OBJECTIVE: This study aimed to evaluate the effect of different exercises for improving fatigue in maintenance hemodialysis patients. DESIGN: PubMed, Embase, Web of Science, Cochrane, PEDro, CNKI, VIP, Wanfang data, CBM, and CINAHL were conducted from the establishment of the database to July 2023. We independently screened the literature, evaluated the quality, analyzed the data using Stata 15.0, and performed subgroup analysis on intervention time and exercise intervention adherence. RESULTS: Twenty-three studieswere analyzed, with 1867 patients and nine interventions. Based on the surface under cumulative ranking curves and pairwise comparisons effects, overall long-term, short-term, and exercise intervention adherence > 90% effects have all presented that during dialysis aerobic-resistance combined exercisewas ranked as the most effective compared with routine care (surface under cumulative ranking curves 83.9%, standardized mean difference -1.45, 95% CI -2.23 to -0.67; surface under cumulative ranking curves 85.9%, standardized mean difference -1.38, 95% CI -2.24 to -0.52; surface under cumulative ranking curves 86.6%, standardizedmean difference -1.54, 95% CI -2.58 to -0.49; surface under cumulative ranking curves 83.6%, standardized mean difference -1.45, 95% CI -2.25 to -0.66, respectively), followed by interdialytic period muscle relaxation exercise, interdialytic period aerobic-resistance combined exercise, interdialytic period aerobic exercise, and interdialytic period Baduanjin. CONCLUSIONS: Dialysis aerobic-resistance combined exercise may be considered in practice when resources allow. However, high-quality, multicenter, and large-sample randomized control trials must further verify this conclusion.

Full text (sometimes free) may be available at these link(s):      help

• DOI
• PubMed
• PDF locator
• publisher