Intradialytic exercise in patients with chronic kidney disease: benefits and exercise characteristics. A literature review
Ejercicio físico intradiálisis en pacientes con enfermedad renal crónica: características de la carga y beneficios. Una revisión de la literatura.
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Chronic kidney disease is a disease that has a slow progressive and irreversible decrease in kidney function directly associated with the accumulation of complications. This is divided into 5 stages and the last one is the stage that most highly impacts the quality of life of the people because they must receive a renal replacement therapy for the rest of their lives in order to increase their life expectancy. Additionally, another type of intervention is necessary to increase quality of life, such as physical exercise; however this has not been standardized yet.
Aim: To find in the literature, evidence about the intradialytic physical exercise interventions done on patients with chronic kidney disease.
Methodology: Pubmed, Science Direct, ElSevier, Springer Link, Scielo databases were searched to retrieve studies using the following keywords: "End-stage kidney disease", "kidney dialysis", "kidney failure", "exercise therapy", "intradialytic exercise", "aerobic exercise", "resistance exercise".
Results: 88 articles were found but only 9 met the inclusion and exclusion criteria, that reported the benefits and characteristics of the exercise.
Conclusion: The exercise that showed the greatest benefits were combined with aerobic and resistance training, these benefits showed an increase in functionality and independence, quality of life, aerobic capacity, muscle strength, balance and coordination, regulation of blood pressure and decreased symptoms associated with depression.
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Acuña, L., Sánchez, P., Soler, L. A., & Alvis, L. F. (Julio de 2016). Enfermedad renal en Colombia: Prioridad para la gestión de riesgo. Revista Panamericana de Salud Pública, 40(1), 16–22. Obtenido de https://www.scielosp.org/article/rpsp/2016.v40n1/16-22/
Alfaadhel, T. A., Soroka, S. D., Kiberd, B. A., Landry, D., Moorhouse, P., & Tennankore, K. K. (Mayo de 2015). Frailty and Mortality in Dialysis: Evaluation of a Clinical Frailty Scale. Clinical Journal of the American Society of Nephrology: CJASN, 10(5), 832-840. doi:https://doi.org/10.2215/CJN.07760814 DOI: https://doi.org/10.2215/CJN.07760814
Beddhu, S., Baird, B. C., Zitterkoph, J., Neilson, J., & Greene, T. (2009). Physical activity and mortality in chronic kidney disease (NHANES III). Clinical Journal of the American Society of Nephrology, 4(12), 1901–1906. doi:10.2215/CJN.01970309 DOI: https://doi.org/10.2215/CJN.01970309
Calvo-Lobo, C., Neyra-Bohorquez, P. P., & Seco-Calvo, J. (Mayo de 2019). Aerobic exercise effects in renal function and quality of life of patients with advanced chronic kidney disease. Revista da Associacao Medica Brasileira, 65(5), 657–662. doi:https://doi.org/10.1590/1806-9282.65.5.657 DOI: https://doi.org/10.1590/1806-9282.65.5.657
Cheema, B., Abas, H., Smith, B., O'Sullivan, A., Chan, M., Patwardhan, A., . . . Singh, M. F. (Mayo de 2007). Progressive Exercise for Anabolism in Kidney Disease (PEAK): A Randomized, Controlled Trial of Resistance Training during Hemodialysis. Journal of the American Society of Nephrology, 18(5), 1594-1601. doi:https://doi.org/10.1681/ASN.2006121329 DOI: https://doi.org/10.1681/ASN.2006121329
