Effects of Aerobic Exercise on Physical Condition in Chronic Kidney Disease Patients: Scoping Review
Abstract
Chronic kidney disease (CKD) can cause changes in physical condition and cause cardiovascular problems to death. The development of CKD can be prevented by doing physical activity, one of which is aerobic exercise. Studies related to the effects of aerobic exercise on physical condition, especially in patients with chronic kidney disease, are still limited, so further studies are needed. The purpose of this study was to determine the effect of aerobic exercise on physical condition in patients with chronic kidney disease. The method used is a scoping review based on the PRISMA flow diagram. Article searches were conducted using electronic databases or internet searches, some databases used as article selection are ScienceDirect, Pubmed, and Springerlink. In conducting the search using the keywords "Aerobic Exercise" and "Chronic Kidney Disease" and "physical condition". Where in the screening or filtering of articles are given the filters "2020-2024", "Free full text" and "research article". The scoping review analysis was carried out using the Arksey and O'Malley theory approach which has been modified by Levac. From 4 databases, 6 articles were analyzed and focused on the effect of aerobic exercise on physical conditions in patients with chronic kidney disease. The results of the analysis showed that aerobic exercise significantly increased the SPPB (Short physical performance battery) value, increased the HRV (heart rate variability) index within the normal range, increased vagal activity leading to sympathovagal balance, improved systolic and diastolic values, increased physical activity levels, and decreased blood glucose and increased hematocrit.The effect of Aerobic exercise on the physical condition of patients is divided into physiological and biochemical effects. The effect of Aerobic exercise on physical conditions physiologically is to improve physical function, functional capacity and activity of the autonomic nervous system of the heart, increase blood flow, reduce risk factors for cardiovascular disease, increase cardiorespiratory capacity and muscle strength of the upper and lower body, and have a more comprehensive range in activities. The effect of Aerobic exercise on physical conditions biochemically is to maintain stable blood levels.
References
Afsar, Baris et al. (2018). The Impact of Exercise on Physical Function, Cardiovascular Outcomes and Quality of Life in Chronic Kidney Disease Patients: A Systematic Review. International Urology and Nephrology 50(5): 885–904. https://doi.org/10.1007/s11255-018-1790-4.
Arksey, Hilary, and Lisa O’Malley. (2005). Scoping Studies: Towards a Methodological Framework. International Journal of Social Research Methodology: Theory and Practice 8(1): 19–32.
Baradero M, Daydrit MW, Siswadi. (2009). Asuhan Keperawatan Klien Gangguan Ginjal. Jakarta: ECG.
Billinger, Sandra A. et al. (2012). Aerobic Exercise in Subacute Stroke Improves Cardiovascular Health and Physical Performance. Journal of Neurologic Physical Therapy 36(4): 159–65.
Bronas, Ulf G. (2009). Exercise Training and Reduction of Cardiovascular Disease Risk Factors in Patients With Chronic Kidney Disease. Advances in Chronic Kidney Disease 16(6): 449–58. http://dx.doi.org/10.1053/j.ackd.2009.07.005.
Danielle Levac, Heather Colquhoun, and Kelly K O’Brien. (2010). Scoping Studies: Advancing the Methodology. Implementation Science: 1–18.
Firdaus, Asep Novi Taufiq, Agung Waluyo, and Wati Jumaiyah. (2022). Stretching Exercise Between the Time of Dialysis for Fatigue Scores of Chronic Kidney Failure Patient At the General Hospital of Ciamis District. Jurnal Wacana Kesehatan Universitas Muhammadiyah Cirebon 7(1): 32–40.
Grigoriou, Stefania S. et al. (2021). Long-Term Intradialytic Hybrid Exercise Training on Fatigue Symptoms in Patients Receiving Hemodialysis Therapy. International Urology and Nephrology 53(4): 771–84. https://doi.org/10.1007/s11255-020-02711-8.
Harber, Matthew P. et al. (2009). Aerobic Exercise Training Improves Whole Muscle and Single Myofiber Size and Function in Older Women. American Journal of Physiology - Regulatory Integrative and Comparative Physiology 297(5): 1452–59.
Kemenkes RI. (2018). Hasil Utama Riset Kesehatan Dasar (Riskesdas) 2018.
Kemi, Ole Johan, and Ulrik Wisløff. (2010). High-Intensity Aerobic Exercise Training Improves the Heart in Health and Disease. Journal of Cardiopulmonary Rehabilitation and Prevention 30(1): 2–11.
