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Central and peripheral adaptations to physical training in patients with end-stage renal disease.
Sports Med 2001; 31(9):651-65SM

Abstract

Renal replacement treatment options are life-saving treatments for patients with end-stage renal disease (ESRD). However, prolonged survival in patients with ESRD is associated with various functional and morphological disorders from almost all systems. Anaemia, deconditioning, cardiac dysfunction. impairment of cardiac autonomic control and skeletal muscle weakness and fatigue, primarily because of 'uraemic' myopathy and neuropathy, are the main predisposing factors for their poor functional ability. Physical training is being recommended as a complementary therapeutic modality. There are generally 3 methods of exercise training applied in patients with ESRD: (i) the supervised outpatient programme that is held in a rehabilitation centre; (ii) a home exercise rehabilitation programme; and (iii) exercise rehabilitation programme during the first hours of the haemodialysis treatment in the renal unit. All the available training data show that the application of an exercise training programme in patients with ESRD enhances their physical fitness. This improvement is due to central and mainly peripheral adaptations. Exercise training in these patients increases aerobic capacity, causes favourable left ventricular functional adaptations, reduces blood pressure in patients with hypertension, modifies other coronary risk factors, increases the cardiac vagal activity and suppresses the incidence of cardiac arrhythmias. Moreover, exercise training has beneficial effects on muscle structural and functional abnormalities. These central and peripheral adaptations to exercise training cause an increase in their functional capacity and offer them achance of a better quality of life. Moreover, exercise training improves exercisee tolerance of renal post-transplant patients.

Authors+Show Affiliations

Department of Physical Education and Sports Science, Aristotle University of Thessaloniki, Greece. ekouidi@med.auth.gr

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

11508521

Citation

Kouidi, E J.. "Central and Peripheral Adaptations to Physical Training in Patients With End-stage Renal Disease." Sports Medicine (Auckland, N.Z.), vol. 31, no. 9, 2001, pp. 651-65.
Kouidi EJ. Central and peripheral adaptations to physical training in patients with end-stage renal disease. Sports Med. 2001;31(9):651-65.
Kouidi, E. J. (2001). Central and peripheral adaptations to physical training in patients with end-stage renal disease. Sports Medicine (Auckland, N.Z.), 31(9), pp. 651-65.
Kouidi EJ. Central and Peripheral Adaptations to Physical Training in Patients With End-stage Renal Disease. Sports Med. 2001;31(9):651-65. PubMed PMID: 11508521.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Central and peripheral adaptations to physical training in patients with end-stage renal disease. A1 - Kouidi,E J, PY - 2001/8/18/pubmed PY - 2002/1/5/medline PY - 2001/8/18/entrez SP - 651 EP - 65 JF - Sports medicine (Auckland, N.Z.) JO - Sports Med VL - 31 IS - 9 N2 - Renal replacement treatment options are life-saving treatments for patients with end-stage renal disease (ESRD). However, prolonged survival in patients with ESRD is associated with various functional and morphological disorders from almost all systems. Anaemia, deconditioning, cardiac dysfunction. impairment of cardiac autonomic control and skeletal muscle weakness and fatigue, primarily because of 'uraemic' myopathy and neuropathy, are the main predisposing factors for their poor functional ability. Physical training is being recommended as a complementary therapeutic modality. There are generally 3 methods of exercise training applied in patients with ESRD: (i) the supervised outpatient programme that is held in a rehabilitation centre; (ii) a home exercise rehabilitation programme; and (iii) exercise rehabilitation programme during the first hours of the haemodialysis treatment in the renal unit. All the available training data show that the application of an exercise training programme in patients with ESRD enhances their physical fitness. This improvement is due to central and mainly peripheral adaptations. Exercise training in these patients increases aerobic capacity, causes favourable left ventricular functional adaptations, reduces blood pressure in patients with hypertension, modifies other coronary risk factors, increases the cardiac vagal activity and suppresses the incidence of cardiac arrhythmias. Moreover, exercise training has beneficial effects on muscle structural and functional abnormalities. These central and peripheral adaptations to exercise training cause an increase in their functional capacity and offer them achance of a better quality of life. Moreover, exercise training improves exercisee tolerance of renal post-transplant patients. SN - 0112-1642 UR - https://www.unboundmedicine.com/medline/citation/11508521/full_citation L2 - https://dx.doi.org/10.2165/00007256-200131090-00002 DB - PRIME DP - Unbound Medicine ER -