Última actualización 12 de septiembre de 2026
Key finding
The change in TPF of the intervention group was significantly higher than that of the control group.
This study investigated the effects of resistance training on toe pinch force in chronic hemodialysis patients with type 2 diabetes, finding significant improvements in the intervention group.
Quick read
The essential study design details in one scan.
EvidenceScore™
Moderate
Study type
RCTs
Follow-up
Medium-Term (3–12 mo)
Risk of bias
Some Concerns
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Plain-language summary
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Study focus
This study investigated the effects of resistance training on toe pinch force in chronic hemodialysis patients with type 2 diabetes, finding significant improvements in the intervention group.
Improving toe pinch force is crucial for maintaining mobility and preventing falls in patients with diabetes undergoing hemodialysis. Enhanced exercise adherence can lead to better overall health outcomes, making resistance training a valuable addition to rehabilitation programs for this population.
Sample size may limit generalizability. Short duration of the intervention. Potential for unmeasured confounding factors.
Published in
Publication details and source links for this paper.
Hiroaki K, Nobuyuki M, Naoko M, et al. Resistance Training Improves Toe Pinch Force in Chronic Hemodialysis Patients with Type 2 Diabetes. Healthcare. 2023;11(1):137. doi:10.3390/healthcare11010137
Toe pinch force increased by 0.37 kg (p=0.031) in the resistance training group.
The rate of continuation of exercise therapy improved by 50% (p=0.019) in the intervention group.
Toe pinch force in the control group showed no significant change (0 kg, p=0.54).
The control group had a 0% continuation rate change (p=0.019).
Evidence network
Understand where this research contributes within the broader evidence network.
This study contributes evidence to Aerobic exercise, Resistance training and Rate of Continuation of Exercise Therapy, Toe Pinch Force (TPF).
This study contributes evidence to
Primary intervention
Aerobic exercise
Primary outcomes
Evidence topics
Primary intervention
Primary outcomes
Intervention and outcome relationships this study adds to the evidence network.
Editorial context
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Evidence network role
This section describes how the study fits into the current evidence network. It does not determine whether an intervention works on its own.
1
Related topics
4
Evidence pairs
38
Related studies
Evidence topic
Contributes evidence
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Evidencia principal
Tema de evidencia
matched_intervention
Core evidence
The primary outcomes reported in this study.
Aerobic exercise → Rate of Continuation of Exercise Therapy
Aerobic exercise → Rate of Continuation of Exercise Therapy
Aerobic exercise → Toe Pinch Force (TPF)
Aerobic exercise → Toe Pinch Force (TPF)
Resistance training → Rate of Continuation of Exercise Therapy
Resistance training → Rate of Continuation of Exercise Therapy
Resistance training → Toe Pinch Force (TPF)
Resistance training → Toe Pinch Force (TPF)
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Relationships organized using the Dediabetes Evidence Intelligence™ framework.
This study contributes to evidence on Aerobic Exercise and Rate of Continuation of Exercise Therapy, Aerobic Exercise and Toe Pinch Force (TPF).
This study contributes to the evidence on the following intervention-outcome relationships.
Physical Activity
Physical Activity
Curated evidence collections and hubs this study is part of.
All studies on Aerobic Exercise
Contributes to Aerobic Exercise evidence base.
All studies measuring Rate of Continuation of Exercise Therapy
Measures Rate of Continuation of Exercise Therapy as a key outcome.
All studies measuring Toe Pinch Force (TPF)
Measures Toe Pinch Force (TPF) as a key outcome.
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1 results
1 results
1 results
1 results
1 results
Generated from the study's connected evidence using Evidence Intelligence™.
Resistance training appears to improve rate of continuation of exercise therapy.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Rate of Continuation of Exercise Therapy
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
Resistance training appears to improve toe pinch force (TPF).
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Toe Pinch Force (TPF)
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
Current evidence does not show a clear benefit of Aerobic exercise for rate of continuation of exercise therapy.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Rate of Continuation of Exercise Therapy
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
Current evidence does not show a clear benefit of Aerobic exercise for toe pinch force (TPF).
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Toe Pinch Force (TPF)
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
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