Kurniawati, Bastari Dwi, Tatik Dwi Wahyuni, and Anggi Lukman Wicaksana. (2022). The Effect of Intradialytic Exercise on Fatigue-Related Chronic Kidney Disease: A Case Study of Patient Undergoing Hemodialysis. Open Access Macedonian Journal of Medical Sciences 10(C): 290–93.
De Lima, Maurícia Cristina et al. (2013). Effect of Exercise Performed during Hemodialysis: Strength versus Aerobic. Renal Failure 35(5): 697–704.
M.J.DAYANANDA. (2024). The Benefits of Aerobic Training Exercises For Improving The Quality of Life. Scholarly Quarterly Research Journal 14(2): 90–95.
Martins-Pinge, M. C. (2011). Cardiovascular and Autonomic Modulation by the Central Nervous System after Aerobic Exercise Training. Brazilian Journal of Medical and Biological Research 44(9): 848–54.
Mitsiou, Maria et al. (2022). Effects of a Combined Intradialytic Exercise Training Program and Music on Cardiac Autonomic Nervous System Activity in Hemodialysis Patients. Life 12(8).
Monti, Elena et al. (2023). Effects of a 2-Year Exercise Training on Neuromuscular System Health in Older Individuals with Low Muscle Function. Journal of Cachexia, Sarcopenia and Muscle 14(2): 794–804.
Muttaqin A, Sari K. (2011). Asuhan Keperawatan Gangguan Sistem Perkemihan. Jakarta: Salemba Medika.
de Oliveira, Fabiano Santana et al. (2020). The Effects of Aerobic Exercise on Biochemical Parameters in Individuals with CKD on Hemodialysis: A Longitudinal Study. Journal of Human Growth and Development 30(2): 251–59.
Ortega-Pérez de Villar, Lucía et al. (2020). Comparison of Intradialytic versus Home-Based Exercise Programs on Physical Functioning, Physical Activity Level, Adherence, and Health-Related Quality of Life: Pilot Study. Scientific Reports 10(1): 1–10.
Perez-Dominguez, Borja et al. (2021). Effects of Exercise Programs on Physical Function and Activity Levels in Patients Undergoing Hemodialysis: A Randomized Controlled Trial. European Journal of Physical and Rehabilitation Medicine 57(6): 994–1001.
Prastiwi, Firman, Titin Andri Wihastuti, and Dina Dewi Sartika Lestari Ismail. (2021). Factors Associated with Fatigue in Chronic Kidney Disease Patients Undergoing Hemodialysis: A Systematic Review. Jurnal Kedokteran Brawijaya 31(4): 260–68.
Price SA, Wilson LM. (2006). Faktor Risiko Gagal Ginjal Pada Diabetes Melitus. 1(1).
Registry, Indonesian Renal. (2016). 9 Th Report of Indonesian Renal Registry 2016.
Registry. (2017). 10 Th Report of Indonesian Renal Registry 2017.
Rosaulina, Meta, and Mona Fitri Gurusinga. (2021). Pengaruh Intradialytic Exercise Terhadap Penurunan Tekanan Darah Pada Pasien Hemodialisa Di Rumah Sakit Grandmed Lubuk Pakam. BEST Journal (Biology Education, Sains and Technology) 4(2): 238–43.
Wahida, Astri Zeini, Hotma Rumahorbo, and Murtiningsih. (2023). The Effectiveness of Intradialytic Exercise in Ameliorating Fatigue Symptoms in Patients with Chronic Kidney Failure Undergoing Hemodialysis: A Systematic Literature Review and Meta-Analysis. Journal of Taibah University Medical Sciences 18(3): 512–25.
Yamaguchi, Tomoya et al. (2023). Differences in the Purpose of Exercise between Hemodialysis Patients Who Continued or Dropped out of Exercise Programs: A Multicenter Cohort Study. Journal of Nephrology 36(9): 2559–69. https://doi.org/10.1007/s40620-023-01791-w.
Yao, Lei et al. (2021). Effect of Aerobic Exercise on Mental Health in Older Adults: A Meta-Analysis of Randomized Controlled Trials. Frontiers in Psychiatry 12(October).
Yu, Fang et al. (2021). Cognitive Effects of Aerobic Exercise in Alzheimer’s Disease: A Pilot Randomized Controlled Trial. Journal of Alzheimer’s Disease 80(1): 233–44.
Yuguero-Ortiz, Anna et al. (2021). Impact and Safety Outcomes of an Intradialytic Physical Exercise Program. Nefrologia 41(5): 556–65.
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