by Hamid Arazi, Majid Mohabbat, Payam Saidie, Akram Falahati and Katsuhiko Suzuki
Abstract:
The effects of exercise on kidney function have been studied for more than three decades. One of the most common health issues among patients with chronic kidney disease (CKD) is a lack of physical activity, which leads to a low exercise capacity in these patients. The majority of maintenance hemodialysis (MHD) patients do not exercise at all. At each stage of dialysis, patients lose 10-12 g of their amino acids through blood sampling. Dialysis also leads to increased cortisol and circadian rhythm sleep disorders in hemodialysis (HD) patients. Studies have also reported higher C-reactive protein levels in HD patients, which causes arterial stiffness. Exercise has a variety of health benefits in these patients, including improved blood pressure control, better sleep, higher physical function, and reduced anxiety and depression. On the other hand, it should be noted that intense exercise has the potential to progress KD, especially when conducted in hot weather with dehydration. This review aimed to investigate the effects of different types of exercise on kidney disease and provide exercise guidelines. In conclusion, moderate-intensity and long-term exercise (for at least a 6-month period), with consideration of the principles of exercise (individualization, intensity, time, etc.), can be used as an adjunctive treatment strategy in patients undergoing dialysis or kidney transplantation.
Reference:
Effects of Different Types of Exercise on Kidney Diseases. (Hamid Arazi, Majid Mohabbat, Payam Saidie, Akram Falahati and Katsuhiko Suzuki), In Sports (Basel), volume 10, 2022.
Bibtex Entry:
@article{Arazi:2022aa,
abstract = {The effects of exercise on kidney function have been studied for more than three decades. One of the most common health issues among patients with chronic kidney disease (CKD) is a lack of physical activity, which leads to a low exercise capacity in these patients. The majority of maintenance hemodialysis (MHD) patients do not exercise at all. At each stage of dialysis, patients lose 10-12 g of their amino acids through blood sampling. Dialysis also leads to increased cortisol and circadian rhythm sleep disorders in hemodialysis (HD) patients. Studies have also reported higher C-reactive protein levels in HD patients, which causes arterial stiffness. Exercise has a variety of health benefits in these patients, including improved blood pressure control, better sleep, higher physical function, and reduced anxiety and depression. On the other hand, it should be noted that intense exercise has the potential to progress KD, especially when conducted in hot weather with dehydration. This review aimed to investigate the effects of different types of exercise on kidney disease and provide exercise guidelines. In conclusion, moderate-intensity and long-term exercise (for at least a 6-month period), with consideration of the principles of exercise (individualization, intensity, time, etc.), can be used as an adjunctive treatment strategy in patients undergoing dialysis or kidney transplantation.},
address = {Department of Exercise Physiology, Faculty of Sport Sciences, University of Guilan, Rasht 4199843653, Iran.; Department of Exercise Physiology, Faculty of Sport Sciences, University of Guilan, Rasht 4199843653, Iran.; Department of Exercise Physiology, Faculty of Sport Sciences, University of Guilan, Rasht 4199843653, Iran.; Department of Exercise Physiology, Faculty of Sport Sciences, University of Guilan, Rasht 4199843653, Iran.; Faculty of Sport Sciences, Waseda University, Tokorozawa 359-1192, Japan.},
auid = {ORCID: 0000-0002-1594-6515; ORCID: 0000-0002-6572-5809},
author = {Arazi, Hamid and Mohabbat, Majid and Saidie, Payam and Falahati, Akram and Suzuki, Katsuhiko},
cois = {The authors declare no conflict of interest.},
crdt = {2022/03/24 17:24},
date = {2022 Mar 10},
date-added = {2023-01-09 20:10:09 +0000},
date-modified = {2023-06-03 19:31:52 +0100},
dep = {20220310},
doi = {10.3390/sports10030042},
edat = {2022/03/25 06:00},
gr = {20H00574/The Scientific Research (A) from the Ministry of Education, Culture, Sports, Science, and Technology of Japan/},
issn = {2075-4663 (Electronic); 2075-4663 (Linking)},
jid = {101722684},
journal = {Sports (Basel)},
jt = {Sports (Basel, Switzerland)},
keywords = {Physical Activity},
language = {eng},
lid = {10.3390/sports10030042 {$[$}doi{$]$}; 42},
lr = {20220329},
mhda = {2022/03/25 06:01},
month = {Mar},
number = {3},
oto = {NOTNLM},
own = {NLM},
phst = {2022/01/29 00:00 {$[$}received{$]$}; 2022/02/26 00:00 {$[$}revised{$]$}; 2022/03/07 00:00 {$[$}accepted{$]$}; 2022/03/24 17:24 {$[$}entrez{$]$}; 2022/03/25 06:00 {$[$}pubmed{$]$}; 2022/03/25 06:01 {$[$}medline{$]$}},
pii = {sports10030042; sports-10-00042},
pl = {Switzerland},
pmc = {PMC8952011},
pmid = {35324651},
pst = {epublish},
pt = {Journal Article; Review},
status = {PubMed-not-MEDLINE},
title = {Effects of Different Types of Exercise on Kidney Diseases.},
url = {http://portaldadialise.com/r/papers/Effects%20of%20Different%20Types%20of%20Exercise%20on%20Kidney%20Diseases.pdf},
volume = {10},
year = {2022},
bdsk-url-1 = {https://doi.org/10.3390/sports10030042}}