Pediatr Nephrol (2014) 29:431–438 DOI 10.1007/s00467-013-2675-5

ORIGINAL ARTICLE

Intradialytic cycling in children and young adults on chronic hemodialysis Fabio Paglialonga & Amalia Lopopolo & Rosalia Viviana Scarfia & Silvia Consolo & Maria Albina Galli & Simona Salera & Maria Rosa Grassi & Anna Brivio & Alberto Edefonti

Received: 24 August 2013 / Revised: 04 October 2013 / Accepted: 22 October 2013 / Published online: 21 November 2013 # IPNA 2013

Abstract Background Intradialytic exercise has been poorly investigated in pediatric patients on chronic hemodialysis (HD). The aim of this study was to assess the acceptability, safety and efficacy of intradialytic exercise in children and young adults on HD. Methods The intradialytic exercise program consisted of 30min sessions of intra-HD exercise using a cycloergometer two to three times a week for 3 months. Study endpoints were the 6-min walking test (6MWT) distances, lung function, number of stands in the chair test, lower extremity strength (LES), anthropometry, dietary intake, dialysis adequacy, incidence of symptomatic sessions, biochemistry and left ventricular mass index. Results Ten pediatric patients with a median age of 15.3 (range 9.1–24.2) years were enrolled. Two of these underwent kidney transplantation; the remaining eight completed the F. Paglialonga (*) : S. Consolo : S. Salera : A. Edefonti Pediatric Nephrology and Dialysis Unit, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Via Commenda 9, 20122 Milano, Italy e-mail: [email protected] A. Lopopolo : A. Brivio Department of Pediatrics, Cystic Fibrosis Center of Milan, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, Italy R. V. Scarfia Nephrology and Dialysis Unit, Ospedale “San Giovanni di Dio”, Agrigento, Italy M. A. Galli Pediatric Cardiology Unit, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, Italy M. R. Grassi Dipartimento di Scienze Cliniche e di Comunità, Università degli Studi di Milano, Milan, Italy

study and adapted well to the exercise program. At the end of the 3-month study period, all patients had significantly improved results for the 6MWT (+4.9 %; p

Intradialytic cycling in children and young adults on chronic hemodialysis.

Intradialytic exercise has been poorly investigated in pediatric patients on chronic hemodialysis (HD). The aim of this study was to assess the accept...
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