{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T17:21:34Z","timestamp":1783012894402,"version":"3.54.6"},"reference-count":32,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,4,5]],"date-time":"2026-04-05T00:00:00Z","timestamp":1775347200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,4,5]],"date-time":"2026-04-05T00:00:00Z","timestamp":1775347200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Ther Apher Dial"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Nordic walking (NW) is a four\u2010point walking style that may improve exercise tolerance in chronic diseases, but its effects in peritoneal dialysis (PD) patients remain unclear.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>PD patients with sarcopenia and\/or musculoskeletal pain were randomly assigned to NW or usual care. The intervention consisted of NW for 20\u201330\u2009min\/day, at least three times per week for 12\u2009weeks. The primary endpoint was the change in 6\u2010min walking distance (6MWD).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Twenty\u2010four patients were enrolled (13 in the intervention group, 11 in the usual care group; age 74.0\u2009\u00b1\u20096.8\u2009years; 6MWD 391.0\u2009\u00b1\u200958.1\u2009m). Instructional compliance was 96% in the intervention group. The change in 6MWD was greater in the intervention group than in usual care (33.1\u2009\u00b1\u200933.5 vs. 4.9\u2009\u00b1\u200932.9\u2009m), reaching borderline significance (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>NW may be associated with improved walking ability in PD patients with sarcopenia or musculoskeletal pain, with a high adherence rate.<\/jats:p>\n                    <jats:p>\n                      <jats:bold>Trial Registration:<\/jats:bold>\n                      UMIN\u2010CTR no.: UMIN 000052466\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/1744-9987.70141","type":"journal-article","created":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T00:24:07Z","timestamp":1775435047000},"page":"502-510","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Efficacy of Nordic Walking in Improving Walking Ability in Patients on Peritoneal Dialysis: A Randomized Controlled Trial"],"prefix":"10.1002","volume":"30","author":[{"given":"Rena Sumura","family":"Sonoda","sequence":"first","affiliation":[{"name":"Department of Nephrology Japanese Red Cross Medical Center  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kiyotaka","family":"Uchiyama","sequence":"additional","affiliation":[{"name":"Department of Nephrology International University of Health and Welfare Narita Hospital  Chiba 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