILACS, EMBASE, Physiotherapy Evidence Database, and Cochrane Library databases. Original clinical trial studies that examined the effects of exercise on depression and anxiety in chronic kidney disease patients, stages 3–5, were included. A total of eight studies were included in the systematic review after applying the eligibility criteria, and six studies used for the meta-analysis procedures. The meta-analysis demonstrated statistical difference on depression in favour to exercise when compared to active control (SMD = − 0.66 [− 1.00, − 0.33], p < 0.0001) and passive control (MD = − 6.95 [− 8.76, − 5.14], p < 0.00001). Same results on anxiety demonstrated statistical difference between exercise and active control (SMD = − 0.78 [− 1.21, − 0.34], p = 0.0004). From the current limited number and quality of published studies, exercise seems to be more effective than sedentary control and other active control groups for improving depression and anxiety symptoms in chronic kidney disease patients.
Tài liệu tham khảo
Ng JKC, Li PKT (2018) Chronic kidney disease epidemic: How do we deal with it? Nephrology 23:116–120. https://doi.org/10.1111/nep.13464
Sesso R, Lugon JR (2020) Global dialysis perspective: Brazil. Kidney 360(1):216–219. https://doi.org/10.34067/KID.0000642019
Jesus NM, de Souza GF, Mendes-Rodrigues C et al (2019) Quality of life of individuals with chronic kidney disease on dialysis. Brazilian J Nephrol 41:364–374. https://doi.org/10.1590/2175-8239-jbn-2018-0152
Kutner NG, Zhang R, Huang Y, Johansen KL (2010) Depressed mood, usual activity level, and continued employment after starting dialysis. Clin J Am Soc Nephrol 5:2040–2045. https://doi.org/10.2215/CJN.03980510
Tsai SH, Wang MY, Miao NF et al (2015) The efficacy of a nurse-led breathing training program in reducing depressive symptoms in patients on hemodialysis: a randomized controlled trial. Am J Nurs 115:24–32. https://doi.org/10.1097/01.NAJ.0000463023.48226.16
Lee Y, Kim MS, Cho S, Kim SR (2013) Association of depression and anxiety with reduced quality of life in patients with predialysis chronic kidney disease. Int J Clin Pract. https://doi.org/10.1111/ijcp.12020
Loosman WL, Rottier MA, Honig A, Siegert CEH (2015) Association of depressive and anxiety symptoms with adverse events in Dutch chronic kidney disease patients: a prospective cohort study. BMC Nephrol. https://doi.org/10.1186/s12882-015-0149-7
Hou Y, Li X, Yang L (2014) Factors associated with depression and anxiety in patients with end-stage renal disease receiving maintenance hemodialysis. Int Urol Nephrol. https://doi.org/10.1007/s11255-014-0685-2
dos Valle L S, de Souza VF, Ribeiro AM (2013) Stress and anxiety in chronic renal patients undergoing hemodialysis. Estud Psicol 30:131–138. https://doi.org/10.1590/S0103-166X2013000100014
Barros A, da Costa BE, Mottin CC, D’Avila DO (2016) Depression, quality of life, and body composition in patients with end-stage renal disease: a cohort study. Rev Bras Psiquiatr 38:301–306. https://doi.org/10.1590/1516-4446-2015-1681
Hornik B, Duława J (2019) Frailty, quality of life, anxiety, and other factors affecting adherence to physical activity recommendations by hemodialysis patients. Int J Environ Res Public Health. https://doi.org/10.3390/ijerph16101827
Lee YH, Kim JS, Jung S et al (2020) Gait speed and handgrip strength as predictors of all-cause mortality and cardiovascular events in hemodialysis patients. BMC Nephrol 21:166. https://doi.org/10.1186/s12882-020-01831-8
Sutcliffe BK, Bennett PN, Fraser SF, Mohebbi M (2018) The deterioration in physical function of hemodialysis patients. Hemodial Int 22:245–253. https://doi.org/10.1111/hdi.12570
Dziubek W, Kowalska J, Kusztal M, Klinger M (2016) The level of anxiety and depression in dialysis patients undertaking regular physical exercise training—a preliminary study. Kidney Blood Press Res. https://doi.org/10.1159/000368548
Santhi AS, Samson R, Srikanth PD (2018) Effectiveness of physical activity on depression, anxiety, stress and quality of life of patients on hemodialysis. Biomed Res 29:1885–1890. https://doi.org/10.4066/biomedicalresearch.29-18-177
Wen X, Wang Y, Zhao Q et al (2019) Nonpharmacological interventions for depressive symptoms in end-stage renal disease: a systematic review. West J Nurs Res. https://doi.org/10.1177/0193945919857540
Gujral S, Aizenstein H, Iii CFR et al (2017) Exercise effects on depression: possible neural mechanisms. Gen Hosp Psychiatry 49:2–10. https://doi.org/10.1016/j.genhosppsych.2017.04.012
