الفهرس 
Effect of intradialytic aerobic exercise on patients with diabetic nephropathy
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Abstract
Background : The most common diabetic micro vascular complications is diabetic nephropathy. It is considered a serious complication of diabetes because of its detrimental effects on numerous systems on the body. Exercise could ameliorate or prevent complications such as chronic kidney disease. Exercise session for renal patients can be taken either intradialytic or interdialytic. Intradialytic type of exercise has fewer dropout rate and improves removal of toxins during dialysis session. Aim of this study: was to investigate the effect of intradialytic aerobic exercise on renal function tests in patients with kidney disease secondary to diabetic nephropathy. Methodology: Thirty patients of both genders (19 males, 11 females) under renal haemodialysis, age ranged between 40 to 60 years, from the renal rehabilitation unit of Edfou General Hospital were assigned randomly into two equal in number groups. group A (study group) received a program of moderate intensity intradialytic aerobic exercise (12-13 RPE) on a pedal ergometer,group B (control group) did not receive any exercise program during dialysis. The treatment program continued for 8 weeks (3 sessions of exercise per week). Laboratory investigations for serum calcium, serum creatinine, urine creatinine, urine albumin and estimated GFR were measured at the beginning and after the end of program for all patients of the two groups. Results revealed a significant increase in serum calcium, significant decrease in serum creatinine and significant decrease in urine creatinine in group (A).There were no significant change in urine albumin and estimated GFR between the two groups. Conclusion: Moderate intensity intradialytic aerobic exercise (12-13 RPE) was beneficial in modulating serum calcium, serum creatinine and urine creatinine in diabetic nephropathy patients