Chen, J. L., Godfrey, S., Ng, T. T., Moorthi, R., Liangos, O., Ruthazer, R., . . . Castaneda-Sceppa, C. (Junio de 2010). Effect of intra-dialytic, low-intensity strength training on functional capacity in adult haemodialysis patients: a randomized pilot trial. Nephrology Dialysis Transplantation, 25(6), 1936–1943. doi:https://doi.org/10.1093/ndt/gfp739 DOI: https://doi.org/10.1093/ndt/gfp739
Clarkson, M. J., Bennett, P. N., Fraser, S. F., & Warmington, S. A. (13 de Febrero de 2019). Exercise interventions for improving objective physical function in patients with end-stage kidney disease on dialysis: a systematic review and meta-analysis. American Journal of Physiology-Renal Physiology, 316, F856–F872. doi:https://doi.org/10.1152/ajprenal.00317.2018 DOI: https://doi.org/10.1152/ajprenal.00317.2018
Fondo Colombiano de Enfermedades de Alto Costo. (Abril de 2019). Situación de la enfermedad renal crónica, la hipertensión arterial y la diabetes mellitus en Colombia 2018. Bogotá, Colombia: Cuenta de Alto Costo. Obtenido de https://cuentadealtocosto.org/site/wp-content/plugins/pdfjs-viewer-shortcode/pdfjs/web/viewer.php?file=https%3A%2F%2Fcuentadealtocosto.org%2Fsite%2Fwp-content%2Fuploads%2F2020%2F03%2Flibro-erc-2018.pdf&download=true&print=true&openfile=false
Gomes Neto, M., de Lacerda, F. F., Lopes, A. A., Martinez, B. P., & Saquetto, M. B. (Septiembre de 2018). Intradialytic exercise training modalities on physical functioning and health-related quality of life in patients undergoing maintenance hemodialysis: systematic review and meta-analysis. Clinical Rehabilitation, 32(9), 1189-1202. doi:https://doi.org/10.1177/0269215518760380 DOI: https://doi.org/10.1177/0269215518760380
Greenwood, S. A., Koufaki, P., Mercer, T. H., MacLaughlin, H. L., Rush, R., Lindup, H., . . . Cairns, H. S. (2015). Effect of exercise training on estimated GFR, vascular health, and cardiorespiratory fitness in patients with CKD: A pilot randomized controlled trial. American Journal of Kidney Diseases, 65(3), 425-434. doi:https://doi.org/10.1053/j.ajkd.2014.07.015 DOI: https://doi.org/10.1053/j.ajkd.2014.07.015
Habas, E., Rayani, A., Alkanonie, W., Habas, A., Alzoukie, E., Razeik, S., . . . El Marghani, A. (2019). Common Complications during Hemodialysis Session; Single Central Experience. Austin Journal of Nephrology and Hypertension, 6(1), 1078. doi:https://doi.org/10.26420/austinjnephrolhypertens.2019.1078 DOI: https://doi.org/10.26420/austinjnephrolhypertens.2019.1078
Heiwe, S., & Jacobson, S. H. (7 de Junio de 2014). xercise Training in Adults With CKD: A Systematic Review and Meta-analysis. American Journal of Kidney Diseases, 64(3), 383-393. doi:https://doi.org/10.1053/j.ajkd.2014.03.020 DOI: https://doi.org/10.1053/j.ajkd.2014.03.020
Hernández, A., Monguí, K., & Rojas, Y. (2018). Descripción de la composición corporal, fuerza muscular y actividad física en pacientes con insuficiencia renal crónica en hemodiálisis en una unidad renal en Bogotá, Colombia. Revista Andaluza de Medicina del Deporte, 11(2), 52–56. doi:https://doi.org/10.1016/j.ramd.2016.09.005 DOI: https://doi.org/10.1016/j.ramd.2016.09.005
Jhamb, M., & Weiner, D. E. (5 de Diciembre de 2014). Exercise to improve physical function and quality of life in CKD. Clinical Journal of the American Society of Nephrology: CJASN, 9(12), 2023-2024. doi:10.2215/CJN.10411014 DOI: https://doi.org/10.2215/CJN.10411014
