Abstract: PUB693
Upper Extremity Weight Lifting by Hemodialysis Patients with Mature Upper Extremity Arteriovenous Fistulas: Safety Considerations and the State of the Science
Session Information
Category: Patient Safety
- 1501 Patient Safety
Author
- Bates, Randi, Dennison Renal Care, Inc., Columbus, Ohio, United States
Background
Exercise, including resistance training and weight lifting, has been demonstrated to provide hemodialysis patients with mature arteriovenous fistulas (AVFs) with numerous health-related benefits. However, it is not known how much weight these patients can safely lift with their upper extremities while simultaneously having a mature upper extremity AVF. To better understand this patient safety concern and state of the science, I conducted a comprehensive review of published, empirical research.
Methods
I comprehensively searched Cochrane Central Register of Controlled Trials, Embase, and MEDLINE using the following search phrase “(arteriovenous AND fistula) AND exercise AND dialysis.” I also searched the bibliography of relevant articles. I then scanned articles' title, abstract, and/or full-text for relevance.
Results
A total of three empirical studies resulted from the search, but two studies described the same results from the same population. Thus, two empirical studies with a total of 71 patients were identified for this review. One study was a randomized control trial and reported no serious adverse events, but did not report how much weight the dialysis patients lifted. The other study was a non-randomized controlled crossover trial, but did not discern exactly how many patients had an AVF. This study found that patients lifted up to 8.8 +/- 4.5kg (mean +/- SD) on the chest press and up to 6.7 +/- 1.1kg on the biceps curl with three sets of 12-15 repetitions each, three times per week (up to 26 weeks) without experiencing any serious adverse events.
Conclusion
A lack of well-defined randomized controlled trials limit the ability to conclude how much weight a hemodialysis patient with a mature upper extreimity AVF can safely lift with their upper extremities. Further trials are needed to better investigate this patient safety concern.
Funding
- Commercial Support – Dennison Renal Care, Inc.