{"id":32991,"date":"2022-02-18T08:34:05","date_gmt":"2022-02-18T08:34:05","guid":{"rendered":"https:\/\/lemco-mobility.com\/training-waehrend-der-haemodialyse-fuer-patientinnen-und-patienten\/"},"modified":"2026-09-30T09:19:20","modified_gmt":"2026-09-30T09:19:20","slug":"training-waehrend-der-haemodialyse-fuer-patientinnen-und-patienten","status":"publish","type":"post","link":"https:\/\/lemco-mobility.com\/de\/training-waehrend-der-haemodialyse-fuer-patientinnen-und-patienten\/","title":{"rendered":"Training w\u00e4hrend der H\u00e4modialyse f\u00fcr Patientinnen und Patienten"},"content":{"rendered":"\t\t
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Dialyseforschung.
Strukturiertes Trainingsprogramm w\u00e4hrend der H\u00e4modialyse f\u00fcr Patientinnen und Patienten<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Ein strukturiertes Trainingsprogramm w\u00e4hrend der H\u00e4modialyse f\u00fcr Patientinnen und Patienten mit chronischer Nierenerkrankung: klinischer Nutzen und langfristige Adh\u00e4renz<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Langzeitstudien zum Effekt eines strukturierten k\u00f6rperlichen Trainingsprogramms (SPEP) w\u00e4hrend der H\u00e4modialyse (HD), die die Compliance und den klinischen Nutzen bewerten, sind selten.<\/p>

Zusammenfassend haben wir ein kombiniertes, personalisiertes kardiovaskul\u00e4res und Krafttrainingsprogramm entwickelt und getestet, das in die regul\u00e4re Dialyseversorgung integriert werden kann.<\/p>

Kraft und Ausdauer der Patientinnen und Patienten sowie die Lebensqualit\u00e4t (QoL) verbesserten sich \u00fcber einen Zeitraum von 1 Jahr signifikant, und die Adh\u00e4renz lag nach 5 Jahren \u2013 bereinigt um die erzwungenen Ausf\u00e4lle im Zusammenhang mit Transplantation oder Tod \u2013 bei nahezu 80 %.<\/p>

Nach unserem Kenntnisstand wurde ein SPEP damit erstmals \u00fcber ein halbes Jahrzehnt erfolgreich durchgef\u00fchrt.<\/p>

Ein Training f\u00fcr Dialysepatientinnen und -patienten sollte als zentrale Strategie neben pharmakologischer Therapie und Dialyse betrachtet werden<\/strong>. Es muss \u00e4hnlich titriert werden wie die Dosis eines Medikaments.<\/p>

Damit ein Medikament oder eine Intervention wirksam ist, ist die Adh\u00e4renz der Patientin bzw. des Patienten entscheidend. Dar\u00fcber hinaus muss es f\u00fcr eine breite Anwendung vom Krankenversicherungssystem anerkannt werden. Unser hier beschriebenes SPEP erf\u00fcllt diese vier Kriterien: Jede Patientin und jeder Patient erh\u00e4lt ein individuell angepasstes Trainingsprogramm einschlie\u00dflich Art und Dosierung.<\/p>

Die Adh\u00e4renz wird durch gemeinsames Training und ein anregendes Umfeld in der Dialyseeinheit gesteigert. Nicht zuletzt tr\u00e4gt die Verbesserung der Lebensqualit\u00e4t (QoL) der Patientinnen und Patienten zur Motivation f\u00fcr ein fortgesetztes oder sogar intensiviertes Training bei.<\/p>

Die Unterst\u00fctzung dieses Trainings durch eine deutsche Krankenkasse mit 8 \u20ac pro Patientin\/Patient und Trainingseinheit deckt die direkten Kosten und tr\u00e4gt zudem zur Motivation der Patientinnen und Patienten bei.<\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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Link zum vollst\u00e4ndigen Dokument hier<\/strong><\/span><\/a><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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    23. Heiwe S, Jacobson SH. Exercise training for adults with chronic kidney disease. Cochrane Database Syst Rev 2011;(10):CD003236.<\/p>\n

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    25. Johansen KL, Painter PL, Sakkas GK, et al. Effects of resistanceexercise training and nandrolone decanoate on body compositionand muscle function among patients who receive hemodialysis: arandomized, controlled trial. J Am Soc Nephrol 2006;17:2307\u201314.<\/p>\n

    26. Castaneda C, Gordon PL, Uhlin KL, et al. Resistance training tocounteract the catabolism of a low-protein diet in patients with chronic renal insufficiency. A randomized, controlled trial. Ann Intern Med 2001;135:965\u201376.<\/p>\n

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    28. Miller BW, Cress CL, Johnson ME, et al. Exercise during hemodialysis decreases the use of antihypertensive medications. Am J Kidney Dis 2002;39:828\u201333.<\/p>\n

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    32. Vaithilingam I, Polkinghorne KR, Atkins RC, et al. Time and exercise improve phosphate removal in hemodialysis patients. Am J Kidney Dis 2004;43:85\u20139.<\/p>\n

    33. Kong CH, Tattersall JE, Greenwood RN, et al. The effect of exercise during haemodialysis on solute removal. Nephrol Dial Transplant 1999;14:2927\u201331.<\/p>\n

    34. Williams AD, Fassett RG, Coombes JS. Exercise in CKD: why is it important and how should it be delivered? Am J Kidney Dis 2014;64:329\u201331.<\/p>\n

