Physical activity promotion for patients transitioning to dialysis using the 'Exercise is Medicine' framework: a multi-center randomized pragmatic trial (EIM-CKD trial) protocol
التفاصيل البيبلوغرافية
العنوان:
Physical activity promotion for patients transitioning to dialysis using the 'Exercise is Medicine' framework: a multi-center randomized pragmatic trial (EIM-CKD trial) protocol
Abstract Background Patients on dialysis are physically inactive, with most reporting activity levels below the fifth percentile of healthy age-matched groups. Several small studies have reported efficacy of diverse exercise interventions among persons with CKD and those on dialysis. However, no single intervention has been widely adopted in real-world practice, despite a clear need in this vulnerable population with high rates of mortality, frailty, and skilled nursing hospitalizations. Methods/design We describe a pragmatic clinical trial for an exercise intervention among patients transitioning to dialysis. We will use an existing framework – Exercise is Medicine (EIM) – developed by the American College of Sports Medicine. After undertaking formative qualitative research to tailor the EIM framework to the advanced CKD population (eGFR
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