Aerobic exercise and the effect on blood pressure in patients in hemodialysis: integrative review
DOI:
https://doi.org/10.33233/fb.v23i6.5117Keywords:
chronic renal insufficiency, hypertension, renal dialysis, exerciseAbstract
Objective: To identify evidence in the literature on the effect of aerobic exercise in reducing blood pressure levels among patients diagnosed with arterial hypertension and chronic renal failure undergoing hemodialysis. Methods: Integrative review carried out in May 2020 in the US National Library of Medicine, Sci Verse, Latin American and Caribbean Health Science Literature, Physiotherapy Evidence Database and Integrated Search Portal. For the search, descriptors and combined search strategies were used. The time frame of 15 years was used (January/2005 to May/2020). From the exclusion criteria and reading of articles with potential for inclusion, a total of 876 documents were found. Portuguese, English, Chinese, Japanese, Korean were considered due to the amount of works found in such languages. Results: 13 articles were included in this research, the related contents should correspond to chronic renal failure, systemic arterial hypertension, hemodialysis and aerobic exercise during hemodialysis. Conclusion: The results summarized in this study allow us to reinforce that aerobic physical exercises performed during hemodialysis are essential for the treatment and reduction of blood pressure and for the general health of the chronic renal patient.
References
Aguiar LKD, Prado RR, Gazzinelli A, Malta DC. Factors associated with chronic kidney disease: epidemiological survey of the National Health Survey. Rev Bras Epidemiol 2020;23:E200044. doi: 10.1590/1980-549720200044
Dutra TS, Parisi MM. Aspectos epidemiológicos da doença renal crônica. Rev Inter Ensino, Pesquisa e Extensão 2021;9:237-44. doi: 10.33053/revint.v9i1.645
Bastos MG, Bregman R, Kirsztajn GM. Doença renal crônica: frequente e grave, mas também prevenível e tratável. Rev Assoc Med Bras 2010;56(2):248-53. doi: 10.1590/S0104-42302010000200028
Oliveira APB, Schmidt DB, Amatneeks TM, Santos JC, Cavallet LHR, Michel RB. Quality of life in hemodialysis patients and the relationship with mortality, hospitalizations and poor treatment adherence. J Bras Nefrol 2016;38(4):411-20. doi: 10.5935/0101-2800.20160066
Silva TK. Diabetes mellitus e hipertensão arterial em pacientes com insuficiência renal crônica em diálise: Revisão integrativa. Res Soc Dev 2021;10(6):e53410616121. doi: 10.33448/rsd-v10i6.16121
Alvim RO, Santos PCJL, Bortolotto LA, Mill JG, Pereira AC. Arterial stiffness: pathophysiological and genetic aspects. Int J Cardiovasc Sci 2017;30(5):433-41. doi: 10.5935/2359-4802.20170053
Bucharles SGE, Wallbach KKS, Moraes TP, Pecoits-Filho R. Hypertension in patients on dialysis: diagnosis, mechanisms, and management. J Bras Nefrol 2019;41(3):400-11. doi: 10.1590/2175-8239-JBN-2018-0155
Gomes Neto M, Lacerda FFR, Lopes AA, Martinez BP, Saquetto MB. Intradialytic exercise training modalities on physical functioning and health-related quality of life in patients undergoing maintenance hemodialysis: systematic review and meta-analysis. Clin Rehabil 2018;32(9):1189-202. doi: 10.1177/0269215518760380
Cheema BSB, Singh MAF. Exercise training in patients receiving maintenance hemodialysis: a systematic review of clinical trials. Am J Nephrol 2005;25(4):352-62. doi: 10.1159/000087184
Soares KTDA, Viesser MV, Rzniski TAB, Brum EP. Eficácia de um protocolo de exercícios físicos em pacientes com insuficiência renal crônica, durante o tratamento de hemodiálise, avaliada pelo SF-36. Fisioter Mov 2011;24(1):133-40. doi: 10.1590/S0103-51502011000100015
Scapini KB, Bohlke M, Moraes OA, Rodrigues CG, Inácio JF, Sbruzzi G, et al. Combined training is the most effective training modality to improve aerobic capacity and blood pressure control in people requiring haemodialysis for end-stage renal disease: systematic review and network meta-analysis. J Physiother 2019;65(1):4-15. doi: 10.1016/j.jphys.2018.11.008
Campos RM, Matos GC, Moreira PR, Figueró MF, Krug RDR, Keller KD. Efeitos de um treinamento fisioterapêutico baseado em exercícios aeróbios e resistidos sobre a força e resistência muscular pacientes em hemodiálise. Arq Catarin Med [internet] 2021;50(2):15-27. [cited 2022 Dec 7] Available from: https://revista.acm.org.br/index.php/arquivos/article/view/583/502
Nascimento FWA, Santos AA. Os benefícios do exercício físico em pacientes com doença renal crônica: uma revisão bibliográfica. Rease 2022;8(1):1446-55. doi: 10.51891/rease.v8i1.3989
Cruz AP, Araújo SS, Santos JR dos, Leão AS. O efeito hipotensor do exercício aeróbico: uma breve revisão. Rev Bras Ciênc Saúde 2011;15(4):479-86. doi: 10.4034/RBCS.2011.15.04.15
Rodrigues BS, Kupske JW, Rasia RF, Dutra TS, Krug MM, Moreira PR, et al. Efeitos do exercício físico na qualidade de vida e aptidão física de pacientes em hemodiálise: effects of physical exercise on the quality of life and physical fitness of patients in hemodialysis. Rev Cont Saúde 2022;21(44):279-8. doi: 10.21527/2176-7114.2021.44.11936
Uchoa MR, Magalhães ALO, Bronzo T, Brito MMP, Araújo LFC, Costa MB, et al. The efficiency and safety in the implementation of physical exercise protocols as a non-drug treatment for chronic renal patients on hemodialysis and the difficulties of implementation in clinical practice: an integrative review. RSD 2021;10(17):e50101724406. doi: 10.33448/rsd-v10i17.24406
Sousa LMM, Marques-Vieira CMA, Severino SSP, Antunes AV. Metodologia de revisão integrativa da literatura em Enfermagem. Rev Investigação Enferm [Internet] 2017[cited 2022 Nov 25];(21):17-26. Available from: https://repositorio-cientifico.essatla.pt/handle/20.500.12253/1311?mode=full
Mendes KDS, Silveira RCCP, Galvão CM. Revisão integrativa: método de pesquisa para a incorporação de evidências na saúde e na enfermagem. Texto Contexto Enferm 2008;17(4):758-64. doi: 10.1590/s0104-07072008000400018
Melnyk BM, Fineout-Overholt E. Making the case for evidence-based practice. In: Melnyk BM, Fineout-Overholt E, eds. Evidence-based practice in nursing & healthcare. A guide to best practice. Philadelphia: Lippincott Williams & Wilkins; 2005. p.3-24.
