Short-term Aerobic Exercise and Vascular Function in CKD Stage 3: A Randomized Controlled Trial
Background The present study was designed to determine the effect of short-term moderate-intensity exercise training on arterial stiffness in patients with chronic kidney disease (CKD) stage 3. Study Design Randomized controlled trial with a parallel-group design. Setting & Participants Testing...
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Veröffentlicht in: | American journal of kidney diseases 2014-08, Vol.64 (2), p.222-229 |
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creator | Headley, Samuel, PhD Germain, Michael, MD Wood, Richard, PhD Joubert, Jyovani, BS Milch, Charles, PAC Evans, Elizabeth, PhD Poindexter, Anthony, MD Cornelius, Allen, PhD Brewer, Britton, PhD Pescatello, Linda S., PhD Parker, Beth, PhD |
description | Background The present study was designed to determine the effect of short-term moderate-intensity exercise training on arterial stiffness in patients with chronic kidney disease (CKD) stage 3. Study Design Randomized controlled trial with a parallel-group design. Setting & Participants Testing and training sessions were performed at Springfield College. 46 (treatment group, n = 25; control group, n = 21) patients with CKD with diabetes and/or hypertension completed the study. Intervention The aerobic training program consisted of 16 weeks of supervised exercise training at 50%-60% peak oxygen uptake (V o2peak ) 3 times per week, while the control group remained sedentary. Identical testing procedures were performed following the 16-week intervention. Outcomes The primary outcome was arterial stiffness. Secondary outcomes were aerobic capacity, various blood parameters (endothelin 1, nitrate/nitrite, and high-sensitivity C-reactive protein), and health-related quality of life. Measurements Arterial stiffness was assessed with aortic pulse wave velocity (PWV), aerobic capacity by V o2peak , blood parameters by enzyme-linked immunosorbent assays, and health-related quality of life by the 36-Item Short Form Health Survey (SF-36). Participants attended 4 sessions before being randomly assigned to either the treatment or control group. Participants gave consent during the first session, whereas a graded exercise test with measurement of V o2peak was completed during the second session. During sessions 3 and 4, aortic PWV was measured at rest prior to 40 minutes of either moderate-intensity exercise training or seated rest. A venous blood sample was obtained prior to exercise or rest and participants completed the SF-36 questionnaire. Results 16 weeks of training led to an 8.2% increase in V o2peak for the treatment group ( P = 0.05), but no changes in aortic PWV . Limitations Randomization was not concealed and was violated on one occasion; also, use of an indirect measurement of endothelial function and the short duration of the intervention. Conclusions Short-term moderate-intensity exercise training does not alter arterial stiffness in patients with CKD, but seems to reduce endothelin 1 levels. |
doi_str_mv | 10.1053/j.ajkd.2014.02.022 |
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Study Design Randomized controlled trial with a parallel-group design. Setting & Participants Testing and training sessions were performed at Springfield College. 46 (treatment group, n = 25; control group, n = 21) patients with CKD with diabetes and/or hypertension completed the study. Intervention The aerobic training program consisted of 16 weeks of supervised exercise training at 50%-60% peak oxygen uptake (V o2peak ) 3 times per week, while the control group remained sedentary. Identical testing procedures were performed following the 16-week intervention. Outcomes The primary outcome was arterial stiffness. Secondary outcomes were aerobic capacity, various blood parameters (endothelin 1, nitrate/nitrite, and high-sensitivity C-reactive protein), and health-related quality of life. Measurements Arterial stiffness was assessed with aortic pulse wave velocity (PWV), aerobic capacity by V o2peak , blood parameters by enzyme-linked immunosorbent assays, and health-related quality of life by the 36-Item Short Form Health Survey (SF-36). Participants attended 4 sessions before being randomly assigned to either the treatment or control group. Participants gave consent during the first session, whereas a graded exercise test with measurement of V o2peak was completed during the second session. During sessions 3 and 4, aortic PWV was measured at rest prior to 40 minutes of either moderate-intensity exercise training or seated rest. A venous blood sample was obtained prior to exercise or rest and participants completed the SF-36 questionnaire. Results 16 weeks of training led to an 8.2% increase in V o2peak for the treatment group ( P = 0.05), but no changes in aortic PWV . Limitations Randomization was not concealed and was violated on one occasion; also, use of an indirect measurement of endothelial function and the short duration of the intervention. Conclusions Short-term moderate-intensity exercise training does not alter arterial stiffness in patients with CKD, but seems to reduce endothelin 1 levels.