Влияние физических упражнений на состояние пациентов, получающих терапию системным гемодиализом

1. Борисов А.В., Мордик А.И., Борисова Е.В., Ермакова И.П. Распространенность вторичного гиперпаратиреоза до и на фоне лечения активными метаболитами витамина Д3 в популяции больных амбулаторного диализного центра. Нефрология и диализ. 2006; 8 (2): 147–51. / Borisov A.V., Mordik A.I., Borisova E.V., Ermakova I.P. Rasprostranennost' vtorichnogo giperparatireoza do i na fone lecheniia aktivnymi metabolitami vitamina D3 v populiatsii bol'nykh ambulatornogo dializnogo tsentra. Nefrologiia i dializ. 2006; 8 (2): 147–51. [in Russian]
2. Вишневский К.А., Земченков А.Ю., Комашня А.В. и др. Физические нагрузки во время сеанса гемодиализа: комплаентность и эффекты. Нефрология и диализ. 2009; 4 (11). / Vishnevskiĭ K.A., Zemchenkov A.Iu., Komashnia A.V. i dr. Fizicheskie nagruzki vo vremia seansa gemodializa: komplaentnost' i effekty. Nefrologiia i dializ. 2009; 4 (11). [in Russian]
3. Вишневскиий К.А., Земченков А.Ю., Комашня А.В. и др. Физическая реабилитация больных с терминальной почечной недостаточностью. Методические рекомендации для врачей. СПб, 2009. / Vishnevskiy K.A., Zemchenkov A.Iu., Komashnia A.V. i dr. Fizicheskaia reabilitatsiia bol'nykh s terminal'noy pochechnoy nedostatochnost'iu. Metodicheskie rekomendatsii dlia vrachei. SPb, 2009. [in Russian]
4. Ефремов Е.А., Беков Р.Р., Дударева А.А. и др. Эпидемиология и этиологические факторы эректильной дисфункции у пациентов на почечнозаместительной терапии и после трансплантации почки. Вестн. трансплантологии и искусственных органов. 2011; XIII (1): 50–5. / Efremov E.A., Bekov R.R., Dudareva A.A. i dr. Epidemiologiia i etiologicheskie faktory erektil'noi disfunktsii u patsientov na pochechnozamestitel'noi terapii i posle transplantatsii pochki. Vestn. transplantologii i iskusstvennykh organov. 2011; XIII (1): 50–5. [in Russian]
5. Земченков А. Ю. Адекватность гемодиализа. Классический подход. Нефрология и диализ. 2001; 3 (1): 4–20. / Zemchenkov A. Iu. Adekvatnost' gemodializa. Klassicheskii podkhod. Nefrologiia i dializ. 2001; 3 (1): 4–20. [in Russian]
6. Королева Е.А., Бондарь И.А., Тов Н.Л. Сердечно-сосудистые и костные проявления гиперпаратиреоза у больных, получающих терапию программным гемодиализом. Медицина и образование в Сибири. 2013; 6. / Koroleva E.A., Bondar' I.A., Tov N.L. Serdechno-sosudistye i kostnye proiavleniia giperparatireoza u bol'nykh, poluchaiushchikh terapiiu programmnym gemodializom. Meditsina i obrazovanie v Sibiri. 2013; 6. [in Russian]
7. Ali Tayyebi, Malihe Babahaji, Mahdi Sadeghi Sherme et al. Study of the effect of Hatha Yoga exercises on dialysis adequacy 2012. Iran J Crit Care Nurs 2012; 4 (4): 183–90.
8. Anderson JE, Stewart KJ, Hatchett L. Ambulatory blood pressure (ABP) and pre and post hemodialysis (HD) blood pressure are lower after 3 months of exercise training. J Am Soc Nephrol 2001; 12: 319A.
9. Beddhu S. Hypothesis: The body mass index paradox and an obesity, inflammation, and atherosclerosis syndrome in chronic kidney disease. Seminars in Dialysis. 2004; 17 (3): 229–32.
10. Birdee G, Rothman R, Wheeler A et al. Pilot study Intra-dialysis yoga and educational comparison group for patients with end-stage renal disease. J Alternative and Complementary Medicine 2014; 20 (5): A51–A52.
11. Birinder S, Cheema B, O’Sullivan AJ, Chan M et al. Progressive resistance training during hemodialysis: Rationale and method of a randomized-controlled trial. Hemodialysis International 2006; 10: 303–10.
12. Cheema B, Abas H, Smith B et al. Progressive exercise for anabolism in kidney disease (PEAK): A randomized controlled trial of resistence training during hemodialysis. J Am Soc Nephrol 2007; 18: 1594–601.
