Benefcial effects of intradialytic cardiopulmonary rehabilitation

Guio, Bruno Medeiros; Gomes, Carlos Perez; Costa, Fabio Brandão da; Oliveira, Adriana dos Santos de; Duarte, Marta Turano; Júnior, Maurilo Leite

doi:10.5935/0101-2800.20170051

Cited by 7 publications

(9 citation statements)

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“…Furthermore, after 2 months of training interruption, there was a significant decrease of 6MWT distance when compared to the exercise period, but this distance remained higher than the baseline period. 14 In other study, Kouidi et al 15 evaluated the effects of two types (intra-dialytic and extra-dialytic) of long-term exercise training in HD patients and observed that 4 years of exercise promoted continued improvement in peak oxygen uptake in ESRD patients.…”

Section: Discussionmentioning

confidence: 99%

Effects of long-term aerobic training and detraining on functional capacity and quality of life in hemodialysis patients: A pilot study

et al. 2019

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Although previous studies have shown the benefits of exercise training in hemodialysis patients, little is known about the effects of long-term of exercise program on these patients. We investigated the effects and the safety of long-term aerobic training and the effects of detraining on functional capacity and quality of life in hemodialysis patients. Ten patients were allocated to two groups: training and detraining. The training group completed at least 30 months of aerobic training, and the detraining group completed at least 20 months and then discontinued the training for at least 10 months. The outcomes were analyzed at baseline, after 3 months of aerobic training and at the 30-month follow-up. The training and detraining groups performed 37 (5.5) and 24 (3.0) months of aerobic training, respectively. The detraining group discontinued the training for 11.0 (2.0) months. After 3 months of aerobic training, six-minute walking test distance increased significantly in both groups (training group = 569 (287.8) vs 635.5 (277.0) m, p = 0.04; detraining group = 454.5 (72.3) vs 515.0 (91.8) m, p = 0.04). There was no significant difference in the six-minute walking test distance in the training group (576.5 (182.5), p > 0.05) and a significant decrease (436.2 (89.6) m, p = 0.04) in the detraining group at the follow-up compared to the third month of aerobic training. No significant difference was observed in quality of life during the study. No complications were found during the protocol of the exercise. These results suggest that long-term aerobic training is safe and can maintain functional capacity in hemodialysis patients. In contrast, detraining can result in loss of functional capacity in these patients.

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Section: Discussionmentioning

confidence: 99%

Effects of long-term aerobic training and detraining on functional capacity and quality of life in hemodialysis patients: A pilot study

et al. 2019

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“…Abaixo estão apresentados os valores referentes às médias gerais e desvio-padrão das variáveis PAS e PAD em repouso, após 20 sessões e após 40 sessões, de acordo com os horários de treinamento dos pacientes. Este tipo de estudo não é comum, pois nesta população a prescrição rotineira de exercícios físicos não é uma prática freqüente da mesma maneira que é realizado em pessoas consideradas normais, é necessário fazer uma avaliação individual para prescrever o volume e a intensidade do exercício para que não prejudique o seu tratamento [15].…”

Section: Resultados E Discussõesunclassified

“…Em 1986, Painter et al [15] desenvolveram o primeiro protocolo de exercício aeróbico durante as sessões de HD e chegaram aos resultados que seis meses de treinamento físico foi eficiente para aumentar o consumo de oxigênio além de reduzir uso de medicação antihipertensiva em alguns pacientes.…”

Section: Introductionunclassified

Efeitos Do Exercício Físico Aeróbico Na Pressão Arterial De Pacientes Com Doença Renal Crônica Em Hemodiálise

Nascimento¹,

Leitão²,

Deus³

et al. 2022

Open Science Research VI

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A doença renal crônica se caracteriza pela perda gradual dos rins em exercerem sua função básica da capacidade de manutenção da homeostase como regular as funções vitais do organismo, afetando no equilíbrio hídrico, acidobásico e eletrolítico, além de participar em funções hormonais e na regulação da pressão arterial (PA). O exercício físico praticado com regularidade torna-se uma ferramenta eficiente para a manutenção da saúde na população em geral. Objetivo: avaliar os efeitos do exercício aeróbico no controle da pressão arterial de pacientes com doença renal crônica em hemodiálise. Método: Trata-se de um estudo descritivo de caráter quantitativo, realizado no Hospital das Clínicas no município de Rio Branco -Acre, em 27 pacientes com doença renal crônica de ambos os sexos, idade superior a 18 anos, que realizavam o tratamento de hemodiálise há seis meses. Após 1 hora de hemodiálise os pacientes iniciavam o exercício aeróbico utilizando cicloergômetro eletromagnético horizontal acoplado na maca. A pressão arterial foi aferida no repouso e a cada 5 minutos até o término do exercício. Os pacientes realizaram três sessões semanais de exercício no período de 12 semanas. Resultados: como principais resultados uma redução de 6,79 mmHg na pressão sistólica e 4,14 mmHg na pressão diastólica. O grupo do turno de 6 horas reduziu 9,75 mmHg na pressão sistólica e 4,85 mmHg na pressão diastólica, já o grupo das 11 horas reduziu 4,74 mmHg na pressão sistólica e 2,73 mmHg na pressão diastólica. Conclusão: que exercício físico aeróbico em cicloergômetro realizado por 30 minutos nas duas primeiras horas de hemodiálise contribuiu no controle da pressão arterial de todos os pacientes, e em relação aos turnos houve diferença entre os pacientes que realizaram o exercício ás 6 horas e ás 11 horas.