John, S. G., Sigrist, M. K., Taal, M. W., & McIntyre, C. W. (Mayo de 2013). Natural History of Skeletal Muscle Mass Changes in Chronic Kidney Disease Stage 4 and 5 Patients: An Observational Study. PlosOne, 8(5), e65372. doi:https://doi.org/10.1371/journal.pone.0065372 DOI: https://doi.org/10.1371/journal.pone.0065372
Kaltsatou, A., Karatzaferi, C., Mitrou, G. I., Poulianiti, K. P., & Sakkas, G. K. (2016). Intra-Renal Hemodynamic Changes After Habitual Physical Activity in Patients with Chronic Kidney Disease. Current Pharmaceutical Design, 22(24), 3700-3714. doi:https://doi.org/10.2174/1381612822666160322144936 DOI: https://doi.org/10.2174/1381612822666160322144936
Katayama, A., Miyatake, N., Nishi, H., Hashimoto, H., Uzike, K., Sakano, N., . . . Koumoto, K. (2015). Evaluation of psychological distress using the K6 in patients on chronic hemodialysis. Environmental Health and Preventive Medicine, 20, 102–107. doi:https://doi.org/10.1007/s12199-014-0432-4 DOI: https://doi.org/10.1007/s12199-014-0432-4
KDIGO. (Julio de 2017). Clinical practice guideline update for the diagnosis, evaluation, prevention, and treatment of Chronic Kidney Disease–Mineral and Bone Disorder (CKD-MBD). 7(1). Kidney International Supplements. Obtenido de https://kdigo.org/wp-content/uploads/2017/02/2017-KDIGO-CKD-MBD-GL-Update.pdf DOI: https://doi.org/10.1016/j.kisu.2017.04.001
Kopple, J. D., Wang, H., Casaburi, R., Fournier, M., Lewis, M. I., Taylor, W., & Storer, T. W. (2007). Exercise in Maintenance Hemodialysis Patients Induces Transcriptional Changes in Genes Favoring Anabolic Muscle. Journal of the American Society of Nephrology, 18(11), 2975-2986. doi:https://doi.org/10.1681/ASN.2006070794 DOI: https://doi.org/10.1681/ASN.2006070794
Lacson, E., & Brunelli, S. M. (2011). Hemodialysis Treatment Time: A Fresh Perspective. Clinical Journal of the American Society of Nephrology: CJASN, 6(10), 2522–2530. doi:https://doi.org/10.2215/CJN.00970211 DOI: https://doi.org/10.2215/CJN.00970211
Lewis, M. I., Fournier, M., Wang, H., Storer, T. W., Casaburi, R., & Kopple, J. D. (2015). Effect of endurance and/or strength training on muscle fiber size, oxidative capacity, and capillarity in hemodialysis patients. Journal of Applied Physiology, 119(8), 865–871. doi:https://doi.org/10.1152/japplphysiol.01084.2014 DOI: https://doi.org/10.1152/japplphysiol.01084.2014
Lopera Medina, M. M. (30 de Junio de 2016). La enfermedad renal crónica en Colombia: necesidades en salud y respuesta del Sistema General de Seguridad Social en Salud. Revista Gerencia y Políticas de Salud, 15(30), 212-233. doi: https://doi.org/10.11144/Javeriana.rgyps15-30.ercc DOI: https://doi.org/10.11144/Javeriana.rgyps15-30.ercc
Magnard, J., Deschamps, T., Cornu, C., Paris, A., & Hristea, D. (26 de Noviembre de 2013). Effects of a six-month intradialytic physical ACTIvity program and adequate NUTritional support on protein-energy wasting, physical functioning and quality of life in chronic hemodialysis patients: ACTINUT study protocol for a randomised controlled trial. BMC Nephrology, 14(259). doi:https://doi.org/10.1186/1471-2369-14-259 DOI: https://doi.org/10.1186/1471-2369-14-259
