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Abstract(s)
Pacientes em hemodiálise estão tipicamente associados a uma taxa de mortalidade mais
alta e a uma reduzida atividade física, contribuindo para uma maior debilidade do
sistema cardiovascular destes indivíduos. Por comparação com outros parâmetros, é
frequentemente estudado o impacto do exercício físico na componente cardiovascular
deste grupo populacional. No entanto, os resultados obtidos neste âmbito apresentam
uma divergência considerável entre estudos. Assim, o objetivo desta revisão sistemática
é analisar e comparar diferentes programas de exercício físico para determinar o
respetivo efeito sobre o sistema cardiovascular dos pacientes. A pesquisa de artigos na
plataforma PubMed identificou 19 artigos randomizados no período de tempo
compreendido entre 2010 e 2023. Apenas foram incluídos artigos em que o exercício
estivesse implementadono grupode intervenção equeo grupode controlo fizesse apenas
cuidados habituais ou movimentos passivos. Os participantes são indivíduos com idade
igual ou superior a 18 anos, hemodialisados há pelo menos 3 meses. Para extração de
conclusões acerca do sistema cardiovascular dos participantes, foram apreciados
indicadores de inflamação sistémica, medidas cardiovasculares objetivas, VO2 máximo,
6 Minutes Walk Test, desempenho físico, qualidade de vida e composição corporal. Da
evidência disponível, foi demonstrado que o exercício, independentemente das suas
particularidades, melhorou aspetos cardiovascular objetivos, tendo potencial para ser
uma medida eficaz na gestão de pacientes desta população específica. Para tal, é
necessária a realização de mais investigações e estudos randomizados.
Hemodialysis patients are typically associated with a higher mortality rate and reduced physical activity, contributing to agreater weakness ofthe cardiovascular system ofthese individuals.By comparison with other parameters,the impact of physical exercise on the cardiovascular component ofthispopulationgroup isoftenstudied.However,the results obtained in this area show a considerable divergence between studies. Thus, the aim of this systematic review is to analyze and compare different physical exercise programs to determine their effect on the patient's cardiovascular system. The article search on the PubMed platform identified 19 randomized articles in the period from 2010 to 2023. All of the included items have implemented exercise programs in the intervention group and only performed usual care or passive movements in the control group. Participants are individuals aged 18years or older who have been hemodialysed for at least 3months. To draw conclusions about the participants' cardiovascular system, indicators of systemic inflammation, objective cardiovascular measurements, maximum volume of oxygen consumed, six minutes walk test, physical performance, quality of life and body composition were appreciated. From the available evidence, it has been shown that exercise, regardless of its peculiarities, improved objective cardiovascular aspects, having the potential to be an effective measure in the management of patients in this specific population. This requires more research and randomized studies.
Hemodialysis patients are typically associated with a higher mortality rate and reduced physical activity, contributing to agreater weakness ofthe cardiovascular system ofthese individuals.By comparison with other parameters,the impact of physical exercise on the cardiovascular component ofthispopulationgroup isoftenstudied.However,the results obtained in this area show a considerable divergence between studies. Thus, the aim of this systematic review is to analyze and compare different physical exercise programs to determine their effect on the patient's cardiovascular system. The article search on the PubMed platform identified 19 randomized articles in the period from 2010 to 2023. All of the included items have implemented exercise programs in the intervention group and only performed usual care or passive movements in the control group. Participants are individuals aged 18years or older who have been hemodialysed for at least 3months. To draw conclusions about the participants' cardiovascular system, indicators of systemic inflammation, objective cardiovascular measurements, maximum volume of oxygen consumed, six minutes walk test, physical performance, quality of life and body composition were appreciated. From the available evidence, it has been shown that exercise, regardless of its peculiarities, improved objective cardiovascular aspects, having the potential to be an effective measure in the management of patients in this specific population. This requires more research and randomized studies.
Description
Keywords
Cardiovascular Exercício Aeróbico Exercício de Resistência (para a Pesquisa Foram Ainda Usados Os Operadores Booleanos and e or) Exercício Físico Hemodiálise