Efeito de diferentes intensidades do treinamento de força intradialítico sobre a massa muscular e capacidade funcional e qualidade de vida de pacientes em hemodiálise: ensaio clínico randomizado

Detalhes bibliográficos
Ano de defesa: 2016
Autor(a) principal: Lopes, Lorena Cristina Curado lattes
Orientador(a): Peixoto, Maria do Rosário Gondim lattes
Banca de defesa: Avesani, Carla Maria, Gentil, Paulo Roberto Viana, Peixoto, Maria do Rosário Gondim, Botelho, Patrícia Borges, Pereira, Edna Regina Silva
Tipo de documento: Dissertação
Tipo de acesso: Acesso aberto
Idioma: por
Instituição de defesa: Universidade Federal de Goiás
Programa de Pós-Graduação: Programa de Pós-graduação em Nutrição e Saúde (FANUT)
Departamento: Faculdade de Nutrição - FANUT (RG)
País: Brasil
Palavras-chave em Português:
Palavras-chave em Inglês:
Área do conhecimento CNPq:
Link de acesso: http://repositorio.bc.ufg.br/tede/handle/tede/5756
Resumo: Patients with chronic kidney disease on hemodialysis treatment have significant decrease on muscle mass and function. These reductions are associated with greater mortality risk. Strength training is a viable strategy to attenuate or even revert muscle wasting and loss of strength on this population. Objective: To evaluate the effect of two distinct intradialytic resistance training on muscle mass and functional capacity in hemodialysis patients. Methods: This is a 12-week randomized, three-parallel-group, clinical trial that enrolled fifty participants (age 54.6 ± 11.6) divided into three groups: hypertrophy group (GH, n=14) that performed a high intensity intradialytic resistance training routine; muscle endurance group (GRM, n=16) that performed a moderate intensity intradialytic resistance training routine; and control group (GC, n=20) that performed a stretching routine. The exercises were offered three times a week during the hemodialysis session. Body composition measurements were assessed by dual X-ray absorptiometry (DEXA), and functional capacity was assessed by the Short Physical Performance Battery score (SPPB)at baseline and after 12 weeks. Results: Appendicular muscle mass (p=0.007) and functional capacity (p=0.002) increased in GH and GRM groups, and decreased in GC. Nevertheless, only GH increased lean mass in the lower limbs (p=0.03). Perceived exercise exertion and exercise adhesion to the protocols were similar in both groups. Conclusion: High intensity intradialytic resistance training is associated to greater hypertrophy in hemodialysis patients. However, physical training was associated to functional capacity and appendicular muscle mass, independently of intensity.