Higgins JP, Green S (2008) Cochrane handbook for systematic reviews of interventions. John Wiley & Sons Ltd, Chichester
Furlan AD, Pennick V, Bombardier C, van Tulder M (2009) Updated method guidelines for systematic reviews in the cochrane back review group. Spine (Phila Pa 1976) 34:1929–1941. https://doi.org/10.1097/BRS.0b013e3181b1c99f
Cho JH, Lee JY, Lee S et al (2018) Effect of intradialytic exercise on daily physical activity and sleep quality in maintenance hemodialysis patients. Int Urol Nephrol 50:745–754. https://doi.org/10.1007/s11255-018-1796-y
Frih B, Jaafar H, Mkacher W et al (2017) The effect of interdialytic combined resistance and aerobic exercise training on health related outcomes in chronic hemodialysis patients: the Tunisian randomized controlled study. Front Physiol 8:1–11. https://doi.org/10.3389/fphys.2017.00288
Kouidi E, Karagiannis V, Grekas D et al (2010) Depression, heart rate variability, and exercise training in dialysis patients. Eur J Cardiovasc Prev Rehabil 17:160–167. https://doi.org/10.1097/HJR.0b013e32833188c4
Ouzouni S, Kouidi E, Sioulis A et al (2009) Effects of intradialytic exercise training on health-related quality of life indices in haemodialysis patients. Clin Rehabil 23:53–63. https://doi.org/10.1177/0269215508096760
Rahimimoghadam Z, Rahemi Z, Mirbagher Ajorpaz N, Sadat Z (2017) Effects of pilates exercise on general health of hemodialysis patients. J Bodyw Mov Ther 21:86–92. https://doi.org/10.1016/j.jbmt.2016.05.012
Tang Q, Yang B, Fan F et al (2017) Effects of individualized exercise program on physical function, psychological dimensions, and health-related quality of life in patients with chronic kidney disease: a randomized controlled trial in China. Int J Nurs Pract 23:1–8. https://doi.org/10.1111/ijn.12519
Zhao C, Ma H, Yang L, Xiao Y (2017) Long-term bicycle riding ameliorates the depression of the patients undergoing hemodialysis by affecting the levels of interleukin-6 and interleukin-18. Neuropsychiatr Dis Treat 13:91–100. https://doi.org/10.2147/NDT.S124630
Mitrou GI, Grigoriou SS, Konstantopoulou E et al (2013) Exercise training and depression in ESRD: a review. Semin Dial 26:604–613. https://doi.org/10.1111/sdi.12112
Barbosa L, Mendonça M, Pacheco M et al (2007) Predictors of quality of life in chronic hemodialysis patients luciana. Brazilian J Nephrol 29:222
Bohlke M, Nunes DL, Marini SS et al (2008) Predictors of quality of life among patients on dialysis in southern Brazil. Sao Paulo Med J 126:252–256. https://doi.org/10.1590/S1516-31802008000500002
Fassbinder TRC, Winkelmann ER, Schneider J et al (2015) Functional capacity and quality of life in patients with chronic kidney disease in pre-dialytic treatment and on hemodialysis—a cross sectional study. Brazilian J Nephrol 37:47–54. https://doi.org/10.5935/0101-2800.20150008
Henrique DMN, de Reboredo M, Chaoubah A, de Paula RB (2010) Aerobic exercise improves physical capacity in patients under chronic hemodialysis. Arq Bras Cardiol 94:823–828. https://doi.org/10.1590/S0066-782X2010005000043
Cheema BS, Chan D, Fahey P, Atlantis E (2014) Effect of progressive resistance training on measures of skeletal muscle hypertrophy, muscular strength and health-related quality of life in patients with chronic kidney disease: a systematic review and meta-analysis. Sport Med 44:1125–1138. https://doi.org/10.1007/s40279-014-0176-8
Glowacki K, Arbour-Nicitopoulos K, Burrows M et al (2019) It’s more than just a referral: development of an evidence-informed exercise and depression toolkit. Ment Health Phys Act 17:100297. https://doi.org/10.1016/j.mhpa.2019.100297
Koudi E, Iacovides A, Iordanidis P et al (1997) Exercise renal rehabilitation program: psychosocial effects. Nephron 77:152–158. https://doi.org/10.1159/000190266
Hedayati SS, Yalamanchili V, Finkelstein FO (2012) A practical approach to the treatment of depression in patients with chronic kidney disease and end-stage renal disease. Kidney Int 81:247–255. https://doi.org/10.1038/ki.2011.358
Busch AM, Ciccolo JT, Puspitasari AJ et al (2016) Preferences for exercise as a treatment for depression. Ment Health Phys Act 10:68–72. https://doi.org/10.1016/j.mhpa.2015.12.004
Clarke AL, Young HML, Hull KL et al (2015) Motivations and barriers to exercise in chronic kidney disease: a qualitative study. Nephrol Dial Transplant 30:1885–1892. https://doi.org/10.1093/ndt/gfv208
Bogataj Š, Pajek J, Buturovi J et al (2020) Kinesiologist-guided functional exercise in addition to intradialytic cycling program in end-stage kidney disease patients : a randomised controlled trial. Sci Rep. https://doi.org/10.1038/s41598-020-62709-1