13. Cupisti A, D’Alessandro C, Fumagalli G et al. Nutrition and physical activity in CKD patients. Kidney Blood Press Res 2014; 39: 107–13.
14. Deligiannis A, Kouidi E, Tassoulas E et al. Cardiac response to physical training in hemodialysis patients: an echokardiographic study at rest and during exercise. Int J Cardiol 1999; 70 (3): 253–66.
15. DePaul V, Moreland J, Eager T, Clase CM. The effectiveness of aerobic and muscle strength training in patients receiving hemodialysis and EPO. A randomized controlled trial. Am J Kidney Dis 2002; 40: 1219–29.
16. Dong J, Sundell MB, Pupim LB et al. The effect of resistance exercise to augment long-term benefits of intradialytic oral nutritional supplementation in chronic hemodialysis patients. J Ren Nutr 2011; 21: 149–59.
17. Ebert D. Physiologische Aspekte des Yoga. 1. Aufl. Leipzig: Georg Thime, 1986.
18. Fleischmann E, Teal N, Dudley J et al. Influence of excess weight on mortality and hospital stay in 1346 hemodialysis patients. Kidney Int 1999; 55: 1560–7.
19. Gordon L, McGrowder DA, Pena YT et al. Effect of yoga exercise therapy on oxidative stress indicators with end-stage renal disease on hemodialysis. Int J Yoga 2013; 6 (1): 31–8. DOI: 10. 4103/0973-6131. 105944
20. Gordon L, McGrowder DA, Pena YT et al. Effect of exercise therapy on lipid parameters in patients with end-stage renal disease on hemodialysis. J Lab Physicians 2012; 4 (1): 17–23. DOI: 10. 4103/0974-2727. 98665
21. Kawashima R, Douchi T, Oki T et al. Menstrual disorders in patients undergoing chronic hemodialysis. J Obstet Gynaecol Res 1998; 24 (5): 367–73.
22. Konstantinidou E, Koukouvou G, Kouidi E et al. Exercise training in patients with end-stage renal disease on hemodialysis: Comparison of three rehabilitation programs. J Rehabil Med 2002; 34 (1): 40–5.
23. Kouidi EJ. Central and peripheral adaftations to physical training in patiens with end-stage renal disease. Sports Med 2001; 31 (9): 651–65.
24. Kouidi E, Grekas D, Deligiannis A, Tourkantonis A. Outcomes of long-term exercise training in dialysis patients: Comparison of two training programs. Clin Nephrol 2004; 61 (Suppl 1): 31–8.
25. Kouidi E, Karagiannis V, Grekas D et al. Depression, heart rate variability, and exercise training in dialysis patients. Eur J Cardiovasc Prev Rehabil 2010; 17 (2): 160–67. DOI: 10. 1097/HJR. 0b013e32833188c4.
26. Kutner NG. How can exercise be incorporated into the routine care of patients on dialysis? Int Urol Nephrol 2007; 39 (4): 1281–5.
27. Mahrova A, Svagrova K. Exercise therapy – additional tool for managing physical and psychological problems on hemodialysis. URL: http://www.intechopen.com/books/hemodialysis/exercise-therapy-additional-tool-for-managing-physical-....
28. Majchrzak KM, Pupim LB, Flakoll PJ, Ikizler TA. Resistance exercise augments the acute anabolic effects of intradialytic oral nutritional supplementation. Nephrol Dial Transplant 2008; 23: 1362–9.
29. Makhlough A, Ilali E, Mohseni R, Shahmohammadi S. Effect of intradialytic aerobic exercise on serum electrolytes levels in hemodialysis patients. Iran J Kidney Dis 2012; 6 (2): 119–23.
30. Matuszkiewicz-Rowińska J, Skórzewska K, Radowicki S et al. Menstrual disturbances and alternations in hypophyseal gonadal axis in end-stage premenopausal women undergoing hemodialysis: A multi-center study. Pol Arch Med Wewn 2003; 109 (6): 609–15.
31. Miller BW, Cress CL, Johnson ME et al. Exercise during hemodialysis decreases the use of antihypertensive medications. Am J Kidney Dis 2002; 39 (4): 828–33.
32. Moug S, Grant S, Creed G, Boulton Jones M. Exercise during haemodialysis. West of Scotland pilot study. Scott Med J 2004; 49: 14–7.
33. Painter P, Carlson L, Carey S et al. Low-functioning hemodialysis patients improve with exercise training. Am J Kidney Dis 2000; 36: 600–8.
34. Painter P, Carlson L, Carey S et al. Physical functioning and health-related quality-of-life changes with exercise training in hemodialysis patients. Am J Kidney Dis 2000; 35: 482–92.
