Research Article

Effect of a Supervised Peridialytic Exercise Program on Serum Asymmetric Dimethylarginine in Maintenance Hemodialysis Patients

Table 2

Comparison of patients with decreasing/stable S. ADMA to patients with increasing S. ADMA.

ParameterDecreasing ADMA (N = 13)Increasing ADMA (N = 31)Statistical test value

Sex (male/female)7/615/16χ20.741
Age (years)48 (36–54)52 (43–59.5)MW0.321
Duration of dialysis (months)59 (38–95)46 (29.5–78.5)MW0.589
Haemoglobin (gm/dL)8.78 ± 0.78.83 ± 0.8Independent t-test0.852
S. urea (mg/dL)93.46 ± 27.6108.74 ± 28Independent t-test0.109
Kt/V1.09 ± 0.11 ± 0.1Independent t-test0.02
S. creatinine (mg/dL)5.9 (4.8–7.7)6.2 (5.3–7.55)MW0.487
S. calcium (mg/dL)8.89 ± 0.99.14 ± 1.1Independent t-test0.452
S. phosphorus (mg/dL)5.82 ± 1.74.97 ± 1.2Independent t-test0.122
Ca × Ph product (mg2/dL2)51.35 ± 15.145.42 ± 12.2Independent t-test0.225
S. CRP (mg/L)7.7 (5–16.1)8.1 (5.1–11.75)MW0.911
S. ADMA (ng/mL) before exercise2750 (2500–7250)2250 (1525–2500)MW0.016
S. ADMA (ng/mL) after exercise2000 (1250–2500)4000 (2750–9500)MW0.000
Physical activity before exercise (low/moderate)8/529/2Fisher exact test0.017
Physical activity before exercise (METs/week)495 (396–594)396 (198–792)MW0.517
Physical activity after exercise (low/moderate)6/717/14χ20.599
Physical activity after exercise (METs. minutes/week)675 (576–774)576 (361.5–972)MW0.509
Intradialytic hypotensive episodes11.31 ± 4.815.45 ± 5.6Independent t-test0.019
Bacterial infections0 (0–1)0 (0–1)MW0.232

Unless stated otherwise, laboratory parameters are compared for the initial values (before the exercise program). S: serum, Ca: calcium, Ph: phosphorus, CRP: C-reactive protein, ADMA: asymmetric dimethylarginine, METs: metabolic equivalents, MW: Mann-Whitney test, χ2: chi-square test, significant (). Continuous data are expressed as mean ± standard deviation (if parametric) or median (interquartile range) (if nonparametric).