Effect of PT on QL, FC, PWV and Biochemical Markers in CRF on Conservative Treatment
Recruitment status was Not yet recruiting
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Purpose
Introduction: Chronic Kidney Disease (CKD) is considered an important public health problem, with prevalence of 9.6% in our population. The CKD has as main symptoms fatigue, muscle weakness and poor exercise tolerance, which directly contribute to physical inactivity and low mobility, increasing the risk of morbidity and mortality in CKD patients with significant impact on quality of life of these patients. Thus, patients with CKD have poor quality of life, high incidence of cardiovascular diseases, high prevalence of endothelial dysfunction, the consequent increase in arterial stiffness and serum concentration of asymmetric dimethylarginine (ADMA). It is believed that the conditioning of these patients may reduce cardiovascular risks and improve the quality of life. Aim of the study: Evaluate the impact of exercise training in relation to functional capacity, quality of life, pulse wave velocity and ADMA in patients with CKD on dialysis. Materials and methods: Is a randomized controlled study, with 34 CKD patients on conservative treatment, divided into control group (with stretching exercises and metabolic exercises) and training group, those undergoing physical training, aerobic and resistance during six months. Before and after exercise training, patients will be assessed using the SF-36 and IPAQ. Also be held assessment of pulse wave velocity, measurement of serum ADMA and spirometry testing. Statistical analysis consisted of t test for independent data or chi-square when appropriate.
| Condition | Intervention |
|---|---|
|
Kidney Failure, Chronic Resistance Training Treatment |
Behavioral: Physical training Behavioral: Stretching and metabolic exercises |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Single Blind (Subject) Primary Purpose: Supportive Care |
| Official Title: | Effect of Physical Training on Quality of Life, Functional Capacity, Pulse Wave Velocity and Biochemical Markers in Patients With Chronic Renal Failure on Conservative Treatment |
- The impact of exercise training in relation to functional capacity, quality of life, pulse wave velocity and ADMA in patients with CKD on dialysis [ Time Frame: 6 months ] [ Designated as safety issue: Yes ]
| Estimated Enrollment: | 68 |
| Study Start Date: | June 2010 |
| Estimated Study Completion Date: | November 2011 |
| Estimated Primary Completion Date: | May 2011 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Sham Comparator: Control Group
At the control group, with 34 subjects, will be performed stretching and metabolic exercises. This group will make the assessments before and the reassessments after the end of the program.
|
Behavioral: Stretching and metabolic exercises
At the control group will be performed stretching and metabolic exercises and will make the assessments and the reassessments after the end of the program.
Other Names:
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|
Active Comparator: Training group
At the training group, with 34 subjects, will be performed stretching, physical training and resistance. This group will make the assessments before and the reassessments after the end of the program.
|
Behavioral: Physical training
The exercise program will be held three times a week and will have three stages: local and global stretching, aerobic exercise for 30 minutes ( with 50 and 60% of maximal heart rate) and strength training. The strength training will be done after assessment of one repetition maximum (1RM) and the prescription will be made with 50% load of 1RM, where the patient will hold three sets of 10-12 repetitions. Reassessments will be conducted monthly for readjustment of the charges. The duration of the training protocol will be six months. After completing this exercise program, patients will undergo a reassessment repeating the ET and reapplication of the SF-36, redone the collection of ADMA serum concentration. Other Names:
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Show Detailed Description
Eligibility| Ages Eligible for Study: | 18 Years to 60 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria: Patients over 18 years, diagnosed with Chronic Kidney Disease, stages II to IV, and that shows contraindications to exercise training
Exclusion Criteria: Patients unable to understand the procedures that will be performed, previous diagnosis of coronary artery disease, uncontrolled chronic hypertension (BP ≥ 150 x 100 mm Hg), ET positive for cardiac ischemia, patients with cancer, liver failure or chronic or acute infection.
Contacts and Locations| Contact: Viviana Silva, Graduate | 0055 1481565222 | viviana_rugolo@yahoo.com.br |
| Contact: Luis Cuadrado, Doctor | 0055 1438116213 |
| Brazil | |
| State University of São Paulo "Júlio de Mesquita Filho", Medicine School of Botucatu | Not yet recruiting |
| Botucatu, São Paulo, Brazil | |
| Contact: Viviana Silva, Graduate viviana_rugolo@yahoo.com.br | |
| Contact: Luis Cuadrado, Doctor 0055 1438116213 | |
| Principal Investigator: Viviana Silva, Graduate | |
| Principal Investigator: | Viviana Silva, graduate | State University of São Paulo "Júlio de Mesquita Filho", Medicine School of Botucatu |
| Study Director: | Luis Cuadrado, Doctor | State University of São Paulo "Júlio de Mesquita Filho", Medicine School of Botucatu |
More Information
No publications provided
| Responsible Party: | Viviana Rugolo Oliveira e Silva, UPECLIN HC FM Botucatu Unesp |
| ClinicalTrials.gov Identifier: | NCT01155297 History of Changes |
| Other Study ID Numbers: | upeclin/HC/FMB-Unesp-45 |
| Study First Received: | June 29, 2010 |
| Last Updated: | June 29, 2010 |
| Health Authority: | Brazil: Ethics Committee |
Keywords provided by UPECLIN HC FM Botucatu Unesp:
|
Quality of Life Biological Markers Renal Insufficiency |
Resistance Training Exercise Chronic Kidney Failure |
Additional relevant MeSH terms:
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Kidney Failure, Chronic Renal Insufficiency Renal Insufficiency, Chronic Kidney Diseases Urologic Diseases |
ClinicalTrials.gov processed this record on May 19, 2013