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

INTRODUCTION: Physical 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 activit...

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Autores principales: Morais, Mauro José de Deus, de Abreu, Luiz Carlos, Santana de Oliveira, Fabiano, Pinheiro Bezerra, Italla Maria, Raimundo, Rodrigo Daminello, Paulo Martins Silva, Romeu, Valenti, Vitor Engracia, Pérez-Riera, Andrés Ricardo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove 2019
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Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6717710/
https://www.ncbi.nlm.nih.gov/pubmed/31695401
http://dx.doi.org/10.2147/JMDH.S202889
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author Morais, Mauro José de Deus
de Abreu, Luiz Carlos
Santana de Oliveira, Fabiano
Pinheiro Bezerra, Italla Maria
Raimundo, Rodrigo Daminello
Paulo Martins Silva, Romeu
Valenti, Vitor Engracia
Pérez-Riera, Andrés Ricardo
author_facet Morais, Mauro José de Deus
de Abreu, Luiz Carlos
Santana de Oliveira, Fabiano
Pinheiro Bezerra, Italla Maria
Raimundo, Rodrigo Daminello
Paulo Martins Silva, Romeu
Valenti, Vitor Engracia
Pérez-Riera, Andrés Ricardo
author_sort Morais, Mauro José de Deus
collection PubMed
description INTRODUCTION: Physical 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. OBJECTIVE: We aimed to evaluate the effects of aerobic exercise intervention during hemodialysis on autonomic heart rate regulation in individuals with chronic kidney disease (CKD). METHODS: This 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). RESULTS: HRV 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. CONCLUSION: In conclusion, aerobic exercise training during hemodialysis did not improve autonomic control of heart rate in CKD patients.
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spelling pubmed-67177102019-11-06 Is aerobic exercise training during hemodialysis a reliable intervention for autonomic dysfunction in individuals with chronic kidney disease? A prospective longitudinal clinical trial Morais, Mauro José de Deus de Abreu, Luiz Carlos Santana de Oliveira, Fabiano Pinheiro Bezerra, Italla Maria Raimundo, Rodrigo Daminello Paulo Martins Silva, Romeu Valenti, Vitor Engracia Pérez-Riera, Andrés Ricardo J Multidiscip Healthc Original Research INTRODUCTION: Physical 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. OBJECTIVE: We aimed to evaluate the effects of aerobic exercise intervention during hemodialysis on autonomic heart rate regulation in individuals with chronic kidney disease (CKD). METHODS: This 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). RESULTS: HRV 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. CONCLUSION: In conclusion, aerobic exercise training during hemodialysis did not improve autonomic control of heart rate in CKD patients. Dove 2019-08-27 /pmc/articles/PMC6717710/ /pubmed/31695401 http://dx.doi.org/10.2147/JMDH.S202889 Text en © 2019 Morais et al. http://creativecommons.org/licenses/by-nc/3.0/ This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php).
spellingShingle Original Research
Morais, Mauro José de Deus
de Abreu, Luiz Carlos
Santana de Oliveira, Fabiano
Pinheiro Bezerra, Italla Maria
Raimundo, Rodrigo Daminello
Paulo Martins Silva, Romeu
Valenti, Vitor Engracia
Pérez-Riera, Andrés Ricardo
Is aerobic exercise training during hemodialysis a reliable intervention for autonomic dysfunction in individuals with chronic kidney disease? A prospective longitudinal clinical trial
title Is aerobic exercise training during hemodialysis a reliable intervention for autonomic dysfunction in individuals with chronic kidney disease? A prospective longitudinal clinical trial
title_full Is aerobic exercise training during hemodialysis a reliable intervention for autonomic dysfunction in individuals with chronic kidney disease? A prospective longitudinal clinical trial
title_fullStr Is aerobic exercise training during hemodialysis a reliable intervention for autonomic dysfunction in individuals with chronic kidney disease? A prospective longitudinal clinical trial
title_full_unstemmed Is aerobic exercise training during hemodialysis a reliable intervention for autonomic dysfunction in individuals with chronic kidney disease? A prospective longitudinal clinical trial
title_short Is aerobic exercise training during hemodialysis a reliable intervention for autonomic dysfunction in individuals with chronic kidney disease? A prospective longitudinal clinical trial
title_sort is aerobic exercise training during hemodialysis a reliable intervention for autonomic dysfunction in individuals with chronic kidney disease? a prospective longitudinal clinical trial
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6717710/
https://www.ncbi.nlm.nih.gov/pubmed/31695401
http://dx.doi.org/10.2147/JMDH.S202889
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