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Journal
2010 | 11 | 2 | 157-161
Article title

Acute Cardiovascular Alterations in Hypertensive Renal Patients During Exercise with Constant Load in the Interdialytic Period

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EN
Abstracts
EN
Purpose. The study investigated acute cardiovascular alterations during aerobic exercise in interdialytic phase. Basic procedures. Seven hypertensive men with chronic renal disease (CRD) and seven healthy men (C) were matched according to the age (CRD: 48.5 ± 8.5; C: 45.28 ± 9.3) and body mass index (CRD: 24.2 ± 2.8 kgm-2; C: 26.7 ± 2.7 kgm-2). The exercise was executed on a cycloergometer during 6 minutes at 75% of HRmax and 3 minutes of recovery without load at 55 - 60 rpm. The patients came twice and were controlled only on an occasion at the hospital at 9.00 am. The exercise was performed before and 24 hours after haemodialysis (HD). The blood samples were drawn immediately before and 24 hours after HD for hematocrit and hemoglobin analysis. The statistical difference was verified by the ANOVA and two-tailed unpaired Student's t-test only for p < 0.05. Main findings. After HD, the systolic blood pressure (SBP) shows reduction in the first stage (~14%; p < 0.05) and in the recovery period of exercise (~18%; p < 0.05). A hypotension effect of HD was better observed in the diastolic blood pressure (DBP) from the 5th to 9th min of exercise (~20%; p < 0.05). The HD did not modify biochemical (hematocrit and hemoglobin), physiological (Rest SpO2; rest SBP; rest DBP and VO2max) and body weight parameters. Conclusions. The study showed a significant reduction in blood pressure levels during the exercise, principally in DBP 24 hours after HD, suggesting that exercise executed during this period can induce better tolerance to exercise in dialyzed patients.
Publisher

Journal
Year
Volume
11
Issue
2
Pages
157-161
Physical description
Dates
published
1 - 12 - 2010
online
21 - 12 - 2010
Contributors
  • University of Santa Cruz do Sul (UNISC), Santa Cruz do Sul, RS, Brazil
References
  • Office of the US Surgeon General: Physical Activity and Health: A Report of the Surgeon General, Washington, DC, US Department of Health and Human Services, National Center for Chronic Disease Prevention and Health Promotion, 1996.
  • Willey K. A., Singh M. A., Battling insulin resistance in elderly obese people with type 2 diabetes: Bring on the heavy weights. Diabetes Care, 2003, 26, 1580-1588. doi:10.2337/diacare.26.5.1580.[Crossref]
  • US Renal Data System: USRDS 2006 Annual Data Report: Atlas of End-Stage Renal Disease in the United States, Bethesda, National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases, 2006.
  • Johansen K. L., Chertow G. M., Ng A. V., Mulligan K., Carey S., Schoenfeld P. Y., Kent-Braun J. A., Physical activity levels in patients on hemodialysis and healthy sedentary controls. Kidney Int, 2000, 57, 2564-2570. doi:10.1046/j.1523-1755.2000.00116.x.[Crossref]
  • Johansen K. L., Sakkas G. K., Doyle J., Shubert T., Dudley R. A.: Exercise counseling practices among nephrologists caring for patients on dialysis. Am J Kidney Dis, 2003, 41, 171-178. doi:10.1053/ajkd.2003.50001.[PubMed][Crossref]
  • Anderson J. E., Boivin Jr. M. R., Hatchett L., Effect of exercise training on interdialytic ambulatory and treatment-related blood pressure in hemodialysis patients. Ren Fail, 2004, 26, 539-544. doi:10.1081/JDI-200031735.[Crossref][PubMed]
  • Daul A., Schafers R., Daul K., Philipp T., Exercise during hemodialysis. Clin Nephrol, 2004, 61 (suppl. 1), S26-S30.
  • Kouidi E., Grekas D., Deligiannis A., Tourkantonis A., Outcomes of long-term exercise training in dialysis patients: Comparison of two training programs. Clin Nephrol, 2004, 61 (suppl. 1), S31-S38.
  • Vaithilingham I., Polkinghorne K., Atkins R., Kerr P., Time and exercise improve phosphate removal in hemodialysis patients. Am J Kidney Dis, 2004, 43, 85-89. doi:10.1053/j.ajkd.2003.09.016.[Crossref]
  • Kong C., Tattersall J., Greenwood R., Farrington K., The effect of exercise during hemodialysis on solute removal. Nephrol Dial Transplant, 1999, 14, 2927-2931.[PubMed]
  • Miller B., Cress C., Johnson M., Nichols D., Schnitzler M., Exercise during hemodialysis decreases the use of antihypertensive medications. Am J Kidney Dis, 2002, 39, 828-833. doi:10.1053/ajkd.2002.32004.[WoS][Crossref][PubMed]
  • Mustata S., Chan C., Lai L., Miller J., Impact of an exercise program on arterial stiffness and insulin resistance in hemodialysis patients. J Am Soc Nephrol, 2004, 15, 2713-2718. doi:10.1097/01.ASN.0000140256.21892.89.[PubMed][Crossref]
  • Deligiannis A., Kouidi E., Tassoulas E., Gigis P., Tourkantonis A., Coats A., Cardiac effects of exercise rehabilitation in hemodialysis patients. Int J Cardiol, 1999, 70, 253-266. doi:10.1016/S0167-5273(99)00090-X.[Crossref][PubMed]
  • Astrand P. O., Rodahl K., Evaluation of physical performance on the basis of tests. In: Provenzano M. D. (ed.), Textbook of work physiology. Physiological basis of exercise. McGraw-Hill, New York 1986, 354-390.
  • Borg G., Noble B. J., Psychophysical bases of perceived exertion. Med Sci Sports Exerc, 1982, 14 (5), 377-381.[PubMed]
  • Goldenfarb P. B., Bowyer F. P., Hall E., Brosious E., Reproducibility in the hematology laboratory: the microhematocrit determination. Amer J Clin Path, 1971, 56, 35-39.
  • Collier H. B., The standardization of blood haemoglobin determinations. Can Med Ass J, 1944, 50, 550-552.
  • Konstantinidou E., Koukouvou G., Kouidi E., Deligiannis A., Tourkantonis A., Exercise training in patients with end-stage renal disease on hemodialysis: Comparison of three rehabilitation programs. J Rehabil Med, 2002, 34, 40-45. doi:10.1080/165019702317242695.[Crossref][PubMed]
  • Mailloux L. U., Haley W. E., Hypertension in the ESRD patient: pathophysiology, therapy, outcomes, and future directions. Am J Kidney Dis, 1998, 32, 705-719.[PubMed][Crossref]
  • Moore G. E., Painter P., Brinker K. R., Stray-Gundersen J., Mitchell J. H., Cardiovascular response to submaximal stationary cycling during hemodialysis. Am J Kidney Dis, 1998, 31, 631-637. doi:10.1053/ajkd.1998.v31.pm9531179.[Crossref]
Document Type
Publication order reference
Identifiers
YADDA identifier
bwmeta1.element.-psjd-doi-10_2478_v10038-010-0011-5
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