Table 4

Summary of the effect of exercise on muscle endurance in patients with CKD

StudyDesignStage of CKDk (n)*Exercise typeModeOutcomeSMD or MD (95% CI)Effect sizeP valueI2GRADE
Lu et al36RCTDialysis3 (193)MixedMixedSTS 10MD: −4.69 (−9.01 to 0.38)0.02872.2%⨁◯◯◯
Bogataj et al25RCTHD5 (461)MixedSTS 10SMD: −0.55 (−1.00 to 0.09)Moderate0.01971.6%⨁◯◯◯
Lu et al36RCTDialysis6 (240)MixedMixedSTS 30SMD: 0.43 (0.17 to 0.69)Small0.0012.0%⨁⨁◯◯
Zhang et al51RCTHD5 (164)RTIntradialyticSTS 30SMD: 0.42 (0.11,0.74)Small0.0080.0%⨁◯◯◯
Sheng et al43RCTHD3 (106)MixedIntradialyticSTS 60SMD: 0.71 (0.31,1.12)Moderate<0.0010.0%⨁◯◯◯
Pei et al40RCT/Quasi-RCTMixed5 (445)AESTS 60MD: 2.08 (1.1,3.05)0.9882.0%⨁◯◯◯
Nakamura et al38RCT/Cross-overPredialysis3 (170)MixedTUGTSMD: −0.42 (−0.73 to 0.11)Small0.0070.0%⨁◯◯◯
Heiwe et al33RCT/Quasi-RCTMixed7 (191)MixedWalking capacitySMD: −0.48 (−0.79 to 0.17)Small0.0032.0%⨁◯◯◯
Heiwe and Jacobson10RCTHD7 (174)MixedMixedWalking capacitySMD: −0.33 (-0.67,0.01)Small0.0616.0%⨁⨁⨁◯
  • Mixed means aerobic exercise combined with resistance training.

  • *Number of included studies and corresponding sample size.

  • AE, aerobic exercise; CKD, chronic kidney disease; GRADE, Grading of Recommendations Assessment, Development and Evaluation; HD, haemodialysis; MD, mean difference; RCT, randomised controlled trial; RT, resistance training; SMD, standardised mean difference; STS 10, sit-to-stand 10 test; STS 30, sit-to-stand 30 test; STS 60, sit-to-stand 60 test; TUGT, timed up and go test.