Effect of progressive resistive exercise training in improving mobility and functional ability of middle adulthood patients with chronic kidney disease

MuhammadA Siddiqui, Haider Darain, SanjivK Sah
2015 Saudi Journal of Kidney Diseases and Transplantation  
Patients with chronic kidney disease (CKD) in their middle adulthood are more prone to reduced mobility than younger patients having the same medical condition. Progressive resistive exercise training (PRT) is deemed an effective treatment approach for the management of muscular weakness in patients with CKD. The present review is an attempt to understand the effectiveness of PRT in the mobility and functional ability of patients suffering from CKD. We systematically searched electronic
more » ... electronic databases, including Medline, Scopus, PubMed, CINAHL, PEDRo and Cochrane, to review the published literature on this subject. Electronic searches were limited to training programs carried out on resistive, aerobic, endurance and therapeutic exercises reporting outcome measures including muscular strength, size, physical function and functional capacity in the clinical population with CKD aged >40 years. Studies with a minimum duration of eight weeks of exercise training or more were considered eligible for review. The methodological criteria of the included studies were assessed with the PEDro scale. A total of 80 articles were identified using the keywords in the above-mentioned databases. However, based on the study's inclusion and exclusion criteria, only 11 articles were finally included. The results of this review substantiate the effectiveness of PRT in patients with CKD. However, further research is warranted in this area due to the limited availability of high-quality published evidence. diagnosed with CKD is increasing at an alarming rate. 1,2 The disease has a high prevalence in older people over the age of 50 years, of whom nearly one-third are over the age of 70 years. 3 Patients with CKD are profoundly deconditioned and weakened due to continuous atrophic and myopathic changes in their bodies. 4,5 These muscular and myopathic changes are caused by a low level of physical activity that is seen in such patients. Moreover, the
doi:10.4103/1319-2442.164571 pmid:26354562 fatcat:o5ffyjmhvjhfjpchabydkpvc4i