Exercise Training Improves HR Responses and VO2peak in Predialysis Kidney Patients

HEADLEY, SAMUEL1; GERMAIN, MICHAEL2; MILCH, CHARLES1; PESCATELLO, LINDA3; COUGHLIN, MARY ANN1; NINDL, BRADLEY C.4; CORNELIUS, ALLEN5; SULLIVAN, SHEILA6; GREGORY, SARA1; WOOD, RICHARD1

Medicine & Science in Sports & Exercise:
doi: 10.1249/MSS.0b013e318268c70c
Applied Sciences
Abstract

Purpose: The current pilot and feasibility study was designed to examine the effect of 48 wk of moderate-intensity exercise training and dietary modification on kidney function and vascular parameters in chronic kidney disease (CKD) patients.

Methods: Twenty-one stage 2–4 CKD patients (age, 18–70 yr) were randomly assigned to either the training group (TG, n = 10) or the usual care group (n = 11) for 48 wk. The TG received 48 wk of personal training (3 d·wk−1 for up to 55 min per session at 50%–60% V˙O2peak) and dietary counseling, whereas individuals in the usual care group received standard of care and were instructed not to start a structured exercise program while in the study. V˙O2peak, estimated glomerular filtration rate (eGFR), resting and ambulatory HR, plasma lipids (total cholesterol, LDL cholesterol, HDL cholesterol, and triglycerides), and inflammatory markers (high-sensitivity C-reactive protein and interleukin 6) were assessed at baseline and weeks 24 and 48. An independent group’s t-test was used to compare glomerular filtration rate slopes between groups, whereas all other data were analyzed with ANCOVA using the baseline value as the covariate.

Results: There were no statistically significant differences in any of the parameters at baseline. The 48-wk intervention led to a significant increase in V˙O2peak, reductions in both resting and ambulatory HR, and increases in LDL cholesterol and in TG, but it had no effect on the rate of change of eGFR over time.

Conclusions: A 48-wk exercise training program, primarily focused on aerobic exercise, increases V˙O2peak and favorably alters autonomic function as evidenced by reductions in HR in stages 2–4 CKD patients. The exercise intervention had no effect on kidney function as assessed by eGFR.

Author Information

1Springfield College, Springfield, MA; 2Western New England Renal and Transplant Associates, Springfield, MA; 3University of Connecticut, Storrs, CT; 4US Army Research Institute of Environmental Medicine, Natick, MA; 5University of The Rockies, Colorado Springs, CO; and 6Baystate Medical Center, Springfield, MA

Address for correspondence: Samuel A. E. Headley, Ph.D., Exercise Science and Sports Studies Department, Springfield College, 263 Alden Street, Springfield, MA 01109; E-mail: Sheadley@springfieldcollege.edu.

Submitted for publication April 2012.

Accepted for publication July 2012.

©2012The American College of Sports Medicine