    35. Capitanini A, Lange S, D\u2019Alessandro C, et al. Dialysis exercise team: the way to sustain exercise programs in hemodialysis patients. Kidney Blood Press Res 2014;39:129\u201333.<\/p>\n

    36. Bennett PN, Breugelmans L, Barnard R, et al. Sustaining a hemodialysis exercise program: a review. Semin Dial 2010;23:62\u201373.<\/p>\n

    37. Goldberg L, Elliot DL, Kuehl KS. Assessment of exercise intensity formulas by use of ventilatory threshold. Chest 1988;94:95\u20138.<\/p>\n

    38. Kono K, Nishida Y, Moriyama Y, et al. Investigation of factors affecting the six-minute walk test results in hemodialysis patients. Ther Apher Dial 2014;18:623\u20137.<\/p>\n

    39. Steffen TM, Mollinger LA. Age- and gender-related test performance in community-dwelling adults. J Neurol Phys Ther 2005;29:181\u20138.<\/p>\n

    40. Segura-Orti E, Martinez-Olmos FJ. Test-retest reliability and minimal detectable change scores for sit-to-stand-to-sit tests, the six-minute walk test, the one-leg heel-rise test, and handgrip strength in people undergoing hemodialysis. Phys Ther 2011;91:1244\u201352.<\/p>\n

    41. Hays RD, Morales LS. The RAND-36 measure of health-related quality of life. Ann Med 2001;33:350\u20137.<\/p>\n

    42. Storer TW, Casaburi R, Sawelson S, et al. Endurance exercise training during haemodialysis improves strength, power, fatigability and physical performance in maintenance haemodialysis patients. Nephrol Dial Transplant 2005;20:1429\u201337.<\/p>\n

    43. Johansen KL. Exercise and chronic kidney disease: current recommendations. Sports Med 2005;35:485\u201399.<\/p>\n

    44. Kouidi E, Grekas D, Deligiannis A, et al. Outcomes of long-term exercise training in dialysis patients: comparison of two training programs. Clin Nephrol 2004;61(Suppl 1):S31\u20138.<\/p>\n

    45. Painter P, Carlson L, Carey S, et al. Low-functioning hemodialysis patients improve with exercise training. Am J Kidney Dis 2000;36:600\u20138. doi:10.1053\/ajkd.2000.16200<\/p>\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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    \n\t\t\t\n\t\t\t\t\t\t\t\n\t\t\t\t\u00c4hnliche Fallbeispiele\t\t\t\t<\/span>\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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    \n\t\t\t\t\tDialyse<\/span><\/span>\t\t\t\t<\/div>\n\t\t\t\t\t
    \n\n\t\t\n\t\t\t\t\t\t\n\t\t\t\tDialyse \u2013 Jack f\u00e4hrt pro Dialysesitzung 30 km\t\t\t<\/a>\n\n\t\t\t\t<\/h5>\n\t\t\n\t\t
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    Bewegung w\u00e4hrend der Dialyse reduziert Blutdruckabf\u00e4lle<\/p>\n\t\t<\/div>\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\n\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\tMehr lesen \u2192<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t<\/a>\n\t\t\t\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\n\t<\/div>\n\n<\/div>\n\n\t\t\t\t\t\t

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    \n\t\t\t\t\tDialyse<\/span><\/span>\t\t\t\t<\/div>\n\t\t\t\t\t
    \n\n\t\t\n\t\t\t\t\t\t\n\t\t\t\tDialyse \u2013 Training im Bett w\u00e4hrend der Dialyse\t\t\t<\/a>\n\n\t\t\t\t<\/h5>\n\t\t\t\t\t
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    \n\t\t\tESRD (terminales Nierenversagen): Training f\u00fcr eine bessere Lebensqualit\u00e4t bei Dialysepatienten. \t\t<\/div>\n\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\n\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\tMehr lesen \u2192<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t<\/a>\n\t\t\t\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\n\t<\/div>\n\n<\/div>\n\n\n
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    \n\t\t\t\t\tDialyse<\/span><\/span>\t\t\t\t<\/div>\n\t\t\t\t\t
    \n\n\t\t\n\t\t\t\t\t\t\n\t\t\t\tBedBike verleiht Dialysepatienten Energie und eine gesteigerte Lebensqualit\u00e4t\t\t\t<\/a>\n\n\t\t\t\t<\/h5>\n\t\t\t\t\t
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    \n\t\t\tBei der Nutzung des BedBike von Lemco Mobility erleben Dialysepatienten weniger Kr\u00e4mpfe und haben mehr Energie. Auch das Personal der Dialysestation in Randers kann das ...\t\t<\/div>\n\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\n\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\tMehr lesen \u2192<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t<\/a>\n\t\t\t\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\n\t<\/div>\n\n<\/div>\n\n\n
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    \n\t\t\t\t\tDialyse<\/span><\/span>\t\t\t\t<\/div>\n\t\t\t\t\t
    \n\n\t\t\n\t\t\t\t\t\t\n\t\t\t\tDialyse-Trainingsger\u00e4t f\u00fcr Dialysest\u00fchle\t\t\t<\/a>\n\n\t\t\t\t<\/h5>\n\t\t\t\t\t
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    \n\t\t\tBedBike \u2013 Perfekt f\u00fcr die Dialyse Dialysezentrum \u2013 Region S\u00fcd (D\u00e4nemark) Die ersten beiden BedBike-Trainingsger\u00e4te wurden 2020 angeschafft. Das Krankenhaus ...\t\t<\/div>\n\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\n\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\tMehr lesen \u2192<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t<\/a>\n\t\t\t\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\n\t<\/div>\n\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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