</description><identifier>ISSN: 0272-6386</identifier><identifier>EISSN: 1523-6838</identifier><identifier>DOI: 10.1053/j.ajkd.2014.02.022</identifier><identifier>PMID: 24776325</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adult ; aerobic training ; Aged ; Arterial stiffness ; Biological and medical sciences ; carotid-femoral arterial stiffness ; chronic kidney disease (CKD) ; endothelium ; Exercise - physiology ; Female ; Follow-Up Studies ; Humans ; Kidneys ; Male ; Medical sciences ; Middle Aged ; Nephrology ; Nephrology. Urinary tract diseases ; Nephropathies. Renovascular diseases. Renal failure ; pulse wave velocity ; Renal failure ; Renal Insufficiency, Chronic - diagnosis ; Renal Insufficiency, Chronic - physiopathology ; Renal Insufficiency, Chronic - therapy ; short-term ; Time Factors ; Urinary system involvement in other diseases. Miscellaneous ; vascular function ; Vascular Resistance - physiology ; Vascular Stiffness - physiology ; vasoactive balance</subject><ispartof>American journal of kidney diseases, 2014-08, Vol.64 (2), p.222-229</ispartof><rights>National Kidney Foundation, Inc.</rights><rights>2014 National Kidney Foundation, Inc.</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2014 National Kidney Foundation, Inc. Published by Elsevier Inc. All rights reserved.</rights><rights>2014 The National Kidney Foundation, Inc. Published by Elsevier Inc. All rights reserved. 2014</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c676t-763514a77fd8dfdcd6eaa2da5d4db224fcdcc3dc0e431428f2c5dc9a1ff34edb3</citedby><cites>FETCH-LOGICAL-c676t-763514a77fd8dfdcd6eaa2da5d4db224fcdcc3dc0e431428f2c5dc9a1ff34edb3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1053/j.ajkd.2014.02.022$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,780,784,885,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=28697310$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24776325$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Headley, Samuel, PhD</creatorcontrib><creatorcontrib>Germain, Michael, MD</creatorcontrib><creatorcontrib>Wood, Richard, PhD</creatorcontrib><creatorcontrib>Joubert, Jyovani, BS</creatorcontrib><creatorcontrib>Milch, Charles, PAC</creatorcontrib><creatorcontrib>Evans, Elizabeth, PhD</creatorcontrib><creatorcontrib>Poindexter, Anthony, MD</creatorcontrib><creatorcontrib>Cornelius, Allen, PhD</creatorcontrib><creatorcontrib>Brewer, Britton, PhD</creatorcontrib><creatorcontrib>Pescatello, Linda S., PhD</creatorcontrib><creatorcontrib>Parker, Beth, PhD</creatorcontrib><title>Short-term Aerobic Exercise and Vascular Function in CKD Stage 3: A Randomized Controlled Trial</title><title>American journal of kidney diseases</title><addtitle>Am J Kidney Dis</addtitle><description>Background The present study was designed to determine the effect of short-term moderate-intensity exercise training on arterial stiffness in patients with chronic kidney disease (CKD) stage 3. Study Design Randomized controlled trial with a parallel-group design. Setting & Participants Testing and training sessions were performed at Springfield College. 46 (treatment group, n = 25; control group, n = 21) patients with CKD with diabetes and/or hypertension completed the study. Intervention The aerobic training program consisted of 16 weeks of supervised exercise training at 50%-60% peak oxygen uptake (V o2peak ) 3 times per week, while the control group remained sedentary. Identical testing procedures were performed following the 16-week intervention. Outcomes The primary outcome was arterial stiffness. Secondary outcomes were aerobic capacity, various blood parameters (endothelin 1, nitrate/nitrite, and high-sensitivity C-reactive protein), and health-related quality of life. Measurements Arterial stiffness was assessed with aortic pulse wave velocity (PWV), aerobic capacity by V o2peak , blood parameters by enzyme-linked immunosorbent assays, and health-related quality of life by the 36-Item Short Form Health Survey (SF-36). Participants attended 4 sessions before being randomly assigned to either the treatment or control group. Participants gave consent during the first session, whereas a graded exercise test with measurement of V o2peak was completed during the second