O efeito do exercí­cio fí­sico em pacientes submetidos ao tratamento de hemodiálise

Autores/as

  • Henrique Souza Dias FMU

DOI:

https://doi.org/10.33233/rbfe.v18i1.2880

Palabras clave:

exercício físico; doença renal; hipertensão

Resumen

Estudos mostram efeitos benéficos do exercí­cio em pacientes que possuem doença renal crônica e realizam hemodiálise. Objetivo: Revisar na literatura estudos que abordem o papel do exercí­cio fí­sico em pacientes que realizam hemodiálise. Métodos: Foi realizada uma revisão sistemática com os descritores exercise/exercí­cio fí­sico AND kidney disease/doença renal, nas bases de dados Lilacs e Pubmed. Após aplicação dos critérios de inclusão e exclusão foram selecionados 22 estudos os quais passaram a ser analisados. Resultados: Foi identificada a melhora da qualidade do sono, assim como da qualidade de vida, redução da sensação de dor e melhoria da eficiência dialí­tica, após aplicação de um programa de exercí­cios. Conclusão: Estes achados demonstram que o programa de exercí­cios tem uma resposta positiva, além de ser seguro. Porém nota-se a necessidade de mais estudos para identificação do momento ideal de realização do exercí­cio assim como o tipo de exercí­cio.

 

Biografía del autor/a

Henrique Souza Dias, FMU

Especialista em Fisiologia do Exercí­cio e Prescrição do Exercí­cio (FMU)

Citas

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

Publicado

2022-03-03