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Kidney Disease and Exercise: Patients with Hemodailysis can benefit from exercise

November 28, 2012

Exercise and Kidney disease

Urinary system-Kidney disease

Urinary system-Kidney disease

As you may know by now I am really determined to show how my program “Super Body, Super Brain” can help anyone. However it is not the program you find in my book but a modification and individualization of my program to target special people with specific conditions. After implementing my program successfully in the Capistrant Center for Parkinson disease and run a pilot for breast cancer patients at Englewood Hospital i was really honored to be asked by a professional in Kidney Disease and Exercise from a Spanish University to develop a Super Body, Super Brain Program for Kidney disease.

Kidney disease and exercise

Exercise and kidney disease

Lets talk first a little of background from exercise and kidney disease:

Lets look at the staggering numbers: One in 10 American adults, more than 20 million, have some level of CKD.

Source: Centers for Disease Control and Prevention

From Wikipedia

Chronic kidney disease (CKD), also known as chronic renal disease, is a progressive loss in renal function over a period of months or years. The symptoms of worsening kidney function are non-specific, and might include feelinggenerally unwell and experiencing a reduced appetite. Often, chronic kidney disease is diagnosed as a result ofscreening of people known to be at risk of kidney problems keep reading here

 Exercise training during the dialytical procedure may have positive cardiovascular effects and prevent or revert muscle wasting in patients undergoing chronic hemodialysis.

Kidney disease and exercise

Kidney disease and exercise

How does exercise benefit me?

According to the National Kidney Foundation 

  • improved muscle physical functioning
  • better blood pressure control
  • improved muscle strength
  • lowered level of blood fats (cholesterol and triglycerides)
  • better sleep
  • better control of body weight.

However I am still working on my proposal but i wanted to share some of the main points that i am making to develop my program for Kidney Disease

Exercise science and hemodialysis

Numerous studies have highlighted the importance of physical activity not only generally but especially in terms of special populations or with certain conditions.

Now there are many exercises and physical activity programs, which are best? There are trends based on numerous studies showing that there is a proliferation of specific physical activity programs.

Traditionally speaking exercise was divided into different schools of thought: Those exercises that were based on the traditional isolated muscle training and the ones now that are focused on the whole body as one entity.

These workouts have changed substantially and now physical activity programs are highlighting a trend switch started several years ago where the Principle of overloading is being replaced  for more “core training” and whole body movements. These programs are an advocate for more complex movements with an activation of the center of gravity or popularly known as the ” core “. In short, the result is a change in the way that analyze the movement from the point of view of biomechanics.

Biomechanics is an interdisciplinary area of ​​knowledge that studies the models, phenomena and laws that are relevant to the movement (including static) of living beings. It is a scientific discipline that aims to study the mechanical character structures that exist in living organisms, mainly human body. This area of ​​knowledge is based on various biomedical sciences, utilizing knowledge of mechanics, engineering, anatomy, physiology and other disciplines, to study the behavior of the human body and solve the problems of the various conditions that can be subjected. (Vera 1994)

Numerous studies have highlighted the importance of balance training, coordination and intentional movement. We will discuss the importance of these features that are so important to humans.

Balance:

It is called the equilibrium state in which a body is when the forces acting on the offset and cancel each other.

Balance is an essential important function to humans and not only reserved to professionals dedicated to acrobatics

The brain and movement? We tend to forget the importance of the brain when we move and a better functioning brain with specific exercises can improve fitness and mental health.

So balance exercises should be integrated into strength training movements.

Coordination

Muscular or motor coordination is the ability of the body’s skeletal muscles synchronized low trajectory parameters and movimiento.1

↑ ab Meinel, mariadelmar herrada fernandez, Günter Schnabel (2004) (in Spanish). Movement theory. Editorial S.R.L. Stadium. pp. 94. ISBN 9505312032.

The result of motor coordination is an intentional, synchronous and synergistic. Such movements occur efficiently coordinated contraction of the musculature needed as well as the other components of the involved extremity. Muscle coordination is minimally associated with integration of the nervous system, skeleton and control brain and spinal cord.

The cerebellum

regulates sensory information coming from the body, coordinating with stimuli from the brain, which allows fine and precise movements. Alongside this movement coordination, the cerebellum regulates and controls the pitch muscular.2

↑ TEN RODRIGUEZ, Jesus Maria et al. Cerebellum and lower urinary tract (in Spanish). Arch Esp Urol [online]. 2005, vol.58, n.5 [cited 14.1.2010], p. 421-429. ISSN 0004-0614.

Therefore coordination exercises should be integrated with muscular movements.

 

Intentional Movement

Defined as those body movements where the intention of moving in a certain way and approaching execution of movement seeking greater brain activity and better coordination of physiological systems and neuromsuculares

Associated studies

Low-Load High Volume Resistance Exercise Stimulates Muscle Protein Synthesis More Than High-Load Low Volume Resistance Exercise in Young Men

http://www.plosone.org/article/info%3Adoi%2F10.1371%2Fjournal.pone.0012033

Training effects of long versus short bouts of exercise in healthy subjects.

DeBusk RF, Stenestrand U, Sheehan M, Haskell WL.

http://www.ncbi.nlm.nih.gov/pubmed/2327335

[Physical exercise and type 2 diabetes: Is 3 x 10 minutes a day better than 30 minutes?–secondary publication]. http://www.ncbi.nlm.nih.gov/pubmed/19291864

Overload training with patients with chronic Kidney disease

Entrenamiento con Sobrecarga para Individuos con Enfermedad Renal Crónica

Peter Ronai1, Paul Sorace2.

1Ahlbin Rehabilitation Centers of Bridgeport Hospital, Shelton, Connecticut.

2Hackensack University Medical Center, Hackensack, New Jersey.

A pilot study on physical training of patients in hemodialysis

María Soledad Oliveros R.1,2, Marcelo Avendaño2,3,a, Daniel Bunout2, Sandra Hirsch2, María Pía De La Maza2, Cristian Pedreros1,4,5, Hans Müller1,4,5

3 Comments leave one →
  1. December 6, 2012 5:35 am

    Exercise is a very important aspect of our lives and it is all too often neglected in our western culture. Patients on dialysis have a lower exercise capacity than the normal population. But it is a misunderstanding that patients with a chronic disease cannot be very active.

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