session. During sessions 3 and 4, aortic PWV was measured at rest prior to 40 minutes of either moderate-intensity exercise training or seated rest. A venous blood sample was obtained prior to exercise or rest and participants completed the SF-36 questionnaire. Results 16 weeks of training led to an 8.2% increase in V o2peak for the treatment group ( P = 0.05), but no changes in aortic PWV . Limitations Randomization was not concealed and was violated on one occasion; also, use of an indirect measurement of endothelial function and the short duration of the intervention. Conclusions Short-term moderate-intensity exercise training does not alter arterial stiffness in patients with CKD, but seems to reduce endothelin 1 levels.</description><subject>Adult</subject><subject>aerobic training</subject><subject>Aged</subject><subject>Arterial stiffness</subject><subject>Biological and medical sciences</subject><subject>carotid-femoral arterial stiffness</subject><subject>chronic kidney disease (CKD)</subject><subject>endothelium</subject><subject>Exercise - physiology</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Kidneys</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Nephrology</subject><subject>Nephrology. Urinary tract diseases</subject><subject>Nephropathies. Renovascular diseases. Renal failure</subject><subject>pulse wave velocity</subject><subject>Renal failure</subject><subject>Renal Insufficiency, Chronic - diagnosis</subject><subject>Renal Insufficiency, Chronic - physiopathology</subject><subject>Renal Insufficiency, Chronic - therapy</subject><subject>short-term</subject><subject>Time Factors</subject><subject>Urinary system involvement in other diseases. Miscellaneous</subject><subject>vascular function</subject><subject>Vascular Resistance - physiology</subject><subject>Vascular Stiffness - physiology</subject><subject>vasoactive balance</subject><issn>0272-6386</issn><issn>1523-6838</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kt9qFDEUxoModlt9AS8kN4I3s-bfZGZFCsvaqlgQ3OptzCZn2kxnkjaZKa1P47P4ZGbctf65EAIJ5Ped83G-g9ATSuaUlPxFO9fthZ0zQsWcsHzYPTSjJeOFrHl9H80Iq1gheS330H5KLSFkwaV8iPaYqCrJWTlDX9bnIQ7FALHHS4hh4ww-uoFoXAKsvcWfdTJjpyM-Hr0ZXPDYebx6_xqvB30G37_xl3iJP2Yy9O4rWLwKfoih6_LzNDrdPUIPGt0leLy7D9Cn46PT1dvi5MObd6vlSWFkJYci2ymp0FXV2No21lgJWjOrSyvshjHRGGsMt4aA4FSwumGmtGahadNwAXbDD9Dhtu7luOnBGsg2dKcuo-t1vFVBO_X3j3fn6ixcK0FpniDJBZ7vCsRwNUIaVO-Sga7THsKYFC1FLQUVUmaUbVETQ0oRmrs2lKgpGtWqKRo1RaMIy4dl0dM_Dd5JfmWRgWc7II9cd03UPqfwm6vlouI_jb7acpDHee0gqmQceAPWRTCDssH938fhP3LTOe9yxwu4hdSGMfoclKIqZYFaT0s07RAVhMh6QfkP3e_D_g</recordid><startdate>20140801</startdate><enddate>20140801</enddate><creator>Headley, Samuel, PhD</creator><creator>Germain, Michael, MD</creator><creator>Wood, Richard, PhD</creator><creator>Joubert, Jyovani, BS</creator><creator>Milch, Charles, PAC</creator><creator>Evans, Elizabeth, PhD</creator><creator>Poindexter, Anthony, MD</creator><creator>Cornelius, Allen, PhD</creator><creator>Brewer, Britton, PhD</creator><creator>Pescatello, Linda S., PhD</creator><creator>Parker, Beth, PhD</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20140801</creationdate><title>Short-term Aerobic Exercise and Vascular Function in CKD Stage 3: A Randomized Controlled Trial</title><author>Headley, Samuel, PhD ; Germain, Michael, MD ; Wood, Richard, PhD ; Joubert, Jyovani, BS ; Milch, Charles, PAC ; Evans, Elizabeth, PhD ; Poindexter, Anthony, MD ; Cornelius, Allen, PhD ; Brewer, Britton, PhD ; Pescatello, Linda S., PhD ; Parker, Beth, PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c676t-763514a77fd8dfdcd6eaa2da5d4db224fcdcc3dc0e431428f2c5dc9a1ff34edb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adult</topic><topic>aerobic training</topic><topic>Aged</topic><topic>Arterial stiffness</topic><topic>Biological and medical sciences</topic><topic>carotid-femoral arterial stiffness</topic><topic>chronic kidney disease (CKD)</topic><topic>endothelium</topic><topic>Exercise - physiology</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Kidneys</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Nephrology</topic><topic>Nephrology. Urinary tract diseases</topic><topic>Nephropathies. Renovascular diseases. Renal failure</topic><topic>pulse wave velocity</topic><topic>Renal failure</topic><topic>Renal Insufficiency, Chronic - diagnosis</topic><topic>Renal Insufficiency, Chronic - physiopathology</topic><topic>Renal Insufficiency, Chronic - therapy</topic><topic>short-term</topic><topic>Time Factors</topic><topic>Urinary system involvement in other diseases. Miscellaneous</topic><topic>vascular function</topic><topic>Vascular Resistance - physiology</topic><topic>Vascular Stiffness - physiology</topic><topic>vasoactive