D 2015

Intra-Dialytic Exercise Training Could Improve Vascular Tone in Hemodialyzed Patients: a Preliminary Report

PALANOVÁ, Petra, Veronika MRKVICOVÁ, A. REICHERTOVA, S. BRYCHTOVA, M. NEDBALKOVA et. al.

Basic information

Original name

Intra-Dialytic Exercise Training Could Improve Vascular Tone in Hemodialyzed Patients: a Preliminary Report

Authors

PALANOVÁ, Petra, Veronika MRKVICOVÁ, A. REICHERTOVA, S. BRYCHTOVA, M. NEDBALKOVA, P. VANK, M. SOSIKOVA, Pavel HOMOLKA, A. HAVELKOVA, Miroslav SOUČEK, M. KOHZUKI, Jarmila SIEGELOVÁ and Petr DOBŠÁK

Edition

1st. ed. Brno, Noninvasive methods in cardiology 2015, p. 99-110, 12 pp. 2015

Publisher

Masaryk University

Other information

Language

English

Type of outcome

Stať ve sborníku

Field of Study

30000 3. Medical and Health Sciences

Country of publisher

Czech Republic

Confidentiality degree

není předmětem státního či obchodního tajemství

Organization unit

Faculty of Medicine

ISBN

978-80-210-8031-7

Keywords in English

arterial stiffness; chronic kidney disease; functional capacity; exercise training; muscle strength
Změněno: 18/2/2016 10:22, Ing. Mgr. Věra Pospíšilíková

Abstract

V originále

We examined the effects of a 20-week intra-dialytic rehabilitation (ID-RHB) program on the physical performance and arterial stiffness in a group of patients undergoing regular ambulatory hemodialysis (14 men, 3 women; mean age: 45.4 ± 13.4 years; mean duration of dialysis: 5.9 ± 2.3 years). The patients underwent exercise aerobic training on programmable bed-side ergometers (letto2, RECK MOTOmed®, GmbH, Germany) 2-3 times weekly. Seventeen patients completed the 20 weeks of ID-RHB program. Five patients were excluded from the program for loss of motivation, 4 patients for repeated failure to fulfill the prescribed training regimen and 1 patient was transplanted. Twenty weeks of ID-RHB program led to significant increase of VO2peak (from 18.2 ± 5.8 to 19.7 ± 5.1 ml/ kg/min; P < 0.004); distance walked in 6 minutes (from 455.2 ± 98.2 to 526.7 m ± 139.6; P < 0.02); muscle strength (from 271.7 ± 87.6N to 336.7 ± 97.7N; 0.02). Mean CAVI value significantly decreased from the initial 8.02 ± 1.7 to 7.32 ± 1.9 (P < 0.02). The training protocol and workload intensity was well tolerated by all the subjects and there were no adverse events, such as episodes of hypotension, related to exercise. We conclude that structured intra-dialytic aerobic exercise training is safe and can improve the endurance parameters and arterial stiffness in HD patients.