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Sustained exercise programs for hemodialysis patients: The characteristics of successful approaches in Portugal, Canada, Mexico, and Germany

2019Journal article Open access
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dc.contributor.authorViana, João L.
dc.contributor.authorMartins, Pedro
dc.contributor.authorParker, Kristen
dc.contributor.authorMadero, Magdalena
dc.contributor.authorPérez Grovas, Héctor
dc.contributor.authorAnding, Kirsten
dc.contributor.authorDegenhardt, Stefan
dc.contributor.authorGabrys, Iwona
dc.contributor.authorRaugust, Shauna
dc.contributor.authorWest, Christina
dc.contributor.authorCowan, Theresa E.
dc.contributor.authorWilund, Kenneth R.
dc.date.accessioned2021-04-28T14:09:01Z
dc.date.available2021-04-28T14:09:01Z
dc.date.issued2019
dc.description.abstractDespite having good intentions, hemodialysis (HD) clinics often fail to sustain exercise programs that they initiate. There are many reasons for this, including a lack of funding, inadequate training of the clinic staff, a lack of exercise professionals to manage the program or train the staff, and the many challenges inherent to exercising a patient population with multiple comorbid diseases. Despite these barriers, there are several outstanding examples of successful exercise programs in HD clinics throughout the world. The aim of this manuscript is to review the characteristics of four successfully sustained HD exercise programs in Portugal, Canada, Mexico, and Germany. We describe the unique approaches they have used to fund and manage their programs, the varied exercise prescriptions they incorporate, the unique challenges they face, and discuss the benefits they have seen. While the programs differ in many regards, a consistent theme is that they each have substantial and committed support from the entire clinic staff, including the nephrologists, administration, nurses, dietitians, and technicians. This suggests that exercise programs in HD clinics can be successfully implemented and sustained provided significant effort is made to foster a culture of physical activity throughout the clinic.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.doi10.1111/sdi.12814pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.24/1760
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.subjectAgedpt_PT
dc.subjectCanadapt_PT
dc.subjectExercise Therapypt_PT
dc.subjectFemalept_PT
dc.subjectGermanypt_PT
dc.subjectHumanspt_PT
dc.subjectInternationalitypt_PT
dc.subjectKidney Failure, Chronicpt_PT
dc.subjectMalept_PT
dc.subjectMexicopt_PT
dc.subjectMiddle Agedpt_PT
dc.subjectMuscle Weaknesspt_PT
dc.subjectMuscular Diseasespt_PT
dc.subjectPortugalpt_PT
dc.subjectProgram Developmentpt_PT
dc.subjectProgram Evaluationpt_PT
dc.subjectRenal Dialysispt_PT
dc.subjectTreatment Outcomept_PT
dc.subjectQuality of Lifept_PT
dc.titleSustained exercise programs for hemodialysis patients: The characteristics of successful approaches in Portugal, Canada, Mexico, and Germanypt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage330pt_PT
oaire.citation.issue4pt_PT
oaire.citation.startPage320pt_PT
oaire.citation.titleSeminars in Dialysispt_PT
oaire.citation.volume32pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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