慢性肾脏疾病(CKD)是一种临床疾病,其特征是随着时间的推移肾功能丧失,以及一些影响胃肠道的并发症,心血管,和肌肉骨骼系统.体育锻炼似乎可以诱导CKD患者的积极适应,没有副作用。通常,这些患者的身体活动和身体表现有所下降。本病例报告的目的是评估在线训练方案对功能能力和肌肉质量的影响。CKDIII期患者。方法:两名CKD(根据KDIGO指南的III期)参与者(1名女性,患者A;1名男性,患者B)被招募,他们进行了为期12周的在线定制监督联合训练,包括使用TheraBand的多关节力量锻炼和65-70%的患者心率储备的有氧运动。结果:两名患者的功能能力(6分钟步行测试:患者A=3%;患者B=5.3%)和上臂力量(右握力测试:患者A=13.4%;患者B=19.1%;左握力测试:患者A=42.8%;患者B=12.9%),以及减少炎症和氧化应激生物标志物。协议是可行的,并且没有证据表明有副作用。这些案例研究表明,在线联合训练可以在保守治疗的CKD患者中产生有益的效果。通过减少CKD相关并发症和提高这部分患者对运动的依从性,克服运输等物流障碍,设施的可用性,以及工作和个人生活时间表。
Chronic kidney disease (CKD) is a clinical condition characterized by the loss of kidney function over time, as well as several complications affecting gastrointestinal, cardiovascular, and musculoskeletal systems. Physical exercise seems to induce positive adaptations in CKD patients, without side effects. Usually, these patients show a reduced physical activity and physical performance. The aim of this
case-report was to evaluate the effects of an online training protocol on functional capacity and on muscle mass, in CKD stage III patients. Methods: Two CKD (stage III according to KDIGO guidelines) participants (1 female, Patient A; 1 male, Patient B) were enrolled and they performed an online tailored-supervised combined training lasting 12 weeks, including multi-joint strength exercises using TheraBand and an aerobic session at 65-70% of the patients\' heart rate reserve. Results: Both patients showed an improving trend on functional capacity (6 min walking test: Patient A = +3%; Patient B = +5.3%) and on strength of the upper arms (handgrip strength test-right: Patient A = +13.4%; Patient B = +19.1%; handgrip strength test-left: Patient A = +42.8%; Patient B= +12.9%), as well as a reduction in inflammation and oxidative stress biomarkers. The protocol was feasible, and no side effects were evidenced. These
case studies suggest that the online combined training can produce beneficial effects in CKD patients under conservative therapy, by reducing the CKD-related complications and improving the adherence to exercise of this population of patients, overcoming logistic barriers such as transportation, availability of facilities, and working and personal-life schedule.