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The expected changes with different periods of home-based resistance exercise in patients with chronic kidney disease.

التفاصيل البيبلوغرافية
العنوان: The expected changes with different periods of home-based resistance exercise in patients with chronic kidney disease.
المؤلفون: Chen SH; Department of Nephrology, MacKay Memorial Hospital, Taipei, Taiwan, ROC.; Graduate Institute of Applied Science and Engineering, Department and Institute of Life Science, Fu-Jen Catholic University, New Taipei City, Taiwan, ROC., Hsu CP; Department of Family Medicine, MacKay Memorial Hospital, Taipei, Taiwan, ROC., Chang HH; Department of Nephrology, MacKay Memorial Hospital, Taipei, Taiwan, ROC., Liu TJ; Department of Medical Education, MacKay Memorial Hospital, Taipei, Taiwan, ROC., Sun FJ; Department of Medical Research, MacKay Memorial Hospital, Taipei, Taiwan, ROC., Liang YJ; Graduate Institute of Applied Science and Engineering, Department and Institute of Life Science, Fu-Jen Catholic University, New Taipei City, Taiwan, ROC.
المصدر: Journal of the Chinese Medical Association : JCMA [J Chin Med Assoc] 2024 Jul 01; Vol. 87 (7), pp. 691-698. Date of Electronic Publication: 2024 May 03.
نوع المنشور: Journal Article; Observational Study
اللغة: English
بيانات الدورية: Publisher: Wolters Kluwer Health Country of Publication: Netherlands NLM ID: 101174817 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1728-7731 (Electronic) Linking ISSN: 17264901 NLM ISO Abbreviation: J Chin Med Assoc Subsets: MEDLINE
أسماء مطبوعة: Publication: 2019- : [Alphen aan den Rijn, The Netherlands] : Wolters Kluwer Health
Original Publication: Taipei, Taiwan : Chinese Medical Association, c2003-
مواضيع طبية MeSH: Resistance Training* , Renal Insufficiency, Chronic*/therapy , Renal Insufficiency, Chronic*/physiopathology, Humans ; Male ; Female ; Middle Aged ; Aged ; Cohort Studies ; Glomerular Filtration Rate ; Longitudinal Studies ; Sarcopenia/physiopathology ; Hand Strength ; Nutritional Status ; Adult
مستخلص: Background: The comprehensive impact of prolonged home-based resistance training on individuals grappling with chronic kidney disease (CKD) have yet to be fully elucidated. This study aimed to explore the outcomes of varying exercise durations on physical performance, nutritional status, and kidney function within this specific population, encompassing patients undergoing dialysis and those affected by severe sarcopenia.
Methods: This was a 1-year observational double cohort study following a 52-week longitudinal design, we enrolled 101 adult CKD outpatients. These participants were divided into two groups: the continuous group, comprising individuals who consistently exercised for over 6 months, and the interrupted group, which included those who did not sustain regular exercise for the same duration. The exercise regimen involved resistance exercises conducted at least 3 to 5 days per week, involving activities like lifting dumbbells and executing weighted wall squats. Physical activity assessments and biochemical blood tests were conducted at weeks 0, 4, 16, 28, 40, and 52 for all participants.
Results: The continuous exercise group exhibited better handgrip strength and sit-to-stand movement compared to the interrupted group. Their estimated glomerular filtration rate stayed steady while the interrupted group was declined. Additionally, those who exercised consistently had better metabolism: higher carbon dioxide levels, increased albumin, better nutritional scores, and lower levels of blood urea nitrogen, creatinine, fasting blood glucose, and body weight. Subsequent adjustments for potential confounding factors continued to show improved physical performance and kidney function over time.
Conclusion: Our findings indicate the advantageous impact of extended resistance exercise training on overall health of CKD patients, even those on dialysis or with severe sarcopenia. Dedication to this exercise routine could improve kidney function, metabolism, and physical abilities in these patients.
Competing Interests: Conflicts of interest: The authors declare that they have no conflicts of interest related to the subject matter or materials discussed in this article.
(Copyright © 2024, the Chinese Medical Association.)
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تواريخ الأحداث: Date Created: 20240705 Date Completed: 20240705 Latest Revision: 20240705
رمز التحديث: 20240705
DOI: 10.1097/JCMA.0000000000001106
PMID: 38965665
قاعدة البيانات: MEDLINE
الوصف
تدمد:1728-7731
DOI:10.1097/JCMA.0000000000001106