کیفیت زندگی و تمرینات پیلاتس بیماران مبتلا به نارسایی کلیه
Abstract
1- Introduction
2- Materials and methods
3- Results
4- Discussion
5- Conclusion
References
Abstract
Background and purpose
There is a need to investigate the effects of pilates exercises on the quality of life (QOL) of patients with chronic kidney diseases (CKD). The purpose of this study was to determine the effect of pilates exercises on the QOL of CKD patients.
Materials and methods
For this randomized controlled clinical trial, we enrolled 50 CKD patients. The participants were randomly assigned to experimental (n = 25) and control (n = 25) groups. Modified classical pilates exercises were performed by the experimental group three times a week over a 12-week period. The Quality of Life Short Form (KDQOL-SF) questionnaire was completed by all participants at the beginning of the trial and two months after completion of the intervention. Data analysis was conducted using Chi-square, independent t-test, and paired t-test.
Results
There were significant increases in the scores of QOL dimensions in the experimental group after the intervention (p ≤ 0.05). Comparison of the mean differences at the beginning and two months after the study in the two groups showed that the scores related to QOL dimensions in the experimental group were significantly greater than the control group (p ≤ 0.05).
Conclusion
The findings indicated the pilates exercises can be valuable for improvement of CKD patients’ QOL.
Introduction
Chronic kidney diseases (CKD) lead to permanent kidney damages. These damages and their serious consequences threaten the health of the affected individuals. The incidence, prevalence, and mortality rates related to CKD and end stage renal disease (ESRD) are universally increasing [1–3]. Additionally, the number of patients with CKD is rapidly increasing in Iran. This number increased from 6% of the population in 2012 to 17% in 2015 [4]. Patients endure multiple health conditions, including decreased cardio-respiratory fitness, muscle force, and physical performance [1–3]. These conditions may contribute to emotional and social problems and functional limitations [5]. The physical, mental, and emotional problems associated with CKD, combined with therapeutic procedures and adjustments in lifestyles, such as changes in diet and medications [6], lead to a decrease in patients’ quality of life (QOL) [7]. With advances in medical interventions and increasing the number of patients surviving from chronic health conditions and their lifespan, QOL is increasingly emphasized among healthcare providers for management of chronic diseases [7]. QOL is a multidimensional concept and includes subjective and objective dimensions, such as physical, emotional, social, and mental dimensions [8]. While evidence revealed that problems associated with chronic diseases and their treatments led to a decrease in QOL of patients [8–10], other studies indicated that physical activity was effective in disease prevention and management as well as improvement of QOL [9–11]. In a meta-analysis of multiple clinical trials, Cheema et al. reported that exercise increased muscular strength and QOL in CKD patients [12]. Inversely, in a systematic review, Koufaki et al. indicated that physical inactivity decreased CKD patients' physical functioning and QOL and increased their morbidity [13]. Tsai et al. (2017) indicated that regular physical training has significant effects on CKD patients’ QOL [14]. Other studies also showed aerobic exercise to be effective in improving QOL and decreasing depression and anxiety in CKD patients [10,15,16].