With structured training during dialysis:
Take advantage of our free consultation and test the solution in practice.
“Exercise is the key medication for dialysis patients. Regular physical activity can reduce physical inactivity and social isolation, thereby decreasing anxiety, depression, and physical weakness.”
Dr. med. Kirsten Anding-Rost
Medical Director of KfH Curatorium for Dialysis and Kidney Transplantation e.V.
Internist with a focus on Nephrology, Hypertension Specialist DHL ®
Vice President of the German Society for Rehabilitation Sports for Chronically Kidney Diseased e.V.
“Dialysis Training Therapy (DiaTT) aims to break this downward spiral, enhance patients’ quality of life, and provide them with a hopeful future.”
Dr. med. Kirsten Anding-Rost
Medical Director of KfH Curatorium for Dialysis and Kidney Transplantation e.V.
Internist with a focus on Nephrology, Hypertension Specialist DHL ®
Vice President of the German Society for Rehabilitation Sports for Chronically Kidney Diseased e.V.
In a real dialysis setting with a wide age range and a representative variety of underlying renal insufficiencies and comorbidities, combined intradialytic endurance and resistance training can be safely performed. The training method has the potential to significantly improve physical function and quality of life while reducing the number of days spent in hospital.
The THERA-Trainer bemo is the safe and effective training solution for dialysis training therapy. With adjustable resistance levels and various training programs, strength, endurance and flexibility can be trained effectively during dialysis.
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Integrate the THERA-Trainer bemo into your dialysis center and invest in the future of patient care – for holistic and effective training directly at the bedside.
Take advantage of the THERA-Trainer bemo and offer your dialysis patients an optimal opportunity to promote their health and actively do something for their bodies.
Take advantage of our free consultation and test the solution in practice.
Dialysis training therapy can improve the health of chronic kidney patients with comparatively little effort. At the same time as reducing costs for the healthcare system and increasing the profitability of the dialysis center.
Healthier patients mean fewer sick days and therefore a consistently higher utilization rate. Even a 1% reduction in the hospitalization rate through exercise during dialysis can lead to an increase in the profitability of the dialysis center.
DiaTT study proves:
Kidney patients benefit from sport during dialysis
The DiaTT study shows that in a real dialysis setting with a broad age range and a representative variety of chronic kidney diseases and comorbidities, structured endurance and resistance training significantly improves physical function and quality of life, and reduces the median annual length of stay in hospital from 5 to 2 days.
Authors: Kirsten Anding-Rost, M.D., Gero von Gersdorff, M.D., Pia von Korn, Ph.D., Gabriele Ihorst, Ph.D., Anika Josef, Ph.D., Margit Kaufmann, Ph.D., Maria Huber, Ph.D., Thomas Bär, M.Sc., Sven Zeißler, Ph.D., Stefan Höfling, M.A., Cornelia Breuer, Ph.D., Nadine Gärtner, B.Sc., Mark J. Haykowsky, Ph.D., Stefan Degenhardt, M.D., Christoph Wanner, M.D., and Martin Halle, M.D.
Published June 17, 2023 | NEJM Evid 2023;2(9) | DOI: 10.1056/EVIDoa2300057
BACKGROUND: Patients with kidney failure undergoing hemodialysis experience physical deconditioning and multimorbidity. Exercise interventions may mitigate this outcome, but their clinical role is unclear.
METHODS: This multicenter, cluster randomized controlled trial evaluated combined endurance and resistance exercise training during hemodialysis versus usual care in chronic kidney failure. It assessed physical functioning, quality of life, hospitalizations, and overall survival. The primary outcome was the change in the 60-second sit-to-stand test (STS60) between baseline and 12 months.
RESULTS: A total of 1211 patients underwent randomization, 917 (65.9±14.4 years; 38.9% female) of whom were included in the full analysis (exercise intervention, n=446; usual care, n=471). At 12 months, the STS60 repetitions improved from 16.2±7.6 to 19.2±9.1 in the exercise group but declined from 16.2±7.1 to 14.7±7.9 in the usual care group (group difference, 3.85 repetitions; 95% confidence interval [CI], 2.22 to 5.48; P<0.0001). The timed up-and-go test (−1.1 seconds; 95% CI, −1.9 to −0.3) and the 6-minute walk test (37.5 m; 95% CI, 14.7 to 60.4) also differed in the exercise group versus usual care group. The physical summary score and vitality subscale of the quality of life questionnaire (i.e., the 36-item Short Form Health Survey) differed in the exercise group versus usual care group, but the other subscales did not change. Adverse events during dialysis sessions were similar in both groups. Median days spent in the hospital annually were 2 in the exercise group and 5 in the usual care group. Mortality and dialysis-specific adverse events were not affected.
CONCLUSIONS: Twelve months of intradialytic exercise in patients with kidney failure significantly improved the STS60 compared with usual care.
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The subjective benefit for chronic kidney patients who completed assistive ergometer training with the THERA-Trainer bemo during dialysis was demonstrated by patient surveys.
