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Abstract

Abstract
Aim: Insomnia and systemic inflammation are common in end-stage of renal disorder. The purpose of this study was to determine whether a resistance training program during haemodialysis could improve sleep quality and systemic inflammation in haemodialysis patients.
Method: This study is a cross- sectional study which was performed within a haemodialisis unit of Ghiasi Hospital. Fifteen haemodialysis patients (age= 52.2±9.4 yr, body mass index= 23.4±2.39 kg/m2) participated in this study. The patients were randomly assigned to resistance training (n=8) and control (n=7) groups. The training group participated in 8-week resistance training during dialysis (three times/ week, 60 min/ session). The intensity of the exercise program is condition level 12-16 according to the rate of perceived exertion (RPE) (moderate intensity). Sleep quality [the pittsburgh sleep quality index (PSQI)], C-reactive protein (systemic inflammatory index), and muscular fitness were measured prior to and after the intervention.
Results: Resistance training during dialysis improved the sleep quality index and muscular fitness in haemodialysis patients (p<0.05). Concurrently, C- reactive protein concentration were significantly decreased in response to resistance training (p<0.05).
Conclusion: 8 weeks of resistance training during dialysis caused an improvement in sleep quality and muscular fitness in haemodialysis patients, and this improvement was associated with decreased C- reactive protein levels.
Key words: Haemodialysis, Resistance training, Sleep quality, Chronic inflammation

Keywords