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Fitwalking: A New Frontier for Kidney Patients - A Center's Experience.
Pozzato, Marco; Parodi, Giuseppe; Rossi, Daniela; Stasi, Elodie; Roccatello, Dario.
Afiliación
  • Pozzato M; University Center of Excellence on Nephrological, Rheumatological and Rare Diseases (ERK-net, ERN-Reconnect and RITA-ERN Member) Including Nephrology and Dialysis Unit and Center of Immuno-Rheumatology and Rare Diseases (CMID), Coordinating Center of the Interregional Network for Rare Diseases of Pi
  • Parodi G; SSD Sports and Physical Exercise Medicine, ASL City of Turin, Turin, Italy.
  • Rossi D; University Center of Excellence on Nephrological, Rheumatological and Rare Diseases (ERK-net, ERN-Reconnect and RITA-ERN Member) Including Nephrology and Dialysis Unit and Center of Immuno-Rheumatology and Rare Diseases (CMID), Coordinating Center of the Interregional Network for Rare Diseases of Pi
  • Stasi E; University Center of Excellence on Nephrological, Rheumatological and Rare Diseases (ERK-net, ERN-Reconnect and RITA-ERN Member) Including Nephrology and Dialysis Unit and Center of Immuno-Rheumatology and Rare Diseases (CMID), Coordinating Center of the Interregional Network for Rare Diseases of Pi
  • Roccatello D; University Center of Excellence on Nephrological, Rheumatological and Rare Diseases (ERK-net, ERN-Reconnect and RITA-ERN Member) Including Nephrology and Dialysis Unit and Center of Immuno-Rheumatology and Rare Diseases (CMID), Coordinating Center of the Interregional Network for Rare Diseases of Pi
Kidney Blood Press Res ; 49(1): 443-456, 2024.
Article en En | MEDLINE | ID: mdl-38801816
ABSTRACT

INTRODUCTION:

Physical inactivity is common in patients with chronic kidney disease (CKD) and is an important modifiable risk factor for mortality, morbidity, and reduced quality of life. The present single-centre pilot study evaluated the possibility of performing structured physical exercise using a specific walking model, Fitwalking, in a population of patients with CKD and, according to the American College of Rheumatology guidelines, also in a population with immuno-rheumatological disease.

METHODS:

Patients were recruited from nephrology, haemodialysis, peritoneal dialysis, transplantation, and immuno-rheumatology outpatient clinics. After general and functional clinical evaluation and exercise prescription at the Department of Sports Medicine, we performed scientifically proven tests on CKD (6-min walk test and sit-to-stand test), before and after the Fitwalking technique training course, and again after 6 and 12 months, evaluated its effectiveness and identify any critical issues.

RESULTS:

We enrolled 80 patients (41 males, 51.2%), with a mean age of 53 ± 12 years; the clinical data showed statistically significant improvements in systolic, average, and differential blood pressure, average speed, and physical strength. Participants also adapted to muscle fatigue, experienced a reduction in BMI with stable lean mass and reduced fat mass, and reported improved perceptions of physical and mental health, and quality of life.

CONCLUSION:

All enrolled patients successfully completed the process. A specific prescription was used that provided health education and allowed for the implementation of structured physical activity that could be performed safely and independently even after the training period. The activity was sustainable thanks to the training of in-house medical and nursing staff, demonstrating that it is possible to overcome this type of barrier to physical activity in CKD and in immuno-rheumatological patients.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Caminata / Insuficiencia Renal Crónica Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Kidney Blood Press Res Asunto de la revista: NEFROLOGIA Año: 2024 Tipo del documento: Article Pais de publicación: Suiza

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Caminata / Insuficiencia Renal Crónica Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Kidney Blood Press Res Asunto de la revista: NEFROLOGIA Año: 2024 Tipo del documento: Article Pais de publicación: Suiza