Open AccessIntradialytic physical exercise in chronic kidney disease: a systematic review of health outcomes
Author(s) -
Diego Fernández-Lázaro,
Juan Mielgo-Ayuso,
María Asensio,
Alfredo Córdova Martínez,
Alberto Caballero-García,
César I Fernández-Lázaro
Publication year - 2020
Publication title -
archivos de medicina del deporte
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.117
H-Index - 11
eISSN - 2530-8971
pISSN - 0212-8799
DOI - 10.18176/archmeddeporte.00017
Subject(s) - medicine , kidney disease , cochrane library , physical therapy , systematic review , disease , quality of life (healthcare) , intensive care medicine , aerobic exercise , medline , randomized controlled trial , nursing , political science , law
Chronic kidney disease (CKD) is a general term for heterogeneous disorders that affect the structure and function of the kidney. Complications of CKD significantly limit exercise (Ex) tolerance by reducing functional capacity, endurance, and strength. However, the practice of regular Ex contributes to delaying the progression of CKD and stimulating improvements in health-related quality of life (HRQOL). Ex performed during the period of hemodialysis may be the best option when stimulating adherence and being under medical supervision. The purpose of the paper is to examine the effectiveness of intradialytic (iHD) Ex on health outcomes in patients with CKD by identifying the most appropriate component of Ex. Material and method: Systematic review, based on PRISMA guidelines, performing a structured search in Medline, SciELO and Cochrane Library Plus databases. Publications from the last 5 years relating iHD Ex and CKD up to 31 December 2019 were included. The methodological quality of the articles was evaluated using the McMaster critical review form. Results: We found 7 articles that described increases in endurance, upper and lower limb muscle strength, and HRQL of CKD patients providing emotional, social and psychological improvements. In addition, iHD Ex is able to control oxidative stress, inflammation, improve the lipid profile and stimulate endothelial progenitor cells, which together reduce the risk of mortality associated with multiple comorbidities in CKD patients, especially cardiovascular ones. Conclusions:Ex provides improvements in physical function and capacity, HRQL and biological markers. Aerobic Ex, muscle strength Ex and combined Ex programs are used.