Evaluation of an exercise program delivered prior to hemodialysis

Although it is broadly accepted that exercise offsets poor health outcomes experienced by hemodialysis patients, incorporating exercise into patients’ lives remains a challenge. This study aimed to (1) determine the effects of a pragmatically-designed exercise program on physical performance, mental health, and quality of life of hemodialysis patients, and (2) explore patient and staff experiences with the exercise program at five dialysis units. Intervention participants were offered a thrice-weekly, 12-week exercise program at the unit prior to hemodialysis. Health-related quality of life (EQ-5D-5L Index Value) improved significantly for the exercise participants compared to control. Physical performance (Short Physical Performance Battery) and mental health (Center for Epidemiological Studies Depression Scale-Revised) did not change significantly. The majority of participants and staff reported positive feedback and benefits from the exercise program. In conclusion, a pragmatically-designed exercise program delivered before hemodialysis improved patients' quality of life and was well-received by patients and staff.