الفهرس 
Title : Metabolic bone changes after intradialytic resistive exercise in regular hemodialysis patients
AbstractOnly 14 pages are availabe for public view
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Abstract
Background: Mineral bone disease (MBD) and decrease in the quality of life are critical factors contributing to morbidity and mortality in Hemodialysis (HD) patients. Intradialytic resistance exercise can be useful in stimulating bone formation and improving quality of life. Objective: The aim of this study was to evaluate the metabolic bone changes and quality of life after intradialytic resistive exercise training in regular hemodialysis patients. Subjects and methods: Sixty patients, aged from 20 to 60 years old on regular HD participated in this study. Patients were divided into two groups, low PTH group (PTH below 200), and high Parathyroid hormone (PTH) group (PTH over 800), both of them randomly subdivided into study and control groups.They received intradialytic resistive exercise three times per week for three months. Calcium, Phosphorus, PTH and quality of life were evaluated before and after the exercise period. Results: The results of the present study revealed that, in the high PTH group, PTH and P decreased significantly and Ca increased significantly in the exercise group. In the low PTH group, PTH increased significantly in the control group with non-significant increase in the exercise group, P decreased significantly and Ca non-significantly increased in the exercise group. Also, the high PTH group improved in the quality of life in: Symptom/ problem list, Burden of kidney disease, Cognitive function, Quality of social interaction, Sleep, Patient satisfaction, Fatigue and in all Physical function component, and the low PTH group improved in: Patient satisfaction, Overall Health and Role physical