Martins do Valle, F., Valle Pinheiro, B., Almeida Barros, A. A., Ferreira Mendonça, W., de Oliveira, A. C., de Oliveira Werneck, G., . . . Moura Reboredo, M. (Diciembre de 2020). Effects of intradialytic resistance training on physical activity in daily life, muscle strength, physical capacity and quality of life in hemodialysis patients: a randomized clinical trial. Disability and Rehabilitation, 42(25), 3638-3644. doi:https://doi.org/10.1080/09638288.2019.1606857 DOI: https://doi.org/10.1080/09638288.2019.1606857
Molsted, S., Bjørkman, A. S., & Lundstrøm, L. H. (Enero de 2019). Effects of strength training to patients undergoing dialysis: a systematic review. Danish Medical Journal, 66(1), A5526. Obtenido de https://ugeskriftet.dk/dmj/effects-strength-training-patients-undergoing-dialysis-systematic-review
Orcy, R. B., Dias, P. S., Seus, T. L., Barcellos, F. C., & Bohlke, M. (2012). Combined Resistance and Aerobic Exercise is Better than Resistance Training Alone to Improve Functional Performance of Haemodialysis Patients — Results of a Randomized Controlled Trial. Physiotherapy Research International, 17(4), 235-243. doi:https://doi.org/10.1002/pri.1526 DOI: https://doi.org/10.1002/pri.1526
Ortega Pérez de Villar, L., Antolí García, S., Lidón Pérez, M. J., Amer Cuenca, J. J., Benavent Caballer, V., & Segura Ortí, E. (2016). Comparación de un programa de ejercicio intradiálisis frente a ejercicio domiciliario sobre capacidad física funcional y nivel de actividad física. Enfermería Nefrológica, 19(1), 45-54. Obtenido de https://scielo.isciii.es/scielo.php?script=sci_abstract&pid=S2254-28842016000100006 DOI: https://doi.org/10.4321/S2254-28842016000100005
Ouzouni, S., Kouidi, E., Sioulis, A., Grekas, D., & Deligiannis, A. (Enero de 2009). Effects of intradialytic exercise training on health-related quality of life indices in haemodialysis patients. Clinical Rehabilitation, 23(1), 53-63. doi:10.1177/0269215508096760 DOI: https://doi.org/10.1177/0269215508096760
Qiu, Z., Zheng, K., Zhang, H., Feng, J., Wang, L., & Zhou, H. (2017). Physical Exercise and Patients with Chronic Renal Failure: A Meta-Analysis. BioMed Research International, 2017. doi:https://doi.org/10.1155/2017/7191826 DOI: https://doi.org/10.1155/2017/7191826
Roshanravan, B., Gamboa, J., & Wilund, K. (1 de Junio de 2017). Exercise and CKD: Skeletal Muscle Dysfunction and Practical Application of Exercise to Prevent and Treat Physical Impairments in CKD. American Journal of Kidney Diseases, 69(6), 837-852. doi:https://doi.org/10.1053/j.ajkd.2017.01.051 DOI: https://doi.org/10.1053/j.ajkd.2017.01.051
Rossi, A. P., Burris, D. D., Lucas, F. L., Crocker, G. A., & Wasserman, J. C. (Diciembre de 2014). Effects of a Renal Rehabilitation Exercise Program in Patients with CKD: A Randomized, Controlled Trial. Clinical Journal of the American Society of Nephrology, 9(12), 2052-2058. doi:https://doi.org/10.2215/CJN.11791113 DOI: https://doi.org/10.2215/CJN.11791113
Salhab, N., Karavetian, M., Kooman, J., Fiaccadori, E., & El Khoury, C. F. (2019). Effects of intradialytic aerobic exercise on hemodialysis patients: A systematic review and meta-analysis. Journal of Nephrology, 32(4), 549–566. doi:https://doi.org/10.1007/s40620-018-00565-z DOI: https://doi.org/10.1007/s40620-018-00565-z
Scapini, K. B., Bohlke, M., Moraes, O. A., Rodrigues, C. G., Inácio, J. F., Sbruzzie, G., . . . Irigoyen, M. C. (Enero de 2019). 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. Journal of Physiotherapy, 65(1), 4-15. doi:https://doi.org/10.1016/j.jphys.2018.11.008 DOI: https://doi.org/10.1016/j.jphys.2018.11.008
Segura-Ortí, E. (2010). Exercise in haemodyalisis patients: a literature systematic review. Nefrología, 30(2), 236-246. doi:10.3265/Nefrologia.pre2010.Jan.10229
