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[Effects of exercise training on ergocycle during hemodialysis in patients with end stage renal disease: relevance of the anaerobic threshold intensity].
Nephrol Ther. 2012 Jul; 8(4):231-7.NT

Abstract

BACKGROUND

Chronic kidney failure (CRF) in addition to cardiovascular comorbidities and aging decrease physical activity capacity. An adapted rehabilitation program might be strongly recommended in this population. The aim of the study is to evaluate a 3 months exercise training program with ergocycle at the anaerobic threshold (AT) during dialysis sessions on effort tolerance, quality of life, blood pressure and lipidic disorders.

METHODS

Six patients meanly aged 72 were evaluated before (t(0)) and after (t(3)) the rehabilitation program by: maximal cardiorespiratory ergotest, a 6-Minute Walk Test (6MWT) and 2 quality of life tests: Medical Outcome Survey Short Form 36-items and the Kidney Disease Quality of Life (SF 36, KDQol).

RESULTS

Physical activity during dialysis is well tolerated. There was no undesirable event during rehabilitation sessions. The dyspnea and muscular weariness threshold linked to the AT increased meanly by 39% (8.83 ± 0.87 vs. 12.25 ± 1.23 mL/min per kg). Distances walked during 6 MWT increased for all patients (351.83 ± 72.17 vs. 412.80 ± 82 meters) Moreover, physical component scale improved (+4.7), mean systolic blood pressure (-7 mmHg) and mean triglycerides concentration (-19%) decreased.

CONCLUSION

An exercise training program during dialysis sessions with ergocycle and working intensity based on AT seems safe and an effective alternative to improve the effort functional capacity by hemodialysis patients.

Links

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Authors+Show Affiliations

Besnier F
AUB Santé, 2 rue Le Guilloux, 35000 Rennes, France. eric.laruelle@aub-sante.fr
Laruelle E
No affiliation info available
Genestier S
No affiliation info available
Gié S
No affiliation info available
Vigneau C
No affiliation info available
Carré F
No affiliation info available

MeSH

AgedAnaerobic ThresholdBlood PressureExerciseExercise TherapyExercise ToleranceFemaleHumansKidney Failure, ChronicLipidsMaleMiddle AgedOxygen ConsumptionQuality of LifeRenal DialysisWalking

Pub Type(s)

English Abstract
Journal Article

Language

fre

PubMed ID

22100992

Citation

Besnier, Florent, et al. "[Effects of Exercise Training On Ergocycle During Hemodialysis in Patients With End Stage Renal Disease: Relevance of the Anaerobic Threshold Intensity]." Nephrologie & Therapeutique, vol. 8, no. 4, 2012, pp. 231-7.
Besnier F, Laruelle E, Genestier S, et al. [Effects of exercise training on ergocycle during hemodialysis in patients with end stage renal disease: relevance of the anaerobic threshold intensity]. Nephrol Ther. 2012;8(4):231-7.
Besnier, F., Laruelle, E., Genestier, S., Gié, S., Vigneau, C., & Carré, F. (2012). [Effects of exercise training on ergocycle during hemodialysis in patients with end stage renal disease: relevance of the anaerobic threshold intensity]. Nephrologie & Therapeutique, 8(4), 231-7. https://doi.org/10.1016/j.nephro.2011.10.002
Besnier F, et al. [Effects of Exercise Training On Ergocycle During Hemodialysis in Patients With End Stage Renal Disease: Relevance of the Anaerobic Threshold Intensity]. Nephrol Ther. 2012;8(4):231-7. PubMed PMID: 22100992.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Effects of exercise training on ergocycle during hemodialysis in patients with end stage renal disease: relevance of the anaerobic threshold intensity]. AU - Besnier,Florent, AU - Laruelle,Eric, AU - Genestier,Sandrine, AU - Gié,Sophie, AU - Vigneau,Cécile, AU - Carré,François, Y1 - 2011/11/18/ PY - 2011/06/15/received PY - 2011/10/05/revised PY - 2011/10/11/accepted PY - 2011/11/22/entrez PY - 2011/11/22/pubmed PY - 2013/8/1/medline SP - 231 EP - 7 JF - Nephrologie & therapeutique JO - Nephrol Ther VL - 8 IS - 4 N2 - BACKGROUND: Chronic kidney failure (CRF) in addition to cardiovascular comorbidities and aging decrease physical activity capacity. An adapted rehabilitation program might be strongly recommended in this population. The aim of the study is to evaluate a 3 months exercise training program with ergocycle at the anaerobic threshold (AT) during dialysis sessions on effort tolerance, quality of life, blood pressure and lipidic disorders. METHODS: Six patients meanly aged 72 were evaluated before (t(0)) and after (t(3)) the rehabilitation program by: maximal cardiorespiratory ergotest, a 6-Minute Walk Test (6MWT) and 2 quality of life tests: Medical Outcome Survey Short Form 36-items and the Kidney Disease Quality of Life (SF 36, KDQol). RESULTS: Physical activity during dialysis is well tolerated. There was no undesirable event during rehabilitation sessions. The dyspnea and muscular weariness threshold linked to the AT increased meanly by 39% (8.83 ± 0.87 vs. 12.25 ± 1.23 mL/min per kg). Distances walked during 6 MWT increased for all patients (351.83 ± 72.17 vs. 412.80 ± 82 meters) Moreover, physical component scale improved (+4.7), mean systolic blood pressure (-7 mmHg) and mean triglycerides concentration (-19%) decreased. CONCLUSION: An exercise training program during dialysis sessions with ergocycle and working intensity based on AT seems safe and an effective alternative to improve the effort functional capacity by hemodialysis patients. SN - 1872-9177 UR - https://www.unboundmedicine.com/medline/citation/22100992/[Effects_of_exercise_training_on_ergocycle_during_hemodialysis_in_patients_with_end_stage_renal_disease:_relevance_of_the_anaerobic_threshold_intensity]_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1769-7255(11)00591-8 DB - PRIME DP - Unbound Medicine ER -