Hemodialysis Hospital Units, oxygen consumption
Conditions
Interventions
27 patients in the intervention group will perform home exercises, with follow-up / supervision by telephone and / or in meetings in the Hemodialysis service, for 12 weeks, 3 times a week, on days whe
lower limbs: quadriceps, tensor fascia lata, hamstrings and glutes. They will also make walks or bicycle for 30 minutes, and can progress for up to 60 minutes.
27 patients in the control group will no
Other
E01.370.600.425
Sponsors
Hospital de Clínicas de Porto Alegre
Universidade Federal do Rio Grande do Sul
Eligibility
Inclusion criteria
Inclusion criteria: Diagnosis of kidney disease for more than 6 months. Patients undergoing hemodialysis at the HCPA Nephrology Service for at least 3 months. Age equal or superior to 18 years. Physical conditions to perform exercises and the tests proposed in this study. CKD stability for at least 30 days, defined by the absence of hospitalization and / or modification of the usual therapeutic regimen.
Exclusion criteria
Exclusion criteria: Presence of acute myocardial infarction in the last 3 months. Presence of pacemakers and defibrillators making it impossible to perform the Bioimpedance. Active inflammatory or infectious process, evidenced by leukogram outside the limits of normality. Decompensated coronary artery disease. Peripheral arterial disease. Implantable kidney transplant candidate with live or predicted donor transplant in the next 3 months. Cognitive, auditory and visual changes that limit the understanding of evaluations and interventions.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Expected outcome1: the population is expected to achieve maximal oxygen volume improvement (peak vo2) after the intervention, which will be verified by measuring the maximum capacity to exercise with the cardiopulmonary exercise test, with a bicycle ergometer, cell of oxygen and increment of intensity and also through the Modified incremental Step Test, with a 20cm high step, audible signal with an initial rate of 10 steps per minute that will increase by 1 step every 30 seconds | — |
Secondary
| Measure | Time frame |
|---|---|
| Expected outcome1: it is expected that the population will obtain improvement in pulmonary functions after the intervention, which will be verified through spirometry with a seated patient, 3 measurements will be performed, registering the one with the highest value since there is no variation of 200mL of FEV1 ;Expected outcome2: it is expected that the population will obtain improvement in the maximum respiratory pressure measurements that will be evaluated through a digital manovacuometer, the maximum inspiratory and expiratory pressures will be verified, the patient will remain at rest and seated ;Expected outcome3: the population is expected to achieve improvement in lower limb muscle strength after intervention. A free-load cell coupled to an extensor seat will be used, the patient will remain seated, with an angulation of 90 degrees of knee ;Expected outcome4: the population is expected to achieve improvement in upper limb strength after intervention. A mechanical palmar gripper dynamometer with patient sitting and elbows flexed at 90 degrees ;Expected outcome 5: the population is expected to improve body composition after intervention through the bioimpedance test, the patient will lie down, two electrodes will be placed on the hands and two on the feet unilaterally, with a fasting of 4 hours, to evaluate the percentage of fat, lean body mass and body water ;Expected outcome6: it is expected that the population will obtain an improvement in the level of physical activity after an intervention, which will be verified through a pedometer for 7 days only by removing the waist to sleep and performing personal hygiene and through the International Questionnaire of Physical Activity - IPAQ ;Expected outcome7: the population is expected to improve quality of life after intervention, which will be evaluated through the Kidney Disease Quality of Life - KDQOL-SF questionnaire;Expected outcome8: the population is expected to achieve improvement in renal markers, w | — |
Countries
Brazil
Contacts
Public ContactKacylen Costa da Silva dos Santos
Centro Universitário Metodista IPA/ Federação de Faculdades Metodista do Sul
Outcome results
None listed