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Titolo:
Benefits of exercise training in patients on continuous ambulatory peritoneal dialysis
Autore:
Lo, CY; Li, L; Lo, WK; Chan, MI; So, E; Tang, S; Yuen, MC; Cheng, IKP; Chan, TM;
Indirizzi:
Tung Wah Hosp, Dept Med, Div Nephrol, Hong Kong, Hong Kong Tung Wah Hosp Hong Kong Hong Kong ed, Div Nephrol, Hong Kong, Hong Kong Tung Wah Hosp, Dept Med, Div Rehabil Med, Hong Kong, Hong Kong Tung Wah Hosp Hong Kong Hong Kong Div Rehabil Med, Hong Kong, Hong Kong Tung Wah Hosp, Dept Physiotherapy, Div Rehabil Med, Hong Kong, Hong Kong Tung Wah Hosp Hong Kong Hong Kong Div Rehabil Med, Hong Kong, Hong Kong Tung Wah Hosp, Dept Physiotherapy, Div Nephrol, Hong Kong, Hong Kong Tung Wah Hosp Hong Kong Hong Kong py, Div Nephrol, Hong Kong, Hong Kong UnivgHong Kong, Queen Mary Hosp, Dept Med, Div Nephrol, Hong Kong, Hong Kon Univ Hong Kong Hong Kong Hong Kong ed, Div Nephrol, Hong Kong, Hong Kon
Titolo Testata:
AMERICAN JOURNAL OF KIDNEY DISEASES
fascicolo: 6, volume: 32, anno: 1998,
pagine: 1011 - 1018
SICI:
0272-6386(199812)32:6<1011:BOETIP>2.0.ZU;2-4
Fonte:
ISI
Lingua:
ENG
Soggetto:
STAGE RENAL-DISEASE; HEMODIALYSIS-PATIENTS; SUBMAXIMAL EXERCISE; QUALITY; LIFE; CAPD;
Keywords:
continuous ambulatory peritoneal dialysis; exercise capacity; exercise training; physical rehabilitation; quality of life;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
25
Recensione:
Indirizzi per estratti:
Indirizzo: Lo, CY MRCPUK,ngoom 516N,5th Floor,Hosp Autho Bldg,147B Argyle S, Kowloon,Hong Ko MRCPUK Room 516N,5th Floor,Hosp Autho Bldg,147B Argyle S Kowloon Hong Kong
Citazione:
C.Y. Lo et al., "Benefits of exercise training in patients on continuous ambulatory peritoneal dialysis", AM J KIDNEY, 32(6), 1998, pp. 1011-1018

Abstract

We examined the effects of a 12-week exercise program on the exercise tolerance, blood biochemistry, blood pressure (BP) control, cardiac function, and quality-of-life (QOL) scores in 13 patients undergoing continuous ambulatory peritoneal dialysis (CAPD; six men, seven women; mean age, 46.5 +/- 12.8 years; mean duration on dialysis, 4.8 +/- 3.8 years). The patients underwent exercise training on treadmill, bike, and arm ergometers thrice weekly. Seven CAPD patients matched for age, sex, and duration on dialysis sewed as controls. The mean peak aerobic capacity (VO2peak) Of the exercisers increased by 16.2% after training (pre- and postexercise, 17.2 +/- 5.2 v 20.0 /- 6.4 mL/kg/min; P = 0.004). Although there were no significant changes in serum urea, creatinine, albumin, and hematocrit levels; left ventricular diastolic/systolic diameters; and ejection fraction, an increasing trend ofhigh-density lipoproteins (HDLs) was observed in the exercisers (baseline v postexercise, 33 +/- 11 v 40 +/- 14 mg/dL; P = 0.06). Twenty-four-hour ambulatory BP monitoring showed a significant increase in daytime systolic BPin the exercisers (pre- and postexercise, 142 +/- 26 v 157 +/- 22 mm Hg; P= 0.003); but no significant changes could be found In the ambulatory daytime diastolic BP, nocturnal BP, and resting clinic BP. The patients' QOL improved after training, with better scores in two Kidney Disease Quality of Life scales (KDQOL): burden of kidney disease and physical functioning. Twomild and uncomplicated hypotensive episodes were reported in two patients immediately after training. No changes occurred in exercise capacity, bloodbiochemistry, BP profile, and QOL scores in the controls. We conclude thatstructured aerobic exercise is safe and can improve the exercise toleranceand QOL outcomes in CAPD patients. (C) 1998 by the National Kidney Foundation, Inc.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 01/04/20 alle ore 08:58:55