Intradialytic resistance training: an effective and easy-to-execute strategy.
J Bras Nefrol
; 41(2): 215-223, 2018 11 08.
Article
em En, Pt
| MEDLINE
| ID: mdl-30421780
ABSTRACT
Chronic kidney disease (CKD) alters the morphology and function of skeletal muscles, thereby decreasing patient physical capacity (PC) and quality of life (QoL). Intradialytic resistance training (IRT) is a pragmatic tool used to attenuate these complications. However, IRT has not been strongly adopted in nephrology care centers. This study aimed to assess the efficacy and safety of a low-cost, easy-to-use IRT protocol. METHODS:
The study enrolled 43 patients (52.8 ± 13.85 years) on HD for five to 300 months followed from April 2014 to July 2017. The efficacy of IRT was assessed based on PC - derived from muscle strength (MS) and preferred walking speed (PWS) - and QoL. The occurrence of adverse events was used as a measure of safety. The IRT protocol consisted of exercises of moderate to high intensity for the main muscle groups performed three times a week.RESULTS:
The mean follow-up time was 9.3 ± 3.24 months, for a total of 4,374 sessions of IRT. Compliance to the protocol was 96.5 ± 2.90%, and patients presented significant improvements in MS (from 27.3 ± 11.58 Kgf to 34.8 ± 10.77 Kgf) and PWS (from 0.99 ± 0.29 m/s to 1.26 ± 0.22 m/s). Physical and emotional components of QoL also increased significantly.CONCLUSION:
IRT led to significant increases in PC and higher scores in all domains of QoL. Important adverse events were not observed during intradialytic resistance training.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Diálise Renal
/
Insuficiência Renal Crônica
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Treinamento Resistido
Tipo de estudo:
Observational_studies
Limite:
Female
/
Humans
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Male
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Middle aged
Idioma:
En
/
Pt
Ano de publicação:
2018
Tipo de documento:
Article