Intradialytic isometric handgrip exercise does not cause hemodynamic instability: A randomized, <scp>cross‐over</scp>, pilot study

Ribeiro, Heitor Siqueira; Cunha, Vinícius Albuquerque; Baião, Victor M.; Almeida, Lucas S.; Dourado, Gustavo Ítalo; Carvalho, Helton Lucas; Duarte, Marvery P.; Inda-Filho, Antônio; Viana, João L.; Nóbrega, Otávio Tolêdo; Ferreira, Aparecido Pimentel

doi:10.1111/1744-9987.13581

Cited by 6 publications

(5 citation statements)

References 28 publications

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“…Although our results have shown an influence of acute aerobic exercise in the AVF vascular diameter, the SBP and DBP remained unchanged. This might happened because the antihypertensive drugs may have interfered with the BP response; however, for safety concerns, we requested patients to keep their regular medication routine [12]. Similarly, the study of Corrêa et al [13] also showed a stable hemodynamic response performing exercise before HD and believed that this behavior might consider safe for patients.…”

Section: Discussionmentioning

confidence: 99%

Aerobic Exercise Increases Vascular Diameter of Arteriovenous Fistula in Hemodialysis Patients

et al. 2021

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Introduction: A healthy arteriovenous fistula (AVF) depends on adequate vessel diameter which can be maintained through aerobic exercises. A randomized crossover study was conducted to evaluate the acute effects of aerobic exercise on a cycle ergometer on AVF vascular diameter, through ultrasound, and on blood pressure (BP). Methods: Eight hemodialysis (HD) patients completed 2 different occasions in random order with a 7-day washout: (a) exercising moment, in which 30-min aerobic exercise was performed on a cycle ergometer; and (b) resting moment, which was performed 30-min with the patient sitting in a chair. Both occasions were evaluated 1-h before the second weekly HD day. Results: A significant increase in AVF vascular diameter induced by 30-min aerobic exercise was found (1.15 ± 0.56 to 1.47 ± 0.66 cm; p = 0.042), whereas systolic (p = 0.105) and diastolic BP (p = 0.366) did not change. Conclusions: We can conclude that acute aerobic exercise was shown to be effective in improving the AVF vascular diameter in HD patients. The aerobic exercise benefits in endothelium-dependent vasodilation which may be an effective, practical, and economic strategy to maintain AVF patency.

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Section: Discussionmentioning

confidence: 99%

Aerobic Exercise Increases Vascular Diameter of Arteriovenous Fistula in Hemodialysis Patients

et al. 2021

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“…During the evaluation, the participants received verbal encouragement. A total of three measurements were recorded with a rest period of 1‐min, and the highest value was recorded 20 . Low HGS was defined as <27 kg for males and <16 kg for females, as proposed by the EWGSOP2 7 …”

Section: Methodsmentioning

confidence: 99%

“…A total of three measurements were recorded with a rest period of 1-min, and the highest value was recorded. 20 Low HGS was defined as <27 kg for males and <16 kg for females, as proposed by the EWGSOP2. 7 The STS-5 was used to evaluate the strength of leg muscles.…”

Section: Skeletal Muscle Strengthmentioning

confidence: 99%

SARC‐F and SARC‐CalF are associated with sarcopenia traits in hemodialysis patients

