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Article: Benefits of exercise training in patients on continuous ambulatory peritoneal dialysis

TitleBenefits of exercise training in patients on continuous ambulatory peritoneal dialysis
Authors
Issue Date1998
PublisherWB Saunders Co. The Journal's web site is located at http://www.elsevier.com/locate/ajkd
Citation
American Journal Of Kidney Diseases, 1998, v. 32 n. 6, p. 1011-1018 How to Cite?
AbstractWe 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 served as controls. The mean peak aerobic capacity (VO(2peak)) 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 of high-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 BP in 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. Two mild and uncomplicated hypotensive episodes were reported in two patients immediately after training. No changes occurred in exercise capacity, blood biochemistry, BP profile, and QOL scores in the controls. We conclude that structured aerobic exercise is safe and can improve the exercise tolerance and QOL outcomes in CAPD patients.
Persistent Identifierhttp://hdl.handle.net/10722/162227
ISSN
2015 Impact Factor: 6.269
2015 SCImago Journal Rankings: 2.313
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorLo, CYen_US
dc.contributor.authorLi, Len_US
dc.contributor.authorLo, WKen_US
dc.contributor.authorChan, MLen_US
dc.contributor.authorSo, Een_US
dc.contributor.authorTang, Sen_US
dc.contributor.authorYuen, MCen_US
dc.contributor.authorCheng, IKPen_US
dc.contributor.authorChan, TMen_US
dc.date.accessioned2012-09-05T05:18:15Z-
dc.date.available2012-09-05T05:18:15Z-
dc.date.issued1998en_US
dc.identifier.citationAmerican Journal Of Kidney Diseases, 1998, v. 32 n. 6, p. 1011-1018en_US
dc.identifier.issn0272-6386en_US
dc.identifier.urihttp://hdl.handle.net/10722/162227-
dc.description.abstractWe 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 served as controls. The mean peak aerobic capacity (VO(2peak)) 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 of high-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 BP in 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. Two mild and uncomplicated hypotensive episodes were reported in two patients immediately after training. No changes occurred in exercise capacity, blood biochemistry, BP profile, and QOL scores in the controls. We conclude that structured aerobic exercise is safe and can improve the exercise tolerance and QOL outcomes in CAPD patients.en_US
dc.languageengen_US
dc.publisherWB Saunders Co. The Journal's web site is located at http://www.elsevier.com/locate/ajkden_US
dc.relation.ispartofAmerican Journal of Kidney Diseasesen_US
dc.subject.meshAdulten_US
dc.subject.meshBlood Pressureen_US
dc.subject.meshCombined Modality Therapyen_US
dc.subject.meshEvaluation Studies As Topicen_US
dc.subject.meshExercise Test - Statistics & Numerical Dataen_US
dc.subject.meshExercise Therapy - Statistics & Numerical Dataen_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshPeritoneal Dialysis, Continuous Ambulatory - Statistics & Numerical Dataen_US
dc.subject.meshQuality Of Lifeen_US
dc.subject.meshSafetyen_US
dc.subject.meshStatistics, Nonparametricen_US
dc.subject.meshTime Factorsen_US
dc.titleBenefits of exercise training in patients on continuous ambulatory peritoneal dialysisen_US
dc.typeArticleen_US
dc.identifier.emailTang, S:scwtang@hku.hken_US
dc.identifier.emailChan, TM:dtmchan@hku.hken_US
dc.identifier.authorityTang, S=rp00480en_US
dc.identifier.authorityChan, TM=rp00394en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1016/S0272-6386(98)70076-9-
dc.identifier.pmid9856517-
dc.identifier.scopuseid_2-s2.0-0031769503en_US
dc.identifier.volume32en_US
dc.identifier.issue6en_US
dc.identifier.spage1011en_US
dc.identifier.epage1018en_US
dc.identifier.isiWOS:000077383900013-
dc.publisher.placeUnited Statesen_US
dc.identifier.scopusauthoridLo, CY=7401771743en_US
dc.identifier.scopusauthoridLi, L=7501449836en_US
dc.identifier.scopusauthoridLo, WK=7201502414en_US
dc.identifier.scopusauthoridChan, ML=15750030500en_US
dc.identifier.scopusauthoridSo, E=19436665800en_US
dc.identifier.scopusauthoridTang, S=7403437082en_US
dc.identifier.scopusauthoridYuen, MC=7101633297en_US
dc.identifier.scopusauthoridCheng, IKP=7102537483en_US
dc.identifier.scopusauthoridChan, TM=7402687700en_US

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