Renal Rehabilitation and Its Relationship with Anemia, Nutritional Status, and Activities of Daily Living in Patients Undergoing Maintenance Hemodialysis: A Systematic Review.
Padma Jothi, Ram Prabahar Murugesan, Jagadeswaran Dhakshinamoorthy et al.
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In 30 seconds
This systematic review evaluated the impact of renal rehabilitation on anemia, nutritional status, and daily living activities in adults undergoing maintenance hemodialysis. The review included 42 studies and found that renal rehabilitation was associated with modest improvements in hemoglobin levels and exercise capacity, suggesting its potential as a beneficial multidimensional approach in this population.
Key findings
- Renal rehabilitation led to modest improvements in hemoglobin levels and erythropoiesis-stimulating agent responsiveness.
- Significant enhancements were noted in exercise capacity, muscle strength, and activities of daily living.
- The review included 42 studies published between 2015 and 2025.
Why it matters
Understanding the benefits of renal rehabilitation can help clinicians address the multifaceted challenges faced by patients on maintenance hemodialysis, potentially improving their overall health and quality of life.
What to keep in mind
Heterogeneity among interventions and study designs was noted, indicating a need for standardized, adequately powered long-term trials.