Effects of Home-based or Center-based Aerobic Exercise on Physical Function, Nutritional Status Ans Cardiopulmonary Parameters in Patients With Chronic Kidney Disease
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Chronic Renal Failure
- Sponsor
- Federal University of São Paulo
- Enrollment
- 45
- Primary Endpoint
- Cardiopulmonary capacity
- Status
- Completed
- Last Updated
- 11 years ago
Overview
Brief Summary
Patients will be randomly assigned to perform the training program in center or home-based . The training program will be conducted in accordance with the recommendations of the American College of Sports Medicine. All training sessions will be preceded by stretching of large muscle groups and heating (5 minutes) and at the end by cool down and stretching (5 minutes). The program will consist of 24 weeks with three sessions per week on alternate days. The aerobic training will be continuous, with an increment of 10 minutes in duration every 4 weeks. The intensity will be prescribed according to ventilatory threshold, characterized by the highest intensity of physical exertion fully maintained by aerobic energy pathways. The intensity control was done by means of the heart rate value obtained at ventilatory threshold.
Both groups receive the same intervention. However, a group exercise held in the center on a treadmill with the direct supervision of a physical education teacher. The other group will exercise at home with telephone follow-up weekly and once a month will be held at the training center under the supervision of a physical education teacher.
It will also constituted a control group remain without performing any activity during the study period. After 24 weeks patients receive the same advice the team conducting the training at home.
Investigators
Lilian Cuppari
PhD, Affiliate Professor
Federal University of São Paulo
Eligibility Criteria
Inclusion Criteria
- •Sedentary individuals with chronic kidney disease stages 3 or 4 disease;
- •Both genders;
- •Age between 30 and 65 years;
- •Overweight (BMI\> 25 kg/m2);
- •With a negative stress test.
Exclusion Criteria
- •Patients with chronic obstructive pulmonary disease,
- •class IV heart failure,
- •myocardial infarction within the last 6 months,
- •decompensated hypertension (systolic blood pressure\> 180 mmHg or diastolic\> 110 mmHg in the last 6 months),
- •uncontrolled cardiac arrhythmia,
- •decompensated diabetes mellitus (glycated hemoglobin\> 8.0%),
- •unstable angina,
- •infectious processes in the last 3 weeks;
- •begin use of erythropoietin or with hemoglobin \<11g/L.
- •use of beta-blocker medication
Outcomes
Primary Outcomes
Cardiopulmonary capacity
Time Frame: 24 weeks
The test began with a fixed inclination of 1%. The initial velocity was 2 km/h during the first three minutes with increments of 0.5km/h every minute until the patient reaches physical exhaustion. The ventilatory variables were measured using a gas analyzer. The highest oxygen uptake obtained during the last stage reached was considered the peak oxygen uptake. The ventilatory threshold was determined as the stage preceding the first occurrence of the exponential increase in ventilation, increase in the ventilatory equivalent for oxygen and increase in expired fraction of oxygen. The respiratory compensation point was determined as the stage preceding the second occurrence of the exponential increase in ventilation, increase in the ventilatory equivalent for carbon dioxide and decrease in end-tidal carbon dioxide. Data were analyzed by the average of 20 seconds.
Functional capacity (walk, sit-stand, arm curl, sit-reach, back scratch, timed up and go)
Time Frame: 24 weeks
Functional capacity was assessed using a variety of objective measures. These included six-minute walk test (maximal distance walked along an internal corridor during six minutes), two-minute step test (maximal number of steps achieved in stationary walking during two minutes, used to quantifying the aerobic power), sit-to-stand test (maximal sit to stand cycles achieved in 30 seconds, used to quantifying the muscular endurance of the legs), arm curl test (maximal number of arm curl cycles in 30 seconds, used to quantifying the muscular endurance of the arms), sit and reach test (maximal distance achieved in the Wells bench, used to quantifying the general flexibility), back scratch test (maximum amplitude of the arms used to quantifying the arms flexibility) and time up and go test (shorter time to rise from a chair, walk three meters and sit back, used to quantifying the functional mobility).
Secondary Outcomes
- Quality of life(24 weeks)
- sleep quality (PSQI)(24 weeks)
- blood pressure(24 weeks)