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Physical Exercise in Kidney Renal Recipients: Where Have We Come?
Mosconi, Giovanni; Totti, Valentina; Sella, Gianluigi; Roi, Giulio Sergio; Costa, Alessandro Nanni; Bellis, Lia; Cardillo, Massimo.
Afiliación
  • Mosconi G; Centro Nazionale Trapianti, Istituto Superiore di Sanità, Rome, Italy.
  • Totti V; Centro Nazionale Trapianti, Istituto Superiore di Sanità, Rome, Italy.
  • Sella G; Fondazione Policlinico Sant'Orsola, Bologna, Italy.
  • Roi GS; Dipartimento di Scienze Mediche e Chirurgiche, Università di Bologna, Bologna, Italy.
  • Costa AN; Fondazione Policlinico Sant'Orsola, Bologna, Italy.
  • Bellis L; Centro Nazionale Trapianti, Istituto Superiore di Sanità, Rome, Italy.
  • Cardillo M; Unità Trapianti Lombardia - NITp Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico Milano, Milan, Italy.
Kidney Blood Press Res ; 49(1): 548-555, 2024.
Article en En | MEDLINE | ID: mdl-38934158
ABSTRACT

BACKGROUND:

Kidney transplantation constitutes the most effective therapeutic option for patients suffering from end-stage renal disease but remains burdened by a high incidence of cardiovascular disease. To date, exercise is an important preventive strategy that has been underestimated; in kidney transplant patients, exercise programs lead to an improvement in cardiorespiratory performance, muscle strength, arterial stiffness, and patients' quality of life perception.

SUMMARY:

The nephrology and transplant community have moved from generic suggestions to specific indications regarding frequency, intensity, time, type, volume, and progression of physical exercise both in the pre- and posttransplant phase. The latest guidelines from the World Health Organization for patients with chronic conditions propose a combination of aerobic, muscle-strengthening, and multicomponent exercises (e.g., balance) to improve health. Based on recent evidence, a combined exercise program (aerobic and strength exercise) is largely proposed to kidney transplant recipients. Aerobic exercise should be performed at an intensity >60% of theoretical maximum heart rate or maximum oxygen uptake possibly every day, and strength training should be performed at a >60% the estimate single maximum repetition, at least 2 times per week. KEY MESSAGES Physical exercise should be personalized in relation to the patient's baseline performance; increases must be progressive and gradual. Regular physical activity should also be recommended to patients awaiting for a transplant. Eventually, organizational models based on a network of nephrology units, transplant centers, sports medicine centers, and fitness center or outdoor gym are essential elements for overcoming the logistical barriers for prescribing and carrying out regular physical activity.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Ejercicio Físico / Trasplante de Riñón Límite: Humans Idioma: En Revista: Kidney Blood Press Res Asunto de la revista: NEFROLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Suiza
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Ejercicio Físico / Trasplante de Riñón Límite: Humans Idioma: En Revista: Kidney Blood Press Res Asunto de la revista: NEFROLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Suiza