Effectiveness of Intradialytic Resistance Training on Muscle Mass and Strength in Patients on Hemodialysis
Dublin Core
Title
Effectiveness of Intradialytic Resistance Training on Muscle Mass and Strength in Patients on Hemodialysis
Subject
intradialytic resistance training, muscle mass, muscle strength, protein energy wasting
Description
Hemodialysis (HD) patients with chronic kidney disease (CKD) lose muscle mass and strength due to protein energy
wasting (PEW). The purpose of this study was to test the effectiveness of intradialytic resistance training (IRT) in
increasing muscle mass and strength. It used a pre-experimental, one-group pretest-posttest design. Based on a sample
size estimate using G*power software, 33 CKD patients undergoing HD at a private hospital in Bali were included. The
patients were selected using purposive sampling. Muscle mass was measured using Bioelectrical Impedance Analysis
(BIA), while muscle strength was measured using the Medical Research Council Muscle Scale. The Wilcoxon test
evaluated IRT's efficacy on muscle strength, while the dependent samples t-test evaluated its impact on muscle mass. The
results of this study found that IRT had no effect on muscle mass, with a mean difference of -0.330 (p = 0.274). On the
contrary, IRT significantly improved muscle strength (p = 0.018). In conclusion, IRT proved beneficial for strengthening
muscle but not for gaining muscle mass. Therefore, to improve muscle strength, patients with CKD undergoing HD are
advised to actively perform IRT under supervision for a minimum of 30 minutes per day
wasting (PEW). The purpose of this study was to test the effectiveness of intradialytic resistance training (IRT) in
increasing muscle mass and strength. It used a pre-experimental, one-group pretest-posttest design. Based on a sample
size estimate using G*power software, 33 CKD patients undergoing HD at a private hospital in Bali were included. The
patients were selected using purposive sampling. Muscle mass was measured using Bioelectrical Impedance Analysis
(BIA), while muscle strength was measured using the Medical Research Council Muscle Scale. The Wilcoxon test
evaluated IRT's efficacy on muscle strength, while the dependent samples t-test evaluated its impact on muscle mass. The
results of this study found that IRT had no effect on muscle mass, with a mean difference of -0.330 (p = 0.274). On the
contrary, IRT significantly improved muscle strength (p = 0.018). In conclusion, IRT proved beneficial for strengthening
muscle but not for gaining muscle mass. Therefore, to improve muscle strength, patients with CKD undergoing HD are
advised to actively perform IRT under supervision for a minimum of 30 minutes per day
Creator
Sandra Vasquien, I Ketut Swarjana, A.A.A. Yuliati Darmini, I Nyoman Arya Maha Putra
Source
DOI: 10.7454/jki.v28i3.1320
Publisher
Universitas Indonesia
Date
2025
Contributor
Sri Wahyuni
Rights
pISSN 1410-4490; eISSN 2354-9203
Format
PDF
Language
English
Type
Text
Files
Collection
Citation
Sandra Vasquien, I Ketut Swarjana, A.A.A. Yuliati Darmini, I Nyoman Arya Maha Putra, “Effectiveness of Intradialytic Resistance Training on Muscle Mass and Strength in Patients on Hemodialysis,” Repository Horizon University Indonesia, accessed February 21, 2026, https://repository.horizon.ac.id/items/show/10988.