he effect of exercise on hemodialysis patients
DOI:
https://doi.org/10.33233/rbfe.v18i1.2880Keywords:
physical exercise; kidney disease; hypertensionAbstract
Studies show beneficial effects of exercise in patients who have chronic kidney disease and undergo hemodialysis. Objective: To review in the literature studies that address the role of physical exercise in patients undergoing hemodialysis. Methods: A systematic review was performed with the descriptors exercise / physical exercise AND kidney disease, in the Lilacs and Pubmed databases. After applying the inclusion and exclusion criteria, 22 studies were selected and analyzed. Results: Sleep quality improvement, as well as quality of life, reduction of pain sensation and improvement of dialysis efficiency were identified after the application of an exercise program. Conclusion: These findings demonstrate that the exercise program has a positive response, in addition to being safe. However, there is a need for further studies to identify the ideal moment of exercise and the type of exercise.
References
Willians S, Han M, Ye X, Zhang H, Wösten A, Bonner M et al. Physical activity and sleep patterns in hemodialysis patients a suburban environment. Blood Purif 2017;43(1-3):235-43. https://doi.org/10.1159/000452751
Cobo G, Gallar P, Axelsson T, Gioia C, Qureshi A, Camacho R et al. Clinical determinants of reduce physical activity in hemodialysis and peritoneal dialysis patients. J Nephrol 2015;28(4):503-10. https://doi.org/10.1007/s40620-014-0164-y
Rossi AP, Burris DD, Lucas L, Crocker GA, Wasserman JC. Effects of a renal rehabilitation exercise program in patients with CKD: a randomized, controlled trial. Clin J Am Soc Nephrol 2014;9:2052-8. https://doi.org/10.2215/CJN.11791113
Hamada M, Yasuda Y, Kato S, Arafuka H, Goto H, Hayashi M, Kajita E, Maruyama S. The effectiveness and safety of modest exercise in Japanese patients with chronic kidney disease: a single armed interventional study. Clin Exp Nephrol 2016;20(2):204-11. https://doi.org/10.1007/s10157-015-1147-6
Rosa CSC, Bueno DR, Souza GD, Gobbo LA, Freitas IF, Sakkas GK, Monteiro HL. Factors associated with leisure time physical activity among patients undergoing hemodialysis. BMC Nephrol 2015;16:192. https://doi.org/10.1186/s12882-015-0183-5
Greenwood SA, Lindup H, Taylor K, Koufaki P, Rush R, Macdougall IC, Mercer TH. Evaluation of a pragmatic exercise rehabilitation programme in chronic kidney disease. Nephrol Dial Transplant 2012;27(3):26-34. http://doi.org/10.1093/ndt/gfs272
Headley S, Germain M, Wood R, Joubert J, Milch C, Evans E, Cornelius A, Brewer B, Taylor B, Pescatello LS. Blood pressure response to acute and chronic exercise in chronic kidney disease. Nephrology 2016;22(1):72-8. https://doi.org/10.1111/nep.12730
Soto MGO, Ortiz RV, Alvarenga JCL, Cuevas MAE. Effect of resistance exercise on the indicators of muscle reserves and handgrip strength in adult patients on hemodialysis. J Ren Nutr 2016;26(1):53-60. https://doi.org/10.1053/j.jrn.2015.06.006
Freire APCF, Rios CS, Moura RS, Burneiko RCVM, Padulla SAT, Lopes FS. Aplicação de exercício isotônico durante a hemodiálise melhora a eficiência dialítica. Fisioter Mov 2013;26(1):167-74. https://doi.org/10.1590/S0103-51502013000100019
Manfredini F, Mallamaci F, Arrigo G, Baggetta R, Bolignano D, Torino C et al. Exercise in patients on dialysis: a multicenter randomized clinical trial. J Am Soc Nephrol 2017;28(4):1259-68. https://doi.org/10.1681/ASN.2016030378J
Han M, Willians S, Mendoza M, Ye X, Zhang H, Silva VC et al. Quantifying physical activity levels and sleep in hemodialysis patients using a commercially available activity tracker. Blood Purif 2016;41(1-3):194-204. https://doi.org/10.1159/000441314
Anding K, Bär T, Henning JT, Kuchinke S, Krause R, Rost JM, Halle M. A structured exercise programme during haemodialysis for patients with chronic kidney disease: clinical benefit and long term adherence. BMJ 2018;5. https://doi.org/10.1136/bmjopen-2015-008709
Groussard C, Isnard MR, Coutard C, Romain F, Malardé L, Morel SL et al. Beneficial effects of a intradialytic cycling training program in patients with end-stage kidney disease. Appl Physiol Nutr Metab 2015;40(6):550-6. https://doi.org/10.1139/apnm-2014-0357
Paglialonga F, Lopopolo A, Scarfia RV, Consolo S, Galli MA, Salera S et al. Intradialytic cycling in children and young adults on chronic hemodialysis. Pediatr Nephrol 2014;29:431-8. https://doi.org/10.1007/s00467-013-2675-5
Mihaescu A, Avram C, Bob F, Gaita D, Schiller O, Schiller A. Benefits of exercise training during hemodialysis session: a prospective cohort study. Nephron Clin Pract 2013;124(1-2):72-8. https://doi.org/10.1159/000355856
Orcy RB, Dias PP, Seus TLC, Barcellos F, Bohlke M. Combined resistance and aerobic exercise is better than resistance training alone to improve functional. Physiother Res Int 2012;17(4):235-43. https://doi.org/10.1002/pri.1526
Dungey M, Bishop NC, Young HN, Burton JO, Smith AC. The impact of exercise during haemodialysis on blood pressure, markers of cardiac injury and systemic inflammation – preliminary results of a pilot study. Kidney Blood Press Res 2015;40(6):593-604. https://doi.org/10.1159/000368535
Tomich GM, Bernadino LS, Ferreira FO. Impact of physical therapy on functional capacity and life quality of patients with chronic kidney disease. Fisioter Mov 2014;27(4):643-51. https://doi.org.10.1590/0103-5150.027.004.AO16
Lima FF, Miranda RCV, Silva RGR, Monteiro HL, Yen LS, Fahur BS, Padulla SAT. Avaliação Funcional pré e pós programa de exercício físico de pacientes em hemodiálise. Medicina (Ribeirão Preto) 2013;46(1):24-35. https://doi.org/10.11606/issn.2176-7262.v46i1p24-35
Shibata S, Tsutou A, Shiotani H. Relation between sleep quality and daily physical activity in hemodialysis outpatients. Kobe J Med Sci 2013;59(5):161-6.
Viana JL, Kosmadakis GC, Watson EL, Bevington A, Feehally J, Bishop NC, Smith AC. Evidence for anti-inflammatory effects of exercise in CKD. J Am Soc Nephrol 2014;25(9):2121-30. https://doi.org/10.1681/ASN.2013070702
Maniam R, Subramanian P, Singh SKS, Lim SK, Chinna K, Rosli R. Preliminary study of an exercise programme for reducing fatigue and improving sleep among long-term haemodialysis patients. Singapore Med J 2014;55(9):476-82
Silva SF, Pereira AA, Silva WAH, Simões R, Neto JRB. Fisioterapia durante a hemodiálise de pacientes com doença renal crônica. J Bras Nefrol 2013;35(3):170-6. https://doi.org/10.5935/0101-2800.20130028
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