Impact of continuous positive airway pressure (CPAP) on the respiratory capacity of chronic kidney disease patients under hemodialysis treatment

Xavier, Vivian Bertoni; Roxo, Renata Spósito; Miorin, Luiz Antonio; Alves, Vera Lúcia dos Santos; Sens, Yvoty Alves dos Santos

doi:10.1007/s11255-015-0988-y

Cited by 6 publications

(5 citation statements)

References 35 publications

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“…Exercise protocols are usually developed in outpatient or in-hospital setting [11–13] with the most recent studies recommending that they should be performed during hemodialysis sessions [14–16]. Although improvement in physical fitness is expected in response to standardized aerobic activity, data correlating the changes obtained by a protocol that uses a cycle ergometer in respiratory function and functional capacity of patients undergoing hemodialysis are scarce.…”

Section: Introductionmentioning

confidence: 99%

Functional and Respiratory Capacity of Patients with Chronic Kidney Disease Undergoing Cycle Ergometer Training during Hemodialysis Sessions: A Randomized Clinical Trial

Fernandes¹,

Sens

Xavier

et al. 2019

International Journal of Nephrology

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Purpose Exercise is recommended for patients undergoing hemodialysis, to reduce the decrease in functional capacity secondary to the progression of chronic kidney disease. A cycle ergometer can be easily added to an exercise routine during hemodialysis sessions. The purpose of this article was to assess the results of a training protocol with the cycle ergometer during hemodialysis sessions on the respiratory function and functional capacity of patients with chronic kidney disease on hemodialysis. Method In this randomized clinical trial (NCT no. 02834026), 39 patients undergoing hemodialysis were randomly allocated into two groups: the treatment group (TG, n = 20), who underwent a cycle ergometer protocol training, and the control group (GC, n = 19), not trained. The TG attended 24 training sessions, three times a week, during the intradialytic period. Training intensity was aimed at keeping the heart rate between 50 and 70% of its maximum. All participants were evaluated before and after the eight consecutive weeks of follow-up and had biochemicals data, anthropometric, functional, and respiratory outcomes evaluated. Results A significant difference was observed between groups in forced vital capacity, forced expiratory volume in the first second, peak expiratory flow, maximal inspiratory and expiratory pressure, and Borg score and distance covered in the six-minute walk test. Improvement was also observed in biochemical and Kt/V test results for the TG. Conclusion The systematic training regimen with a cycle ergometer resulted in benefits in the respiratory function and functional capacity in patients with chronic kidney disease undergoing hemodialysis.

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Section: Introductionmentioning

confidence: 99%

Functional and Respiratory Capacity of Patients with Chronic Kidney Disease Undergoing Cycle Ergometer Training during Hemodialysis Sessions: A Randomized Clinical Trial

Fernandes¹,

Sens

Xavier

et al. 2019

International Journal of Nephrology

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“…The functioning changes of individuals with CKD undergoing dialysis treatment can also be explained by the changes in volumetric components and the impaired ventilatory capacity that are common in these individuals, as detected in pulmonary function tests [7,8]. The reduction in the strength and endurance of the respiratory muscles, likely due to uremic myopathy [8], is probably another cause of disability.…”

Section: Introductionmentioning

confidence: 99%

Validation of the Brazilian version of WHODAS 2.0 in patients on hemodialysis therapy

et al. 2018

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Introduction: Chronic kidney disease and hemodialysis normally have an impact on the functioning. Objective: To validate the Brazilian version of the World Health Organization Disability Assessment Schedule 2.0 in individuals with chronic kidney disease on hemodialysis treatment. Methods: The 36-item version was applied to interview 51 individuals with chronic kidney disease undergoing dialysis treatment. To ascertain the instrument’s applicability, its internal consistency and test-retest stability were studied. To check the validity, a convergent/divergent analysis was performed. Results: The participants answered the questions on the main instrument at two timepoints and on the World Health Organization Quality of Life Abbreviated instrument and the Kidney Disease Quality of Life - Short FormTM 1.3 once each. Cronbach’s α coefficient was appropriate in all domains except the “Getting along” domain. The test-retest coefficients were above the recommended value (> 0.70). Convergent and divergent validity analysis also showed consistent results by correlation coefficient assessment. Conclusion: The instrument is valid and reliable. This study supports the use of the questionnaire by presenting its appropriate psychometric properties. We suggest that some care should be taken specifically in the sexual questions of the “Getting along” domain.

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“…In this study, a similar number of women and men was observed in the groups. This is different from some epidemiological and systematic review studies emphasizing the increased incidence of CKD in women [2,5,13]. Instead, the sample of patients from a public hospital in this study had a homogeneous sex distribution, with equal benefits of exercising for men and women.…”

Section: Discussionmentioning

confidence: 68%

“…As our study progressed, we observed that rehabilitation is positively impacted by several protocols such as those performed with intermittent positive pressure [13] or those with neuromuscular electrostimulation [15]. However, these protocols have limitations to the objective evaluation of the findings regarding the gain of muscle strength since the techniques previously proposed are poorly reproduced [8], despite the great diversity of techniques for muscle strength evaluation.…”

Section: Discussionmentioning

confidence: 84%

Quadriceps muscle strength after training with a cycloergometer in patients on hemodialysis

et al. 2019

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Introduction: Functional disability is common in patients with chronic kidney disease, especially in those on hemodialysis. Muscle strength can be evaluated by a dynamometer; however, no study using this technique on the quadriceps of patients undergoing hemodialysis was found in literature. Objective: To assess the effects of cycloergometer training on the quadriceps muscle strength of patients with chronic kidney disease undergoing hemodialysis. Method: This was a clinical trial including 46 patients, both men and women, over 18 years old who had been undergoing hemodialysis for more than six months and signed an informed consent form. Patients were allocated into two groups: intervention group (n = 22) and control group (n = 20). The intervention group underwent intradialytic training in a physical therapy protocol with the cycloergometer for two months, whereas the control group, in turn, was only reevaluated two months after the initial evaluation. All patients were assessed for demographic data at baseline and, two months later for quadriceps muscle strength by standardized dynamometry and with the use of a rigid belt and suction cups. Results: A significant increase was detected in quadriceps muscle strength in the right and left lower limbs in the intervention group when compared with the control group. Conclusion: Quadriceps muscle strength improved after patients with chronic kidney disease on hemodialysis underwent training with the cycloergometer.

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Impact of continuous positive airway pressure (CPAP) on the respiratory capacity of chronic kidney disease patients under hemodialysis treatment

Abstract: The introduction of a CPAP protocol during hemodialysis sessions had a positive impact on pulmonary function and physical capacity in CKD patients.

Cited by 6 publications

References 35 publications

Functional and Respiratory Capacity of Patients with Chronic Kidney Disease Undergoing Cycle Ergometer Training during Hemodialysis Sessions: A Randomized Clinical Trial

Functional and Respiratory Capacity of Patients with Chronic Kidney Disease Undergoing Cycle Ergometer Training during Hemodialysis Sessions: A Randomized Clinical Trial

Validation of the Brazilian version of WHODAS 2.0 in patients on hemodialysis therapy

Quadriceps muscle strength after training with a cycloergometer in patients on hemodialysis

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