Effects of an intradialysis exercise program in patients with chronic kidney disease
DOI:
https://doi.org/10.24310/riccafd.2019.v8i3.7490Keywords:
chronic kidney disease, hemodialysis, exercise, aerobic capacity, strengthAbstract
The aim of this study was to check the grade of enforcement and to assess the effect of an intradialytic exercise program on fitness and health in hemodialysis patients. The design of this study consisted of 2 periods of 14 weeks, the first one without exercise and the next one with exercise. The program included both aerobic endurance and strength exercise in sessions of 60 minutes, 3 days per week. Physical condition was evaluated through handgrip strength, lower extremity strength and aerobic capacity. 62% of patients completed 75% of the exercise program. A statistically significant decrease in all fitness parameters was observed in period without exercise. This decrease stopped, due to the intervention of exercise program, without significance improvement. Intradialytic exercise program is important to reduce the loss of fitness associated to chronic kidney disease.
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Jha V, García-Cargía G, Iseki K, Li Z, Naicker S, Plattner B, et al. Chronic kidney disease: global dimension and perspectives. Lancet. 2013 Jul 20;382(9888):260-72.
Kouidi E, Albani M, Natsis K, Megalopoulos A, Gigis P, Guiba-Tziampiri O, et al. The effects of exercise training on muscle atrophy in hemodialysis patients. Nephrol Dial Transplant 1998; 13: 685–699.
Caso G, Garlick P: Control of muscle protein kinetics by acid-base balance. Curr Opin Clin Nutr Metab Care 2005; 8: 73–76.
Raj D, Zager P, Shah V, Dominic E, Adeniyi O, Blandon P, et al. Protein turnover and amino acid transport kinetics in end-stage renal disease. Am J Physiol Endocrinol Metab 2004; 286: E136–E143.
Avesani CM, Trolonge S, Deleaval P, Baria F, Mafra D, Faxen-Irving G, et al. Physical activity and energy expenditure in haemodialysis patients: an international survey. Nephrol Dial Transplant Off Publ Eur Dial Transplant Assoc Eur Ren Assoc. 2012;27:2430–4.
Segura-Ortí, E. Ejercicio en pacientes en hemodiálisis: revisión sistemática de la literatura. Nefrología (Madrid), 2010; 30(2): 236-246.
Stenvinkel P, Carrero JJ, von Walden F, Ikizler TA, Nader GA. Muscle wasting in end-stage renal disease promulgates premature death: established, emerging and potential novel treatment strategies. Nephrol Dial Transplant. 2015 Apr 24.
Singh MA: Exercise comes of age: Rationale and Recommendations for a geriatric exercise prescription. J Gerontol A Biol Sci Med Sci 2002; 57A: M262–M282.
Johansen K, Painter P, Sakkas G, Gordon G, Gordon P, Doyle J, Shubert T. Effects of resistance exercise training and nandrolone decanoate on body composition and muscle function among patients who receive hemodialysis: A randomized controlled trial. J Am Soc Nephrol 2006; 17: 2307– 2314.
Rikli, R. & Jones, C.J. Senior fitness test manual. United States: Human Kinetics; 2001.
Oja P; Tuxworth B. Eurofit para adultos. Test Europeo de aptitud física. Evaluación de la aptitud física en relación con la salud. Deportes CS de, editor. Madrid: Ministerio de Educación y Ciencia; 1998
Segura-Ortí, E., Martínez-Olmos, FJ. Test-retest reliability and minimal detectable change scores for sit-to-stand-to-sit tests, the six-minute walk test, the one-leg heel-rise test, and handgrip strength in people undergoing hemodialysis. Phys Ther. 2011 Aug;91(8):1244-52.
Burkhalter N. Evaluación de la escala Borg de esfuerzo percibido aplicada a la rehabilitación cardiaca. Rev Lat Am Enfermagem [Internet]. 1996;4(3):65–73.
Song WJ, Sohng KY. Effects of progressive resistance training on body composition, physical fitness and quality of life of patients on hemodialysis. J Korean Acad Nurs. 2012 Dec;42(7):947-56.
Chen JL, Godfrey S, Ng TT, Moorthi R, Liangos O, Ruthazer R, et al. Effect of intra-dialytic, low-intensity strength training on functional capacity in adult haemodialysis patients: a randomized pilot trial. Nephrol Dial Transplant. 2010 Jun;25(6):1936-43.
Myers J, Prakash M, Froelicher V, Do D, Partington S, Atwood E. Exercise Capacity and Mortality among Men Referred for Exercise Testing. N Engl J Med 2002; 346:793-801
Sietsema K, Amato A, Adler SG, Brass EP. Exercise capacity as a predictor of survival among ambulatory patients with end-stage renal disease. Kidney International. 2004 (65): 719-724.
Cheema B, Abas H, Smith B, O'Sullivan A, Chan M, Patwardhan A, et al. Randomized controlled trial of intradialytic resistance training to target muscle wasting in ESRD: the Progressive Exercise for Anabolism in Kidney Disease (PEAK) study. Kidney Dis. 2007 Oct;50(4):574-84
Canadian Erythropoietin Study Group. Association between recombinant human erythropoietin and quality of life and exercise capacity of patients receiving haemodialysis.. BMJ. 1990 3;300(6724):573-8.
Wang AY, Sea MM, Ho ZS, Lui SJ, Li PK, Woo J. Evaluation of handgrip strength as a nutritional marker and prognostic indicator in peritoneal dialysis patients. Am J Clin Nutr. 2005 Jan;81(1):79-86
Greenwood SA, Koufaki P, Mercer TH, MacLaughlin HL, Rush R, Lindup H, et al. Effect of exercise training on estimated GFR, vascular health, and cardiorespiratory fitness in patients with CKD: a pilot randomized controlled trial. Am J Kidney Dis. 2015 Mar,65(3):425-34
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