Revisão Acesso aberto Revisado por pares

Entrenamiento físico en personas con enfermedad renal crónica avanzada: beneficios de su implementación en la práctica clínica

2019; Q16635223; Volume: 147; Issue: 11 Linguagem: Inglês

10.4067/s0034-98872019001101443

ISSN

0717-6163

Autores

Hans Müller-Ortiz, Cristian Pedreros‐Rosales, Aldo Vera‐Calzaretta, Alexis González-Burboa, Carlos Zúñiga-San Martín, MARÍA SOLEDAD OLIVEROS-ROMERO,

Tópico(s)

Erythropoietin and Anemia Treatment

Resumo

Chronic kidney disease is associated with an increase in cardiovascular risk and mortality, and a decrease in the health-related quality of life. It is known that the physical capacity of patients with chronic kidney disease is lower than their healthy counterparts. It also decreases progressively after the start of hemodialysis, even leading to the loss of functional independence. There is a positive association between exercise and improvement of many targets in chronic kidney disease, especially in dialysis patients, such as cellular apoptosis, immune improvement and inflammation. In addition, several clinical studies and systematic reviews show an improvement in different clinical and laboratory variables and suggest a lower mortality, proving a reduction of health care economic costs. Exercise intervention in dialysis is safe. Although different guidelines promote exercise, it is necessary to work on its implementation on a large scale.

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