<p>Is aerobic exercise training during hemodialysis a reliable intervention for autonomic dysfunction in individuals with chronic kidney disease? A prospective longitudinal clinical trial</p>

Abstract

IntroductionPhysical exercises help in the rehabilitation and recovery of various diseases. Cardiovascular and hypertension problems are the main causes of people being affected by kidney problems, which as a consequence, affects the heart rate variability (HRV) of the individual. Physical activity developed in a well-planned and thorough way can be a component in the treatment of this problem.ObjectiveWe aimed to evaluate the effects of aerobic exercise intervention during hemodialysis on autonomic heart rate regulation in individuals with chronic kidney disease (CKD).MethodsThis was a longitudinal trial conducted in 19 CKD patients. The patients underwent three weekly sessions of aerobic exercise during hemodialysis for 30 mins for 12 weeks (three months).ResultsHRV was analyzed before and after the protocol training. Linear indices of HRV were not different between before and after the protocol training. Nonlinear HRV analysis indicated reduced values of determinism (p=0008, Cohen’s d=0.82) and entropy (p=003, Cohen’s d=0.84) after the training protocol.ConclusionIn conclusion, aerobic exercise training during hemodialysis did not improve autonomic control of heart rate in CKD patients.

Effects of a Combined Intradialytic Exercise Training Program and Music on Cardiac Autonomic Nervous System Activity in Hemodialysis Patients

“…There is evidence that physical exercise training also improves HRV indices in patients with diabetes [ 39 , 40 ], heart failure [ 36 ], or cancer [ 41 ]. However, in disagreement with our findings, other studies have reported no changes in autonomic cardiac control after exercise intervention in patients undergoing HD, indicating that ANS is not altered during the course of a 4 h HD session program [ 42 ] or after a short 12-week exercise training period [ 43 , 44 ]. It should be noted that in these studies, exercise was examined solely and not the combination of exercise with music.…”

Effects of Home-Based Exercise Training on Cardiac Autonomic Neuropathy and Metabolic Profile in Diabetic Hemodialysis Patients

“…Likewise, Kouidi et al [ 33 , 34 ] highlighted substantial improvements in cardiac ANS function after a long-term supervised exercise program during the HD sessions. In disagreement with these results, in a study with a similar study design, Morais et al [ 35 ] showed that a 3-month aerobic intradialytic exercise did not improve cardiac ANS activity. Similarly, Huppertz et al [ 11 ], examining the effect of lifestyle change and participation of 113 patients in a gym and home exercise program, did not notice significant changes in cardiac ANS activity.…”

Effects of the social isolation generated by Covid-19 on the quality of life of the population in two Brazilian cities

“…The assessment of the HRQOL and aspects surrounding it is paramount to understand the citizen in the aspects associated with illnesses or linked to therapeutic interventions. This type of assessment maintains a multidimensional character, even though the emphasis is on symptoms, disabilities, or limitations caused by illnesses 19 .…”