Effects of aerobic and resistance training on quality of life and functionality in chronic renal patients on hemodialysis

a systematic review.

Abstract

Introduction: Chronic terminal renal patients requiring regular dialysis may present metabolic, cardiovascular and musculoskeletal disorders. Some studies have shown that these changes negatively affect the quality of life and functionality of these patients on hemodialysis. Objective: To perform a systematic literature search on the effects of aerobic and resistance training performed during the intradialytic period on quality of life and functionality in chronic renal patients on hemodialysis. Methodology: A bibliographic search was carried out on Medline, Lilacs, PEDro and Scielo databases. Including studies with clearly described methodology and training protocol, which addressed modalities of aerobic or resistance exercises performed during the intradialytic period in patients undergoing hemodialysis. Results: Of the 443 articles found, only 6 met the inclusion criteria and participated in the review. The outcomes of interest were the 6-minute walk test, incremental shuttle walk test, 4-minute step-test, 1-minute sit-to-stand, handgrip strength, manovacuometry, and the Kidney Disease Quality of Life questionnaire. Instrument Resistance training modalities included strengthening the upper and lower limbs and inspiratory muscles, the aerobic modality consisted of cycle ergometer or exercise bike training. Conclusion: Although it was not possible to establish which type of intervention is more efficient, regardless of the modality studied, physical exercise during hemodialysis may have benefits in the quality of life and functionality of chronic renal patients.