الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
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Abstract
The high prevalence and incidence of CKD and ESRD is a global challenge. The prevalence of CKD (stages 1-5) in the general United States adult population was 14.8% in 2013-2016data while that of ESRD was 2160 per million.
CKD and ESRD patients have many complications that cause decrease physical performance and impair their QOL. In addition to the primary cause of ESRD, other causes include: cardiovascular disease, anemia, malnutrition, neuromuscular complications and CKD-MBD.
The high level of disability and symptom burden in some patients with advanced CKD is not necessarily improved by dialysis. Patients should participate in a rehabilitation program. Rehabilitation of CKD and ESRD patients involves many aspects as psychological, nutritional, and exercise training.
This study included 30 ESRD patients on maintenance HD for more than three months. Patients were divided into two groups: group (A) included 15 patients performed intradialytic aerobic training for 8 weeks three times/ week and group (B) as a control group. All patients were subjected to thorough history taking, complete clinical examination. Patients with age less than eighteen years old, overt ischemic heart disease or cardiac decompensation, severe anemic patients (Hb ≤ 8 g/dl), advanced CKD-MBD, advanced lower limbs joints disease, amputation of lower limb were excluded.
Six minute walk test and KDQOL-SFTM, version 1.3, Arabic version were assessed before the exercise program and then repeated after the exercise program in group (A) and after 8 weeks in group (B).
The study showed improvement of physical performance detected as 8.1% improvement in the distance moved in 6 minute walk test in the exercise group, while in the control group, there was decline in the distance by 0.74% after eight weeks.
The main three domains of KDQOL-SFTM (KDCS, PCS and MCS) showed significant improvement in group (A) after the exercise program by 13.31%, 9.64%, and 7.83% respectively. In group (B), the change in these three domains was 3.37%, -0.08%, and -0.04% respectively