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RECRUITING Not applicable ClinicalTrials.gov

Physical Exercise in Patients With Chronic Kidney Disease in Hemodialysis (Pehedal-ESKD)

Sponsor: Ricerca Nefrocenter • ClinicalTrials.gov ID: NCT07820514

Registry updated: 2026-09-15
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Description

The goal of this clinical trial is to learn whether different types of exercise performed during hemodialysis are safe, well tolerated, and beneficial for adults receiving maintenance hemodialysis. The main questions it aims to answer are: * Are aerobic exercise using a cycle ergometer and resistance exercise using elastic bands well tolerated during hemodialysis? * Do these exercise programs improve physical function, body composition, quality of life, and dialysis-related outcomes compared with standard care? Researchers will compare aerobic exercise, resistance exercise, and standard hemodialysis care to evaluate differences in tolerance and health outcomes. Participants will: * Be assigned to one of three groups: cycle ergometer exercise, elastic-band resistance exercise, or standard care. * Attend hemodialysis sessions as scheduled. * Complete physical performance and body composition assessments at baseline and after 6 months. * Complete questionnaires about health and quality of life. The results of this study may help identify effective exercise strategies to improve health and well-being in people receiving long-term hemodialysis treatment.

Interventions

  • Intradialytic aerobic exercise using a cycle ergometer (Behavioral)
    Participants performed supervised intradialytic aerobic exercise using a cycle ergometer during the first 2 hours of hemodialysis sessions. Exercise was conducted three times weekly for a total of 150 minutes per week at moderate intensity (Borg Rating of Perceived Exertion 12-13). Sessions were supervised by exercise professionals and monitored by dialysis nurses to ensure safety and adherence.
  • Intradialytic elastic-band resistance exercise (Behavioral)
    Participants performed supervised intradialytic resistance exercise using progressive color-coded elastic bands during the first 2 hours of hemodialysis sessions. Training was conducted three times weekly for a total of 150 minutes per week at moderate intensity and targeted both upper and lower limbs. Resistance levels were progressively adjusted according to individual tolerance and proper exercise execution.

Eligibility criteria

Inclusion Criteria: * Age ≥18 years. * Receiving maintenance hemodialysis for more than 3 months. * Clinically stable condition. * Ability and willingness to provide written informed consent. Exclusion Criteria: * Unstable angina. * Uncontrolled hypertension. * Any medical condition judged by the treating nephrologist to contraindicate or make intradialytic exercise unsafe

Conditions

Chronic Kidney Disease on Hemodialysis Physical Exercise Behavior (Liking/Aversion)

Locations

  • NefroCenter Dialysis Centers — Torre del Greco, Italy
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Official Source

Data sourced from ClinicalTrials.gov, a service of the U.S. National Institutes of Health.

View Official Record