et al. 2022

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Background:The SARC-F questionnaire assesses sarcopenia risk. The addition of a calf circumference measurement, known as SARC-CalF, has been recently proposed. We investigated possible associations of SARC-F and SARC-CalF with sarcopenia traits in patients undergoing hemodialysis.Methods: Thirty patients (17 men; 57 ± 15 years) were enrolled. Sarcopenia risk was assessed by SARC-F (≥4) and SARC-CalF (≥11). Probable (low muscle strength or low skeletal muscle mass [SMM]) and confirmed (both) sarcopenia were diagnosed as recommended by the revised European Working Group on Sarcopenia in Older People. Muscle strength was assessed by handgrip strength (HGS) and five-time sit-to-stand test (STS-5), and physical performance was evaluated by gait speed. SMM was assessed by bioelectrical impedance.Results: Sarcopenia risk by the SARC-F and SARC-CalF were found in 23% (n = 7) and 40% (n = 12) patients, respectively. The SARC-F and SARC-CalF were both associated with physical function, but not with SMM. Probable sarcopenia by HGS was associated with SARC-F and SARC-CalF. Moreover, both showed moderate Kappa agreement with slowness and probable sarcopenia by HGS and/or STS-5, but only SARC-CalF with probable sarcopenia by HGS. A larger sensitivity was found for SARC-CalF than SARC-F in detecting probable sarcopenia by HGS (70% vs 30%) and by HGS and/or STS-5 (63% vs 44%). Conclusion:SARC-F and SARC-CalF are associated with sarcopenia traits in patients undergoing hemodialysis. SARC-CalF seems to be more strongly associated with sarcopenia traits and present a higher sensitivity for probable sarcopenia than SARC-F, as it adds a direct measurement.

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“…The HGS was measured using a hydraulic dynamometer (Saehan Corporation) for following the criteria established by the American Society of Hand Therapists [13] and previously applied in CKD patients [14].…”

Section: Handgrip Strengthmentioning

confidence: 99%

Pulmonary function, muscle strength, and quality of life have differed between chronic kidney disease patients and healthy individuals

et al. 2021

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Chronic kidney disease (CKD) patients have lower pulmonary function, respiratory and peripheral muscle strength values when compared to the general population, which reflects negatively in the quality of life (QoL). The aim of this study was to compare the pulmonary function, respiratory and peripheral muscle strength, and QoL between CKD patients and healthy individuals. Cross-sectional study with a consecutive sample of 39 individuals separated into three groups: nondialysisdependent CKD in stage 5 (CKD-5), HD group (CKD-HD), and healthy individuals.The tests performed were spirometry, manovacuometry, handgrip strength (HGS), and Medical Outcomes Short-Form Health Survey (SF-36). A significant difference between groups was observed in forced expiratory volume in 1 second (FEV 1 ) and its predicted value (p = 0.004 and p < 0.001, respectively), forced vital capacity (FVC), and its predicted value (p = 0.008 and p < 0.001, respectively), peak expiratory flow (PEF) and its predicted value (p = 0.004 and p < 0.001, respectively), maximal inspiratory pressure (MIP) and its predicted value (p = 0.022), maximal expiratory pressure (MEP) and its predicted value (p = 0.030 and p = 0.009, respectively) in which CKD-5 presented the worst values, followed by CKD-HD and healthy group. The CKD-5 had worse pulmonary function, respiratory muscle strength, and QoL. Moreover, CKD-HD also showed some impairment in pulmonary function and QoL when compared with healthy individuals. Even with the peripheral muscle strength preserved, its decrease is proportional to the pulmonary impairment in the evaluated CKD patients. K E Y W O R D S chronic kidney disease, hemodialysis, muscle strength, pulmonary function, quality of life 1 | INTRODUCTION Pulmonary function in chronic kidney disease (CKD) patients is a neglected subject and not well documented in the literature. It is known that fluid overload due to Patrícia de Souza Rezende and Francini Porcher Andrade contributed equally to this study.

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Intradialytic isometric handgrip exercise does not cause hemodynamic instability: A randomized, cross‐over, pilot study

Cited by 6 publications

References 28 publications

Aerobic Exercise Increases Vascular Diameter of Arteriovenous Fistula in Hemodialysis Patients

Aerobic Exercise Increases Vascular Diameter of Arteriovenous Fistula in Hemodialysis Patients

SARC‐F and SARC‐CalF are associated with sarcopenia traits in hemodialysis patients

Pulmonary function, muscle strength, and quality of life have differed between chronic kidney disease patients and healthy individuals

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