Effect of High-intensity Interval Training on Functional Capacity in Anemic Patients with Splenomegaly | ||||
| NILES journal for Geriatric and Gerontology | ||||
| Article 4, Volume 8, Issue 1, January 2025, Page 47-58 PDF (338.02 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/niles.2024.371047 | ||||
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| Authors | ||||
| Arsanious Milad Fahmy Shenouda1; Azza Abd El Aziz Abd El Hady2; Neemat Mohamed Aly Kassem3; Ramy Salama Atia Draz2 | ||||
| 1Department of Physical Therapy, Family Medicine Center in Manil Shiha, Abu Nomros Medical Administration, Giza Health Directorate, Giza, Egypt, | ||||
| 2Department of Physical Therapy for Cardiovascular/Respiratory Disorder and Geriatrics, Faculty of Physical Therapy, Cairo University, Giza, Egypt | ||||
| 3Department of Clinical Pathology, Faculty of Medicine, Cairo University, Giza, Egypt | ||||
| Abstract | ||||
| Background: Anemia in patients with splenomegaly reduces functional ability/capacity and impairs activities of daily living (ADL), which lowers the patient's quality of life and raises their mortality risks. Aim of study: Assessing the impact of high-intensity interval training (HIIT) on functional ability/capacity in splenomegaly anemic patients. Setting: Hematology Unit, Department of Internal Medicine, Cairo University Hospitals (Al-Kasr Al Aini). Design: This randomized controlled HIIT trial was conducted on 50 anemic men with splenomegaly. Subjects: Fifty men suffering from splenomegaly-induced anemia, with ages ranging from 30 to 45 years old, were included. Patients were randomly and equally assigned into 2 groups: a control group and a study group, n = 25 patients for each group. The control group received their medications for 14 weeks in addition to a well-balanced diet, while the study group received the same treatment protocol as the control group in addition to HIIT on a bicycle ergometer three times per week with a total duration of 30-40 minutes per session. Tools: Before and after 14 weeks, a six-minute walk test (6MWT; as a measure for patients' functional capacity), red blood cells (RBCs), hemoglobin (Hb), and Katz Index of Independence in ADL were assessed. Results: Within-group comparison of outcomes showed a significant improvement in the RBCs, Hb, 6MWT, and Katz Index of Independence in both groups but the improvements within the study group were higher than the control group. Between-group comparison of post-values of outcomes showed a significant improvement in the assessed outcomes in the direction of the study group. Conclusion: It could be concluded from this trial that HIIT safely improves functional capacity, RBCS, Hb, and performance of ADL in anemic patients with splenomegaly. Recommendations: It is recommended to incorporate HIIT on a bicycle ergometer three times weekly for 30-40 minutes per session in the treatment protocol for anemic patients with splenomegaly. | ||||
| Keywords | ||||
| High-intensity interval training; Functional capacity; Hemoglobin; Anemia; Splenomegaly | ||||
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