balance</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Headley, Samuel, PhD</creatorcontrib><creatorcontrib>Germain, Michael, MD</creatorcontrib><creatorcontrib>Wood, Richard, PhD</creatorcontrib><creatorcontrib>Joubert, Jyovani, BS</creatorcontrib><creatorcontrib>Milch, Charles, PAC</creatorcontrib><creatorcontrib>Evans, Elizabeth, PhD</creatorcontrib><creatorcontrib>Poindexter, Anthony, MD</creatorcontrib><creatorcontrib>Cornelius, Allen, PhD</creatorcontrib><creatorcontrib>Brewer, Britton, PhD</creatorcontrib><creatorcontrib>Pescatello, Linda S., PhD</creatorcontrib><creatorcontrib>Parker, Beth, PhD</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>American journal of kidney diseases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Headley, Samuel, PhD</au><au>Germain, Michael, MD</au><au>Wood, Richard, PhD</au><au>Joubert, Jyovani, BS</au><au>Milch, Charles, PAC</au><au>Evans, Elizabeth, PhD</au><au>Poindexter, Anthony, MD</au><au>Cornelius, Allen, PhD</au><au>Brewer, Britton, PhD</au><au>Pescatello, Linda S., PhD</au><au>Parker, Beth, PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Short-term Aerobic Exercise and Vascular Function in CKD Stage 3: A Randomized Controlled Trial</atitle><jtitle>American journal of kidney diseases</jtitle><addtitle>Am J Kidney Dis</addtitle><date>2014-08-01</date><risdate>2014</risdate><volume>64</volume><issue>2</issue><spage>222</spage><epage>229</epage><pages>222-229</pages><issn>0272-6386</issn><eissn>1523-6838</eissn><abstract>Background The present study was designed to determine the effect of short-term moderate-intensity exercise training on arterial stiffness in patients with chronic kidney disease (CKD) stage 3. Study Design Randomized controlled trial with a parallel-group design. Setting & Participants Testing and training sessions were performed at Springfield College. 46 (treatment group, n = 25; control group, n = 21) patients with CKD with diabetes and/or hypertension completed the study. Intervention The aerobic training program consisted of 16 weeks of supervised exercise training at 50%-60% peak oxygen uptake (V o2peak ) 3 times per week, while the control group remained sedentary. Identical testing procedures were performed following the 16-week intervention. Outcomes The primary outcome was arterial stiffness. Secondary outcomes were aerobic capacity, various blood parameters (endothelin 1, nitrate/nitrite, and high-sensitivity C-reactive protein), and health-related quality of life. Measurements Arterial stiffness was assessed with aortic pulse wave velocity (PWV), aerobic capacity by V o2peak , blood parameters by enzyme-linked immunosorbent assays, and health-related quality of life by the 36-Item Short Form Health Survey (SF-36). Participants attended 4 sessions before being randomly assigned to either the treatment or control group. Participants gave consent during the first session, whereas a graded exercise test with measurement of V o2peak was completed during the second session. During sessions 3 and 4, aortic PWV was measured at rest prior to 40 minutes of either moderate-intensity exercise training or seated rest. A venous blood sample was obtained prior to exercise or rest and participants completed the SF-36 questionnaire. Results 16 weeks of training led to an 8.2% increase in V o2peak for the treatment group ( P = 0.05), but no changes in aortic PWV . Limitations Randomization was not concealed and was violated on one occasion; also, use of an indirect measurement of endothelial function and the short duration of the intervention. Conclusions Short-term moderate-intensity exercise training does not alter arterial stiffness in patients with CKD, but seems to reduce endothelin 1 levels.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>24776325</pmid><doi>10.1053/j.ajkd.2014.02.022</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adult aerobic training Aged Arterial stiffness Biological and medical sciences carotid-femoral arterial stiffness chronic kidney disease (CKD) endothelium Exercise - physiology Female Follow-Up Studies Humans Kidneys Male Medical sciences Middle Aged Nephrology Nephrology. Urinary tract diseases Nephropathies. Renovascular diseases. Renal failure pulse wave velocity Renal failure Renal Insufficiency, Chronic - diagnosis Renal Insufficiency, Chronic - physiopathology Renal Insufficiency, Chronic - therapy short-term Time Factors Urinary system involvement in other diseases. Miscellaneous vascular function Vascular Resistance - physiology Vascular Stiffness - physiology vasoactive balance |
title | Short-term Aerobic Exercise and Vascular Function in CKD Stage 3: A Randomized Controlled Trial |
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