35. Panichi V, Cupisti A, Rosati A et al. Geriatric nutritional risk index is a strong predictor of mortality in hemodialysis patients: Data from the Riscavid cohort. J Nephrol 2014. 27 (2): 193–201. DOI: 10. 1007/s40620-013-0033-0.
36. Radowicki S, Skórzewska K, Matuszkiewicz-Rowińska J. Changes in bone density in hemodialysed women treated with transdermal hormone replacement therapy. Ginekol Pol 2003; 74 (9): 997–1001.
37. Ridley J, Hoey K, Ballagh-Howes N. The exercise during hemodialysis program. Report on a pilot study. CANNT J 1999; 9: 20–6.
38. Rosenberger J, Kissova V, Majernikova M et al. Body composition monitor assessing malnutrition in the hemodialysis population independently predicts mortality. J Ren Nutr 2014; 24 (3): 172–6. DOI: 10. 1053/j. jrn. 2014. 01. 002
39. Rush H, Neugarten J, Coco M. Women’s health issues in a dialysis population. Clin Nephrol 2000; 54 (6): 455–62.
40. Sakkas GK, Sargeant AJ, Mercer TH et al. Changes in muscle morphology in dialysis patients after 6 months of aerobic exercise training. Nephrol Dial Transplant 2003; 18 (9): 1854–61.
41. Segall L, Moscalu M, Hogaş S et al. Protein-energy wasting, as well as overweight and obesity, is a long-term risk factor for mortality in chronic hemodialysis patients. Int Urol Nephrol 2014; 46 (3): 615–21. DOI: 10. 1007/s11255-014-0650-0.
42. Toigo G, Aparacio M, Attman P et al. Espen consensus on nutritional treatment of patients with renal insufficiency. Clin Nutr 2000; 19: 197–207.
43. Vaithilingham I, Polkinghorne K, Atkins R, Kerr P. Time and exercise improve phosphate removal in hemodialysis patients. Am J Kidney Dis 2004; 43: 85–9.
44. Weisinger JR, Gonzalez L, Alvarez H et al. Role of persistent amenorrhea in bone mineral metabolism of young hemodialyzed women. Kidney Int 2000; 58 (1): 331–5.
45. Yurtkuran M, Alp A, Dilek K. A modified yoga-based exercise program in hemodialysis patients: A randomized controlled study. Complement Ther Med 2007; 15 (3): 164–71.
46. Zaluska A, Zaluska WT, Bednarek-Skublewska A, Ksiazek A. Nutrition and hydration status improve with exercise training using stationary cycling during hemodialysis (HD) in patients with end-stage renal disease (ESRD). Ann Univ Marie Curie Sklodowska 2002; 57 (2): 342–6.

________________________________________________

1. Borisov A.V., Mordik A.I., Borisova E.V., Ermakova I.P. Rasprostranennost' vtorichnogo giperparatireoza do i na fone lecheniia aktivnymi metabolitami vitamina D3 v populiatsii bol'nykh ambulatornogo dializnogo tsentra. Nefrologiia i dializ. 2006; 8 (2): 147–51. [in Russian]
2. Vishnevskiĭ K.A., Zemchenkov A.Iu., Komashnia A.V. i dr. Fizicheskie nagruzki vo vremia seansa gemodializa: komplaentnost' i effekty. Nefrologiia i dializ. 2009; 4 (11). [in Russian]
3. Vishnevskiy K.A., Zemchenkov A.Iu., Komashnia A.V. i dr. Fizicheskaia reabilitatsiia bol'nykh s terminal'noy pochechnoy nedostatochnost'iu. Metodicheskie rekomendatsii dlia vrachei. SPb, 2009. [in Russian]
4. Efremov E.A., Bekov R.R., Dudareva A.A. i dr. Epidemiologiia i etiologicheskie faktory erektil'noi disfunktsii u patsientov na pochechnozamestitel'noi terapii i posle transplantatsii pochki. Vestn. transplantologii i iskusstvennykh organov. 2011; XIII (1): 50–5. [in Russian]
5. Zemchenkov A. Iu. Adekvatnost' gemodializa. Klassicheskii podkhod. Nefrologiia i dializ. 2001; 3 (1): 4–20. [in Russian]
6. Koroleva E.A., Bondar' I.A., Tov N.L. Serdechno-sosudistye i kostnye proiavleniia giperparatireoza u bol'nykh, poluchaiushchikh terapiiu programmnym gemodializom. Meditsina i obrazovanie v Sibiri. 2013; 6. [in Russian]
7. Ali Tayyebi, Malihe Babahaji, Mahdi Sadeghi Sherme et al. Study of the effect of Hatha Yoga exercises on dialysis adequacy 2012. Iran J Crit Care Nurs 2012; 4 (4): 183–90.
