Physical exercise and hemodialysis – reality in Portugal

Casado, Sónia Alexandra Claro; Felgueiras, Sónia; Fermento, Cristiana; Mendes, Eugénia; Preto, Leonel; Azevedo, Pedro; Vila-Chã, Carolina; Novo, André

Publication

Physical exercise and hemodialysis – reality in Portugal

2025Conference object

datacite.subject.fos	Ciências Médicas
datacite.subject.sdg	03:Saúde de Qualidade
datacite.subject.sdg	04:Educação de Qualidade
dc.contributor.author	Casado, Sónia Alexandra Claro
dc.contributor.author	Felgueiras, Sónia
dc.contributor.author	Fermento, Cristiana
dc.contributor.author	Mendes, Eugénia
dc.contributor.author	Preto, Leonel
dc.contributor.author	Azevedo, Pedro
dc.contributor.author	Vila-Chã, Carolina
dc.contributor.author	Novo, André
dc.date.accessioned	2026-01-05T14:18:07Z
dc.date.available	2026-01-05T14:18:07Z
dc.date.issued	2025
dc.description.abstract	Background Patients with chronic kidney disease often experience fatigue and a low capacity to perform activities of daily living due to the burden of symptoms, leading to a decrease in quality of life (1). Physical exercise is recommended and safe for hemodialysis patients, in different types of training (aerobic, resistance, or combined) (2,3), with individualized prescription and supervised by health professionals (4). Objectives To gather and characterize the existing scientific evidence in Portugal on the benefits of physical exercise in hemodialysis patients. Methods An integrative review was carried out, with a search in February 2025, in the Portuguese Open Access Scientific Repository, which included studies on physical exercise in hemodialysis patients. Summary information was extracted from each study for critical analysis and presentation of the evidence found. Results We analyzed 15 studies published between 2009 and 2022, including 1 case study, 1 multi-case study, and the rest with an intervention group and a control group. The sample size ranged from 1 patient for the case study to 59 for the studies with two groups. Aerobic training was carried out in 11 studies, resistance training in 2, and combined training in the remaining 2. Training was carried out intradialytically in 7 studies, interdialytically in another 7, and mixed in 2. In 14 studies there were improvements in functional/aerobic capacity, 8 improvements in quality of life and 1 reported a reduction in treatment costs. Conclusion/Application to practice This review included studies demonstrating the effectiveness of exercise programs in hemodialysis patients, whether through aerobic, resistance, or mixed training, regardless of the training time. Its effectiveness has been demonstrated in variables such as functional capacity and quality of life. Despite being widely recommended, physical exercise is still not a consolidated reality in this population in Portugal.	eng
dc.identifier.citation	Casado, Sónia Alexandra Claro; Felgueira, Sónia; Fermento, Cristiana; Mendes, Eugènia; Preto, Leonel; Azevedo, Pedro; Vila-Chã; Carolina; Novo, André (2025). Physical exercise and hemodialysis – reality in Portugal. In 53rd EDTNA/ERCA International Conference 2025.Porto
dc.identifier.uri	http://hdl.handle.net/10198/35313
dc.language.iso	eng
dc.peerreviewed	yes
dc.publisher	Associação Europeia de Enfermeiros de Diálise e Transplante/Associação Europeia de Cuidados Renais (EDTNA/ERCA)
dc.rights.uri	http://creativecommons.org/licenses/by/4.0/
dc.subject	Physical exercise
dc.title	Physical exercise and hemodialysis – reality in Portugal	por
dc.type	conference object
dspace.entity.type	Publication
oaire.citation.conferencePlace	Porto
oaire.citation.title	53rd EDTNA/ERCA International Conference
oaire.version	http://purl.org/coar/version/c_970fb48d4fbd8a85
person.familyName	Mendes
person.familyName	Preto
person.familyName	Novo
person.givenName	Eugénia
person.givenName	Leonel
person.givenName	André
person.identifier	https://scholar.google.com.br/citations?user=YMih_6QAAAAJ&hl=pt-PT&oi=ao
person.identifier	H-1386-2012
person.identifier.ciencia-id	7114-2BCC-DE82
person.identifier.ciencia-id	451C-C9C6-C5D6
person.identifier.ciencia-id	7D14-8584-AB2B
person.identifier.orcid	0000-0001-6528-4284
person.identifier.orcid	0000-0002-8126-7051
person.identifier.orcid	0000-0001-8583-0406
person.identifier.rid	M-7528-2016
person.identifier.scopus-author-id	56465467200
person.identifier.scopus-author-id	56465995600
person.identifier.scopus-author-id	612710
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