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dc.creatorScapini, Kátia Bilhar-
dc.creator.Latteshttp://lattes.cnpq.br/3573467430209908por
dc.contributor.advisor1Tourinho Filho, Hugo-
dc.contributor.advisor1Leguisamo, Camila Pereira-
dc.contributor.advisor1Latteshttp://lattes.cnpq.br/2139164462043076por
dc.date.accessioned2018-01-10T18:10:08Z-
dc.date.available2012-05-07-
dc.date.issued2011-08-17-
dc.identifier.urihttp://10.0.217.128:8080/jspui/handle/tede/1077-
dc.description.resumoThe incidence and prevalence of end-stage renal disease (ESRD) has grown increasingly in recent years. This disease leads to physical-functional and psychological changes that hypothetically could be minimized by the physical exercise. Therefore, the aim of this study is to systematically review the effects of physical exercise on the physical-functional and psychological aspects in ESRD patients on hemodialysis (HD). For this purpose search was held in the databases MEDLINE, EMBASE, Cochrane Library and LILACS, covering the period from January 1980 until February 2011. Randomized clinical trials (RCTs) comparing aerobic exercise, resistance exercise or combined training with a control group in patients on HD were included. The outcomes of interest were: aerobic power, submaximal functional capacity (SFC), muscle strength, blood pressure at rest, left ventricular ejection fraction, depression and Kt/V. The evaluation for eligibility of the studies was performed by two reviewers independently. For data extraction of the included studies, a reviewer collected data and another reviewer examined it. A meta-analysis was performed using the random effects model. The search strategy identified 992 articles. Of these, 29 RCTs (1207 participants) were included, and six present more than one intervention group with exercises, resulting in a total of 37 groups (18 aerobic exercise, eight resistance exercise and 11 of combined training). Both the combined training (seven RCTs: 5.42 ml/kg/min; IC 95%: 4.00, 6.85; I2: 22%) and the aerobic exercise (seven RCTs: 3.97 ml/kg/min; IC 95%: 2.52, 5.43; I2: 0%) increased the aerobic power in patients on HD when compared to the control group. The resistance exercise (two RCTs), compared to the control group, increased the SFC, assessed by the walked distance in six-minutes walk test, in 21.24 meters (IC 95%: 4.14, 38.35; I2: 0%). Six studies evaluated the muscle strength, however, due to the great methodological variability between them, the data were described qualitatively, since, only in one RCT there wasn t significant increase in muscle strength. The combined training (six RCTs) significantly reduced the systolic blood pressure (SBP) in 5.84mmHg (IC 95%: -9.8, -1.88; I2: 0%) and the diastolic blood pressure (DBP) in 3.90 mmHg (IC 95%: -6.20, -1.60; I2: 10%) when compared to the control group. However, the same was not observed with the aerobic exercise (six RCTs, SBP: -0.84 mmHg; IC 95%: -7.18, 5.51; I2: 0% and DBP: 0.68 mmHg; IC 95%: -3.38, 4.74; I2: 35%). The ejection fraction did not significantly increased when compared combined training (two RCTs: 4.56 %; IC 95%: -0.17, 9.29; I2: 0%) or aerobic exercise (two RCTs: 1.88 %; IC 95%: -3.89, 7.65; I2: 0%) with control group. Both the combined training (two RCTs: -7.61; IC 95%: -9.65, -5.57; I2: 0%) and the aerobic exercise (two RCTs: -6.34; IC 95%: -7.80, -4.89; I2: 0%) reduced the Beck Depression Inventory scores when compared to control group. Any type of exercise significantly changed the Kt/V when compared to control group (combined training, two RCTs: -0.01; IC 95%: -0.18, 0.16; I2: 24%, aerobic exercise, five RCTs: 0.05; IC 95%: -0.10, 0.21; I2: 0% and resistance exercise, two RCTs: -0.26; IC 95%: - 0.55, 0.03; I2: 49%). Conclusions: Thus, it was concluded that the combined training increases the aerobic power and decreases the blood pressure levels and depression in end-stage renal patients on HD, while the aerobic exercise alone increases the aerobic power and reduces the depression scores and the resistance exercise increases the submaximal functional capacity of renal patients on HDeng
dc.description.provenanceMade available in DSpace on 2018-01-10T18:10:08Z (GMT). No. of bitstreams: 1 2011KatiaBilharScapini.pdf: 1559978 bytes, checksum: 4aa3037e0ba227945f81cd505fe2039a (MD5) Previous issue date: 2011-08-17eng
dc.formatapplication/pdfpor
dc.languageporpor
dc.publisherpor
dc.publisher.departmentCiências da Saúde e Ciências Biológicaspor
dc.publisher.countrypor
dc.publisher.initialspor
dc.publisher.programPrograma de Pós-Graduação em Envelhecimento Humanopor
dc.rightsAcesso Abertopor
dc.subjectInsuficiência renal crônicapor
dc.subjectHemodiálisepor
dc.subjectExercícios terapêuticospor
dc.subjectQualidade de vidapor
dc.subjectEnvelhecimentopor
dc.subjectChronic renal failureeng
dc.subjectHemodialysiseng
dc.subjectExercise therapyeng
dc.subjectQuality of lifeeng
dc.subjectAgingeng
dc.subject.cnpqCNPQ::CIENCIAS DA SAUDE::SAUDE COLETIVApor
dc.titleExercício físico em pacientes com doença renal crônica terminal submetidos à hemodiálise : revisão sistemática e metanálise de ensaios clínicos randomizadospor
dc.typeDissertaçãopor
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