Johansen KL. Exercise in the end-stage renal disease population. J Am Soc Nephrol 2007;18(6):1845-54. doi: 10.1681/ASN.2007010009
Reboredo MM, Henrique DMN, Bastos MG, Paula RB. Exercício físico em pacientes dialisados. Rev Bras Med Esporte 2007;13(6):427-30. doi: 10.1590/S1517-86922007000600014
Moura RMF, Silva FCR, Ribeiro GM, Sousa LA. Efeitos do exercício físico durante a hemodiálise em indivíduos com insuficiência renal crônica: uma revisão. Fisioter Pesqui 2008;15(1):86-91. doi: 10.1590/S1809-29502008000100014
Böhm J, Monteiro MB, Thomé FS. Efeitos do exercício aeróbio durante a hemodiálise em pacientes com doença renal crônica: uma revisão da literatura. J Bras Nefrol 2012;34(2):189-94. doi: 10.1590/S0101-28002012000200013
Nascimento LCA, Coutinho EB, Silva KNGD. Efetividade do exercício físico na insuficiência renal crônica. Fisioter Mov 2012;25(1):231-9. doi: 10.1590/S0103-51502012000100022
Silva SFD, Pereira AA, Silva WAH, Simôes R, Barros Neto JR. Physical therapy during hemodialys in patients with chronic kidney disease. J Bras J Nefrol 2013;35(3):170-76. doi: 10.5935/0101-2800.20130028
Thompson S, Klarenbach S, Molzahn A, Lloyd A, Gabrys I, Haykowsky M, Tonelli M. Randomised factorial mixed method pilot study of aerobic and resistance exercise in hemodialysis patients: DIALY-SIZE! BMJ open 2016;6(9):e012085. doi: 10.1136/bmjopen-2016-012085
Qiu Z, Zheng K, Zhang H, Feng J, Wang L, Zhou H. Physical exercise and patients with chronic renal failure: a meta-analysis. Biomed Res Int 2017;2017: 7191826. doi: 10.1155/2017/7191826
Kim JS, Yi JH, Kim YS, Han SW. Effect of acute intradialytic aerobic and resistance exercise on one-day blood pressure in patients undergoing hemodialysis: a pilot study. J Sports Med Phys Fitness 2018;59(8):1413-19. doi: 10.1016/j.jphys.2018.11.008
Pu J, Jiang Z, Wu W, Li L, Zhang L, Li Y, Liu Q, Ou S. Efficacy and safety of intradialytic exercise in haemodialysis patients: a systematic review and meta-analysis. BMJ open 2019;9(1):e020633. doi: 10.1136/bmjopen-2017-020633
Martins MRI, Cesarino CB. Qualidade de vida de pessoas com doença renal crônica em tratamento hemodialítico. Rev Latinoam Enferm 2005:13(5):670-6. doi: 10.1590/S0104-11692005000500010
Alves AB, Bastos DP, Silva DA. Avaliação da comorbidade entre hipertensão arterial sistêmica e insuficiência renal. Acta Biomed Bras [Internet] 2014[cited 2022 Nov 25];5(2):49-59. Available from: https://www.actabiomedica.com.br/index.php/acta/article/view/86
Brito TNS, Oliveira ARA, Silva AKC. Taxa de filtração glomerular estimada em adultos: características e limitações das equações utilizadas. Rev Bras An Clín [Internet] 2016 [cited 2022 Nov 25];48(1)7-12. Available from: http://www.rbac.org.br/artigos/taxa-de-filtracao-glomerular-estimada-em-adultos/
Machado GRG, Pinhati FR. Tratamento de diálise em pacientes com insuficiência renal crônica. Cadernos UniFOA 2014;(26):137-48. doi: 10.47385/cadunifoa.v9.n26.193
Published
Issue
Section
License
Copyright (c) 2022 Laura Reche Barcelos, Barbara Caroliny Pereira Costa , Cynthia Kallás Bachur, Eugenia Velludo Veiga
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors are authorized for non-exclusive distribution of the version of the work published in this journal (eg, publishing in an institutional repository or as a book chapter), with acknowledgment of authorship and initial publication in this journal.
