Impact of training at ventilatory threshold on cardiopulmonary and functional capacity in overweight patients with chronic kidney disease

Aoike, Danilo Takashi; Baria, Flavia; Rocha, Mariana Leister; Kamimura, Maria Ayako; Mello, Marco Túlio de; Tufik, Sérgio; Ammirati, Adriano; Cuppari, Lílian

doi:10.1590/s0101-28002012000200006

Cited by 21 publications

(29 citation statements)

References 47 publications

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“…More importantly, the workload at those exercise intensities increased 16.7 % at VT and 15.3 % at RCP, which translates into improvements in the metabolic efficiency to sustain a greater workload and a potentially better tolerance for daily activities. This result was corroborated by improvements in the functional tests related to aerobic capacity, particularly the 6-min walk test and 2-min step test; similar to other reports, these values were in general below the levels expected for sedentary healthy subjects [18,24,25].…”

Section: Discussionsupporting

confidence: 87%

Impact of home-based aerobic exercise on the physical capacity of overweight patients with chronic kidney disease

et al. 2014

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Section: Discussionsupporting

confidence: 87%

Impact of home-based aerobic exercise on the physical capacity of overweight patients with chronic kidney disease

et al. 2014

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“…Unlike reports which focused only on the views of nephrologists [18,20] or on haemodialysis staff [21,22], this study aimed to ascertain the practices of the wider renal MDT involved in caring for patients at all stages of the CKD trajectory.…”

Section: Discussionmentioning

confidence: 99%

Exercise Counselling Practices for Patients with Chronic Kidney Disease in the UK: A Renal Multidisciplinary Team Perspective

et al. 2014

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Background: Patients with chronic kidney disease (CKD) have elevated cardiovascular disease (CVD) risk. Physical activity (PA) is a strong and independent CVD risk factor, and despite the fact that current clinical practice guidelines recommend simultaneous treatment of multiple risk factors for optimum management of CKD, PA is rarely addressed by renal care teams. The aim of this observational cross-sectional survey was to document current exercise/PA practices across renal units in the UK, and capture views and experiences regarding the provision of PA/exercise options for patients with CKD. Methods: An 18-item online survey questionnaire regarding exercise counselling practice patterns was administered to 565 multidisciplinary renal care professionals. Results: 142 individuals (25% response rate) completed the questionnaire. Overall, 42% of respondents discussed and encouraged PA, but only 18 and 11% facilitated implementation of PA for their patients. Nephrologists (p < 0.003) were more likely to prescribe or recommend PA compared to professionals with a nursing background and believed that specific renal rehabilitation services, including an active PA/exercise component, should be available to all patients (p < 0.01). The most commonly reported barriers for the development and implementation of PA/exercise options included lack of funding, time, and knowledgeable personnel, such as physiotherapists or other exercise professionals. Conclusion: Beliefs and attitudes towards PA amongst members of the renal multidisciplinary team are encouraging. However there is a big gap between believing in the benefits of PA and promoting/implementing PA for patient benefit. This gap needs to be minimised by at least trying to address some of the reported barriers.

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“…The results of the current study were confirmed by Aoike DT et al The decrease in blood pressure due to mild/moderate aerobic exercise has been well established both in normotensive and hypertensive individuals as well as in chronic kidney disease patients. Aerobic training lowers blood pressure by reducing peripheral vascular resistance due to the improvement of endothelium-mediated vasodilatation, attenuation of increased sympathetic nervous system activity and vascular remodeling [38]. On the other hand, The results of current study not went will with Headley S et al Exercise had no effect upon either resting or ambulatory blood pressure in chronic kidney disease patients because blood pressure of the patients was already very well controlled by antihypertensive medications [39].…”

Section: Discussionmentioning

confidence: 48%

Plasma Renin Response to Treadmill Exercise in Secondary Hypertension Kidney Disease Patients

Aldeen¹

2017

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Inhibition of renin activity has long been considered to be the logical step to interrupt the renin angiotensin aldosterone system which becomes the cornerstone to retard the progression of Chronic Kidney Disease. Currently, little is known about the impact of aerobic exercise on the plasma renin in chronic kidney disease patients. Aim of this study was to investigate the influence of aerobic exercise on plasma renin in the chronic kidney disease patients with secondary hypertension. Forty chronic kidney disease patients aged 40-55 years were randomly assigned to study group and control group. Study group performed moderate intensity aerobic exercise on an electronic treadmill for 30 minutes, 3 times per week, for 8 weeks. Control group received their medication only and no changes in their life style during the same trail period. The mean values for patients in groups A and B after the study were as following: For Plasma renin level (0.82 ± 0.214) and (2.09 ± 0.468) respectively, for systolic blood pressure (152.1 ± 4.86) and (155.8 ± 5.16) mmHg respectively, for diastolic blood pressure (95 ± 3.81) and (102.6 ± 6.93) mmHg respectively and for 6-minute walk test speed (1.83 ± 0.07) and (1.68 ± 0.06) m/s respectively. There were significant differences between two groups in their Plasma renin level and blood pressure (systolic and diastolic) and 6-minute walk test speed after the study. It was concluded that moderate aerobic exercise resulted in improved kidney functions with chronic kidney disease in pre-dialysis patients as reducing plasma renin and improving the blood pressure with non-significant negative weak correlation between Plasma renin level and blood pressure and a significant moderate negative correlation between exercise improvement and plasma renin.

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Impact of training at ventilatory threshold on cardiopulmonary and functional capacity in overweight patients with chronic kidney disease

Abstract: Os autores declaram a inexistencia de conflitos de interesse. Palavras-chave: Doença Renal Crônica. Obesidade. Exercício. Terapia por Exercício. effectively applied for prescribing exercise intensity in this particular group of patients.

Cited by 21 publications

References 47 publications

Impact of home-based aerobic exercise on the physical capacity of overweight patients with chronic kidney disease

Impact of home-based aerobic exercise on the physical capacity of overweight patients with chronic kidney disease

Exercise Counselling Practices for Patients with Chronic Kidney Disease in the UK: A Renal Multidisciplinary Team Perspective

Plasma Renin Response to Treadmill Exercise in Secondary Hypertension Kidney Disease Patients

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