Sheng, K., Ping, Z., Chen, L., Cheng, J., Wu, C., & Chen, J. (2014). Intradialytic exercise in hemodialysis patients: a systematic review and meta-analysis. American Journal of Nephrology, 40(5), 478–490. doi:https://doi.org/10.1159/000368722 DOI: https://doi.org/10.1159/000368722
Shimoda, T., Matsuzawa, R., Yoneki, K., Harada, M., Watanabe, T., Matsumoto, M., . . . Matsunaga, A. (2017). Changes in physical activity and risk of all-cause mortality in patients on maintence hemodialysis: a retrospective cohort study. BMC Nephrology, 18(154). doi:https://doi.org/10.1186/s12882-017-0569-7 DOI: https://doi.org/10.1186/s12882-017-0569-7
Sinnakirouchenan, R., & Holley, J. L. (01 de Noviembre de 2011). Peritoneal Dialysis Versus Hemodialysis: Risks, Benefits, and Access Issues. Advances in Chronic Kidney Disease, 18(6), 428–432. doi:https://doi.org/10.1053/j.ackd.2011.09.001 DOI: https://doi.org/10.1053/j.ackd.2011.09.001
Thompson, S., Wiebe, N., Gyenes, G., Davies, R., Radhakrishnan, J., & Graham, M. (8 de Febrero de 2019). Physical Activity In Renal Disease (PAIRED) and the effect on hypertension: study protocol for a randomized controlled trial. Trials, 20(1), 109. doi:https://doi.org/10.1186/s13063-019-3235-5 DOI: https://doi.org/10.1186/s13063-019-3235-5
Van Vilsteren, M. C., de Greef, M. H., & Huisman, R. M. (Enero de 2005). The effects of a low-to-moderate intensity pre-conditioning exercise programme linked with exercise counselling for sedentary haemodialysis patients in The Netherlands: Results of a randomized clinical trial. Nephrology Dialysis Transplantation, 20(1), 141-146. doi:https://doi.org/10.1093/ndt/gfh560 DOI: https://doi.org/10.1093/ndt/gfh560
Villanego, F., Naranjo, J., Vigara, L. A., Carzola, J. M., Montero, M. E., García, T., . . . Mazuecos, A. (2020). Impacto del ejercicio físico en pacientes con enfermedad renal crónica: revisión sistemática y metaanálisis. Nefrología, 40(3), 237-252. doi:https://doi.org/10.1016/j.nefro.2020.01.002 DOI: https://doi.org/10.1016/j.nefro.2020.01.002
Wilkinson, T. J., Shur, N. F., & Smith, A. C. (Agosto de 2016). "Exercise as medicine" in chronic kidney disease. Scandinavian Journal of Medicine & Science in Sports, 26(8), 985-988. doi:https://doi.org/10.1111/sms.12714 DOI: https://doi.org/10.1111/sms.12714
Yang, H., Wu, X., & Wang, M. (28 de Agosto de 2017). Exercise Affects Cardiopulmonary Function in Patients with Chronic Kidney Disease: A Meta-Analysis. BioMed Research International, 2017. doi:https://doi.org/10.1155/2017/6405797 DOI: https://doi.org/10.1155/2017/6405797
Zelko, A., Skoumalova, I., Kolarcik, P., Rosenberger, J., Rabajdova, M., Marekova, M., . . . NEPHRO-team, t. (Mayo de 2019). The effects of intradialytic resistance training on muscle strength, psychological well-being, clinical outcomes and circulatory micro-ribonucleic acid profiles in haemodialysis patients. Medicine, 98(19), e15570. doi:https://doi.org/10.1097/MD.0000000000015570 DOI: https://doi.org/10.1097/MD.0000000000015570
Zhang, L., Luo, H., Kang, G., Wang, W., & Hu, Y. (Febrero de 2017). The association between physical activity and mortality among patients undergoing maintenance hemodialysis. International Journal of Nursing Practice, 23(1), e12505. doi:https://doi.org/10.1111/ijn.12505 DOI: https://doi.org/10.1111/ijn.12505
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