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“…In total, six studies (total n5315) examined outcomes related to myocardial structure (Table 4). 32,53,55,60,64,66 4B). 53,60,64,66 Cardiac Autonomic Dysfunction/Increased Sympathetic Activity Four RCTs (total n5205) assessed the effect of intradialytic cycling for 30-90 minutes, thrice weekly over 12-52 weeks of duration on various measures of HRV (Table 4).…”

Section: Myocardial Structurementioning

confidence: 99%

Effect of Intradialytic Exercise on Cardiovascular Outcomes in Maintenance Hemodialysis: A Systematic Review and Meta-Analysis

Verrelli,

Sharma,

Alexiuk

et al. 2024

Kidney360

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Background: Cardiovascular disease is the leading cause of death among people with kidney failure on hemodialysis, for whom improving cardiovascular health is a research priority. Intradialytic myocardial stunning is common and associated with adverse cardiovascular events. Intradialytic exercise may mitigate intradialytic myocardial stunning and improve cardiovascular structure and function. This systematic review investigated the effect of intradialytic exercise on cardiovascular outcomes in adults undergoing maintenance hemodialysis (PROSPERO #CRD42018103118). Methods: Following PRISMA guidelines, we systematically searched MEDLINE, EMBASE, Cochrane CENTRAL, SportDiscus, and PEDro databases from 1960 until June 2022, for randomized and non-randomized studies investigating the effect of intradialytic exercise programs on objective cardiovascular outcomes, pre-specified as primary or secondary outcomes. The primary outcome was arterial resistance. Results: Of 10837 references identified, 32 met eligibility criteria. These studies investigated the effect of intradialytic exercise on arterial resistance (8 studies), blood pressure (20 studies), myocardial structure and function (7 studies), endothelial function (2 studies), sympathetic overactivity (9 studies), biomarkers of cardiac injury (3 studies), cardiovascular hospitalization and mortality (2 studies). Most studies used aerobic exercise as the intervention and usual care (no exercise) controls. Meta-analysis of intradialytic exercise versus usual care resulted in a statistically significant reduction in arterial resistance measured by pulse wave velocity (PWV) with mean difference -1.63 m/sec (95% CI -2.51, -0.75). Meta-analyses for diastolic blood pressure, left ventricular ejection fraction (LVEF), and low-frequency/high-frequency (LF/HF ratio) measure of heart rate variability also showed statistically significant improvements with exercise. There was no significant difference in change in systolic blood pressure, augmentation index, and left ventricular mass index between groups. Conclusion: Intradialytic exercise programming resulted in a clinically meaningful improvement to PWV, a component of arterial resistance. Sseveral physiologic measures of cardiovascular health, including diastolic blood pressure, LVEF and heart rate variability measured by the LF/HF ratio were also observed. The effects of intradialytic exercise on major adverse cardiovascular events remains uncertain.

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Benefcial effects of intradialytic cardiopulmonary rehabilitation

Abstract: The intradialytic CRehab applied in this population was safe and allowed objective improvement of functional capacity and exercise tolerance, subjective improvement in the perception of effort, significant increase in cardiac function and better quality of life in different domains.

Cited by 7 publications

References 0 publications

Effects of long-term aerobic training and detraining on functional capacity and quality of life in hemodialysis patients: A pilot study

Effects of long-term aerobic training and detraining on functional capacity and quality of life in hemodialysis patients: A pilot study

Efeitos Do Exercício Físico Aeróbico Na Pressão Arterial De Pacientes Com Doença Renal Crônica Em Hemodiálise

Effect of Intradialytic Exercise on Cardiovascular Outcomes in Maintenance Hemodialysis: A Systematic Review and Meta-Analysis

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