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Impact of intradialytic exercise intensity on urea clearance in hemodialysis patients
Brown PDS, Rowed K, Shearer J, MacRae JM, Parker K
Physiologie Appliquee Nutrition et Metabolisme [Applied Physiology, Nutrition, & Metabolism] 2018 Jan;43(1):101-104
clinical trial
4/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

Intradialytic exercise (IDE) has been shown to benefit dialysis efficacy; however, the effect of IDE intensity is unknown. Dialyzer urea clearance (K urea, mL/min) was significantly greater during both IDE protocols (55% and 70% maximal heart rate, HRmax), compared with no IDE (p < 0.05). No significant difference in K urea was found between IDE protocols (55% versus 70% HRmax) (p > 0.05). Results show that higher intensity IDE has no additional benefit on K urea.

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