Efeito do treinamento físico na qualidade de vida, capacidade funcional e fatores de risco cardiovascular nos portadores de doença renal crônica em tratamento conservador

• Ano de defesa: 2013
• Autor(a) principal: Silva, Viviana Rugolo Oliveira e [UNESP]
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Estadual Paulista (Unesp)
• Palavras-chave em Português: Insuficiencia renal cronica; Rins - Doenças; Pulso - Medição; Aptidão física; Sistema cardiovascular - Doenças; Qualidade de vida; Cardiovascular system Diseases
• Link de acesso: http://hdl.handle.net/11449/108566

Chronic Kidney Disease (CKD) is a worldwide major public health problem. The CKD has among the main symptoms, fatigue, muscle weakness and poor exercise tolerance, symptoms that directly contribute to physical inactivity and low mobility, with consequent increased morbidity and mortality. CKD patients have poor quality of life, increased incidence of cardiovascular diseases, high prevalence of chronic inflammation and endothelial dysfunction with increased arterial stiffness, left ventricular mass and serum concentration of asymmetric dimethylarginine (ADMA). It is believed that the improvement at physical fitness of these patients may attenuate cardiovascular risk factors and result in improved quality of life and functional capacity. Several studies have evaluated this premise in dialysis patients, but few studies have evaluated in CKD patients on conservative treatment. Evaluate the impact of exercise training at functional capacity, quality of life and non-traditional cardiovascular risk factors in CKD patients on conservative treatment. Clinical trial, prospective, controlled and non-randomized study, comprising 16 patients with CKD stages II to IV, undergoing conservative treatment, divided according to their availability and desire in control group (CG) and training group (GT). All patients were evaluated with the Exercise Test (Bruce protocol) at treadmill to stratify aerobic capacity through VO2max. 6-minute walk test was performed to assess physical fitness. We evaluated central blood pressure and arterial stiffness parameters with the device Sphygmocor and used ultrasound for the measurement of arterial diameters and cardiac mass. Laboratory tests were also collected to establish the full extent of renal inflammation and serum concentration of ADMA. Were applied questionnaires to verify quality of life, the SF-36, and to stratification of inactivity, the IPAQ. Patients of GT were included in an exercise program consisting of ...