| Effects of exercise training on physical impairment, arterial stiffness and health-related quality of life in patients with chronic kidney disease: a pilot study. | |
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MedLine Citation:
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PMID: 20842429 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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BACKGROUND: Patients with chronic kidney disease (CKD) have impaired performance in physical tasks, lower health-related quality of life and high cardiovascular morbidity and mortality. Moderate intensity exercise has been shown to provide cardiovascular and metabolic benefits in healthy individuals and patients without CKD. Long-term exercise training is recommended as a vital component in the management of a number of chronic diseases. This randomized controlled pilot project examined the effects of exercise in predialysis CKD patients. METHODS: Ten patients were randomized to 12 months of exercise (EX) and 10 to standard care (CT). We compared the difference between the two groups in physical impairment (VO(2peak) and endurance time [ET]), arterial stiffness (augmentation index [AI]) and health-related quality of life (EuroQol EQ-5D and Short Form-36 questionnaires) (all measured at baseline and 12 months). RESULTS: The difference between EX and CT was statistically significant for VO(2peak) (3.59 ml O(2)/kg/min; 95% CI 0.92, 6.26; P = 0.01), ET (10.97 min; 95% CI 4.34, 17.59; P = 0.003) and AI (-11.7%; 95% CI -18.79, -4.61; P = 0.003). Clinically important changes were noted in EQ-5D and SF-36. CONCLUSIONS: This study suggests that long-term exercise training improves physical impairment, arterial stiffness and health-related quality of life in patients with predialysis CKD. A larger randomized trial is required to examine the impact of exercise on markers of cardiovascular risk and quality of life in predialysis CKD patients. |
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Authors:
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Stefan Mustata; Sharon Groeneveld; Warren Davidson; Gordon Ford; Kristal Kiland; Braden Manns |
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Publication Detail:
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Type: Journal Article Date: 2010-09-15 |
Journal Detail:
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Title: International urology and nephrology Volume: 43 ISSN: 1573-2584 ISO Abbreviation: Int Urol Nephrol Publication Date: 2011 Dec |
Date Detail:
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Created Date: 2011-11-28 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0262521 Medline TA: Int Urol Nephrol Country: Netherlands |
Other Details:
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Languages: eng Pagination: 1133-41 Citation Subset: IM |
Affiliation:
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Division of Nephrology, Department of Medicine, University of Calgary, Calgary, Canada, smustata@ucalgary.ca. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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