Combined training is the most effective training modality to improve aerobic capacity and blood pressure control in people requiring haemodialysis for end-stage renal disease: systematic review and network meta-analysis

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorSCAPINI, Katia B.
dc.contributor.authorBOHLKE, Maristela
dc.contributor.authorMORAES, Oscar A.
dc.contributor.authorRODRIGUES, Clarissa G.
dc.contributor.authorINACIO, Jose F. S.
dc.contributor.authorSBRUZZI, Graciele
dc.contributor.authorLEGUISAMO, Camila P.
dc.contributor.authorSANCHES, Iris C.
dc.contributor.authorTOURINHO FILHO, Hugo
dc.contributor.authorIRIGOYEN, Maria C.
dc.date.accessioned2019-02-21T17:30:07Z
dc.date.available2019-02-21T17:30:07Z
dc.date.issued2019
dc.description.abstractQuestions: Do aerobic, resistance and combined exercise training improve aerobic capacity, arterial blood pressure and haemodialysis efficiency in people requiring haemodialysis for end-stage renal disease? Is one exercise training modality better than the others for improving these outcomes? Design: Systematic review with network meta-analysis of randomised trials. Participants: Adults requiring haemodialysis for end-stage renal disease. Intervention: Aerobic training, resistance training, combined training and control (no exercise or placebo). Outcome measures: Aerobic capacity, arterial blood pressure at rest, and haemodialysis efficiency. Results: Thirty-three trials involving 1254 participants were included. Direct meta-analyses were conducted first. Aerobic capacity improved significantly more with aerobic training (3.35 ml/kg/min, 95% CI 1.79 to 4.91) and combined training (5.00 ml/kg/min, 95% CI 3.50 to 6.50) than with control. Only combined training significantly reduced systolic (-9 mmHg, 95% CI - 13 to -4) and diastolic (-5 mmHg, 95% CI -6 to -3) blood pressure compared to control. Only aerobic training was superior to control for haemodialysis efficiency (Kt/V 0.11, 95% CI 0.02 to 0.20). However, when network meta-analysis was conducted, there were some important different findings. Both aerobic training and combined training again elicited greater improvements in aerobic capacity than control. For systolic blood pressure, combined training was superior to control. For diastolic blood pressure, combined training was superior to aerobic training and control. No modality was superior to control for haemodialysis efficiency. Combined training was ranked as the most effective treatment for aerobic capacity and arterial blood pressure. Conclusion: Combined training was the most effective modality to increase aerobic capacity and blood pressure control in people who require haemodialysis. This finding helps to fill the gap created by the lack of head-to-head comparisons of different modalities of exercise in people with end-stage renal disease. (C) 2018 Australian Physiotherapy Association.eng
dc.description.indexMEDLINEeng
dc.description.sponsorshipConselho Nacional de Desenvolvimento Cientifico e Tecnologico (CNPq) - Brazil [467 300/2014-3, 457 581/2013-1, 307 138/2015-1]
dc.description.sponsorshipCoordenacao de Aperfeicoamento de Pessoal de Nivel Superior (CAPES) - Brazil [074/2012-PVE, CsF - PveS 1170/2013]
dc.identifier.citationJOURNAL OF PHYSIOTHERAPY, v.65, n.1, p.4-15, 2019
dc.identifier.doi10.1016/j.jphys.2018.11.008
dc.identifier.eissn1836-9561
dc.identifier.issn1836-9553
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/30981
dc.language.isoeng
dc.publisherAUSTRALIAN PHYSIOTHERAPY ASSOCeng
dc.relation.ispartofJournal of Physiotherapy
dc.rightsopenAccesseng
dc.rights.holderCopyright AUSTRALIAN PHYSIOTHERAPY ASSOCeng
dc.subjectChronic kidney failureeng
dc.subjectRenal dialysiseng
dc.subjectExerciseeng
dc.subjectNetwork meta-analysiseng
dc.subjectPhysical therapyeng
dc.subject.otherquality-of-lifeeng
dc.subject.otherheart-rate-variabilityeng
dc.subject.otherintradialytic exerciseeng
dc.subject.otherprogressive exerciseeng
dc.subject.otherphosphate removaleng
dc.subject.otherphysical-exerciseeng
dc.subject.othercontrolled-trialeng
dc.subject.otherdialysiseng
dc.subject.otherprogrameng
dc.subject.otherrehabilitationeng
dc.subject.wosOrthopedicseng
dc.subject.wosRehabilitationeng
dc.titleCombined training is the most effective training modality to improve aerobic capacity and blood pressure control in people requiring haemodialysis for end-stage renal disease: systematic review and network meta-analysiseng
dc.typearticleeng
dc.type.categoryrevieweng
dc.type.versionpublishedVersioneng
dspace.entity.typePublication
hcfmusp.author.externalBOHLKE, Maristela:Univ Catolica Pelotas, Pelotas, RS, Brazil
hcfmusp.author.externalRODRIGUES, Clarissa G.:Inst Cardiol Rio Grande Do Sul, Porto Alegre, RS, Brazil
hcfmusp.author.externalINACIO, Jose F. S.:Inst Cardiol Rio Grande Do Sul, Porto Alegre, RS, Brazil
hcfmusp.author.externalSBRUZZI, Graciele:Univ Fed Rio Grande do Sul, Porto Alegre, RS, Brazil
hcfmusp.author.externalLEGUISAMO, Camila P.:Univ Passo Fundo, Passo Fundo, RS, Brazil
hcfmusp.author.externalSANCHES, Iris C.:Univ Sao Judas Tadeu, Sao Paulo, Brazil
hcfmusp.author.externalTOURINHO FILHO, Hugo:Univ Sao Paulo, Ribeirao Preto Sch Phys Educ & Sports, Sao Paulo, Brazil
hcfmusp.citation.scopus45
hcfmusp.contributor.author-fmusphcKATIA BILHAR SCAPINI
hcfmusp.contributor.author-fmusphcOSCAR ALBUQUERQUE DE MORAES
hcfmusp.contributor.author-fmusphcMARIA CLAUDIA COSTA IRIGOYEN
hcfmusp.description.beginpage4
hcfmusp.description.endpage15
hcfmusp.description.issue1
hcfmusp.description.volume65
hcfmusp.origemWOS
hcfmusp.origem.pubmed30581137
hcfmusp.origem.scopus2-s2.0-85058713175
hcfmusp.origem.wosWOS:000454723900003
hcfmusp.publisher.cityST KILDAeng
hcfmusp.publisher.countryAUSTRALIAeng
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