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. Intra-Dialytic Exercise Training Could Improve Vascular Tone in Hemodialyzed Patients: a Preliminary Report. In Kenner T., Cornélissen G., Siegelová J., Dobšák P. Noninvasive methods in cardiology 2015. 1st. ed. Brno: Masaryk University, 2015, p. 99-110. ISBN 978-80-210-8031-7.
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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
Original language English
Type of outcome Proceedings paper
Field of Study 30000 3. Medical and Health Sciences
Country of publisher Czech Republic
Confidentiality degree is not subject to a state or trade secret
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
Changed by Changed by: Ing. Mgr. Věra Pospíšilíková, učo 9005. Changed: 18/2/2016 10:22.
Abstract
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.
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