Beneficios del ejercicio físico de baja intensidad durante la sesión de hemodiálisis en el paciente anciano

Simó, Vicente; Jiménez, Anna Junqué; Guzmán, Fátima Moreno; Oliveira, José Carneiro; Nicolás, Miquel; Potau, Mónica Pou; Solé, Anna; Gallego, Verónica Duarte; González, Irati Tapia; Arellano, Manel Ramírez de

doi:10.1016/j.nefro.2015.03.006

Cited by 36 publications

(16 citation statements)

References 34 publications

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“…A recent non-RCT showed that low-intensity physical exercise improved muscle strength, functional capacity, and QoL in subjects aged 80 years and older. 65 Further RCTs in elderly people undergoing hemodialysis will be necessary to confirm these findings. Third, the present review focused on the effects of supervised exercise training, without taking into consideration the effects of home-based exercise training.…”

Section: Discussionmentioning

confidence: 94%

Exercise Training in Elderly People Undergoing Hemodialysis: A Systematic Review and Meta-analysis

Matsuzawa

Hoshi

Yoneki

et al. 2017

Kidney International Reports

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IntroductionPrevious reviews have indicated the effectiveness of exercise in people undergoing hemodialysis. However, these analyses did not take into account whether the subjects were elderly. We performed a systematic review of the effects of exercise training in elderly people undergoing hemodialysis and updated the evidence of exercise for people undergoing hemodialysis by adding recent research data.MethodsWe searched 8 electronic databases up to June 2016. Inclusion criteria were as follows: randomized controlled trial, English publication, subjects aged 18 and older undergoing hemodialysis, evaluation of physical function as an outcome of exercise intervention. We defined elderly as age 60 years and older. The main outcomes were exercise tolerance (peak/maximum oxygen consumption) and walking ability (6-minute walk distance). Secondary outcomes were lower extremity muscle strength and quality of life.ResultsAfter screening of 10,923 references, 30 comparisons were entered into the analysis. However, because we found only 1 study in which elderly subjects were treated, we could not perform a meta-analysis for these people. For the general population undergoing hemodialysis, supervised exercise training was shown to significantly increase peak/maximum oxygen consumption (standard mean difference, 0.62; 95% confidence interval 0.38–0.87; P < 0.001), 6-minute walk distance (standard mean difference, 0.58; 95% confidence interval 0.24–0.93; P < 0.001), lower extremity muscle strength (standard mean difference, 0.94; 95% confidence interval 0.67–1.21; P < 0.001), and quality of life (standard mean difference, 0.53; 95% confidence interval 0.52–0.82; P < 0.001).DiscussionOur analysis on the effectiveness of exercise training in elderly people undergoing hemodialysis as compared with nonelderly people was somewhat inconclusive. Future studies should be carried out for elderly people to identify the most favorable exercise program for this population.

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Section: Discussionmentioning

confidence: 94%

Exercise Training in Elderly People Undergoing Hemodialysis: A Systematic Review and Meta-analysis

Matsuzawa

Hoshi

Yoneki

et al. 2017

Kidney International Reports

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“…For patients on hemodialysis, it is controversial whether exercise could increase skeletal muscle mass [ 76 , 77 , 78 ]. Exercise-induced enhancement of skeletal muscle strength is shown by several human studies [ 47 , 57 , 58 ], but not supported by others [ 68 , 79 , 80 ]. Although clinical evidence of the effect of exercise therapy on mortality in hemodialysis patients is limited, multiple studies support that VO 2 peak [ 59 , 60 , 61 , 62 , 63 , 64 ] or VO 2 max [ 65 , 66 ] was increased by exercise intervention, which is better supported by clinical studies with an observation period of six months or longer [ 81 ].…”

Section: Physical Exercise To Prevent or Regress Uremic Sarcopeniamentioning

confidence: 87%

Uremic Sarcopenia: Clinical Evidence and Basic Experimental Approach

et al. 2020

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Sustained physical activity extends healthy life years while a lower activity due to sarcopenia can reduce them. Sarcopenia is defined as a decrease in skeletal muscle mass and strength due not only to aging, but also from a variety of debilitating chronic illnesses such as cancer and heart failure. Patients with chronic kidney disease (CKD), who tend to be cachexic and in frail health, may develop uremic sarcopenia or uremic myopathy due to an imbalance between muscle protein synthesis and catabolism. Here, we review clinical evidence indicating reduced physical activity as renal function deteriorates and explore evidence-supported therapeutic options focusing on nutrition and physical training. In addition, although sarcopenia is a clinical concept and difficult to recapitulate in basic research, several in vivo approaches have been attempted, such as rodent subtotal nephrectomy representing both renal dysfunction and muscle weakness. This review highlights molecular mechanisms and promising interventions for uremic sarcopenia that were revealed through basic research. Extensive study is still needed to cast light on the many aspects of locomotive organ impairments in CKD and explore the ways that diet and exercise therapies can improve both outcomes and quality of life at every level.

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“…En los últimos años, una gran cantidad de estudios han observado mejoras en la capacidad funcional y calidad de vida relacionada con la salud en pacientes con ERC en HD luego de practicar ejercicio físico, incluso en pacientes ancianos (sobre 80 años) y co-mórbidos 30 . Cheema et al, en una muestra de 49 pacientes (62 años ± 3), encontró efectos positivos en la fuerza muscular, en el test SF-36 y en el TM6M después de un programa de fuerza-resistencia que ejercitaba la musculatura de miembros superiores, inferiores y abdomen, 3 veces por semana durante 12 semanas (durante HD) 31 .…”

Section: Discussionunclassified

Efectos de un programa de ejercicio de fuerza-resistencia muscular en la capacidad funcional, fuerza y calidad de vida de adultos con enfermedad renal crónica en hemodiálisis

et al. 2016

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Beneficios del ejercicio físico de baja intensidad durante la sesión de hemodiálisis en el paciente anciano

Cited by 36 publications

References 34 publications

Exercise Training in Elderly People Undergoing Hemodialysis: A Systematic Review and Meta-analysis

Exercise Training in Elderly People Undergoing Hemodialysis: A Systematic Review and Meta-analysis

Uremic Sarcopenia: Clinical Evidence and Basic Experimental Approach

Efectos de un programa de ejercicio de fuerza-resistencia muscular en la capacidad funcional, fuerza y calidad de vida de adultos con enfermedad renal crónica en hemodiálisis

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