8. Anderson JE, Stewart KJ, Hatchett L. Ambulatory blood pressure (ABP) and pre and post hemodialysis (HD) blood pressure are lower after 3 months of exercise training. J Am Soc Nephrol 2001; 12: 319A.
9. Beddhu S. Hypothesis: The body mass index paradox and an obesity, inflammation, and atherosclerosis syndrome in chronic kidney disease. Seminars in Dialysis. 2004; 17 (3): 229–32.
10. Birdee G, Rothman R, Wheeler A et al. Pilot study Intra-dialysis yoga and educational comparison group for patients with end-stage renal disease. J Alternative and Complementary Medicine 2014; 20 (5): A51–A52.
11. Birinder S, Cheema B, O’Sullivan AJ, Chan M et al. Progressive resistance training during hemodialysis: Rationale and method of a randomized-controlled trial. Hemodialysis International 2006; 10: 303–10.
12. Cheema B, Abas H, Smith B et al. Progressive exercise for anabolism in kidney disease (PEAK): A randomized controlled trial of resistence training during hemodialysis. J Am Soc Nephrol 2007; 18: 1594–601.
13. Cupisti A, D’Alessandro C, Fumagalli G et al. Nutrition and physical activity in CKD patients. Kidney Blood Press Res 2014; 39: 107–13.
14. Deligiannis A, Kouidi E, Tassoulas E et al. Cardiac response to physical training in hemodialysis patients: an echokardiographic study at rest and during exercise. Int J Cardiol 1999; 70 (3): 253–66.
15. DePaul V, Moreland J, Eager T, Clase CM. The effectiveness of aerobic and muscle strength training in patients receiving hemodialysis and EPO. A randomized controlled trial. Am J Kidney Dis 2002; 40: 1219–29.
16. Dong J, Sundell MB, Pupim LB et al. The effect of resistance exercise to augment long-term benefits of intradialytic oral nutritional supplementation in chronic hemodialysis patients. J Ren Nutr 2011; 21: 149–59.
17. Ebert D. Physiologische Aspekte des Yoga. 1. Aufl. Leipzig: Georg Thime, 1986.
18. Fleischmann E, Teal N, Dudley J et al. Influence of excess weight on mortality and hospital stay in 1346 hemodialysis patients. Kidney Int 1999; 55: 1560–7.
19. Gordon L, McGrowder DA, Pena YT et al. Effect of yoga exercise therapy on oxidative stress indicators with end-stage renal disease on hemodialysis. Int J Yoga 2013; 6 (1): 31–8. DOI: 10. 4103/0973-6131. 105944
20. Gordon L, McGrowder DA, Pena YT et al. Effect of exercise therapy on lipid parameters in patients with end-stage renal disease on hemodialysis. J Lab Physicians 2012; 4 (1): 17–23. DOI: 10. 4103/0974-2727. 98665
21. Kawashima R, Douchi T, Oki T et al. Menstrual disorders in patients undergoing chronic hemodialysis. J Obstet Gynaecol Res 1998; 24 (5): 367–73.
22. Konstantinidou E, Koukouvou G, Kouidi E et al. Exercise training in patients with end-stage renal disease on hemodialysis: Comparison of three rehabilitation programs. J Rehabil Med 2002; 34 (1): 40–5.
23. Kouidi EJ. Central and peripheral adaftations to physical training in patiens with end-stage renal disease. Sports Med 2001; 31 (9): 651–65.
24. Kouidi E, Grekas D, Deligiannis A, Tourkantonis A. Outcomes of long-term exercise training in dialysis patients: Comparison of two training programs. Clin Nephrol 2004; 61 (Suppl 1): 31–8.
25. Kouidi E, Karagiannis V, Grekas D et al. Depression, heart rate variability, and exercise training in dialysis patients. Eur J Cardiovasc Prev Rehabil 2010; 17 (2): 160–67. DOI: 10. 1097/HJR. 0b013e32833188c4.
26. Kutner NG. How can exercise be incorporated into the routine care of patients on dialysis? Int Urol Nephrol 2007; 39 (4): 1281–5.
27. Mahrova A, Svagrova K. Exercise therapy – additional tool for managing physical and psychological problems on hemodialysis. URL: http://www.intechopen.com/books/hemodialysis/exercise-therapy-additional-tool-for-managing-physical-....
28. Majchrzak KM, Pupim LB, Flakoll PJ, Ikizler TA. Resistance exercise augments the acute anabolic effects of intradialytic oral nutritional supplementation. Nephrol Dial Transplant 2008; 23: 1362–9.
29. Makhlough A, Ilali E, Mohseni R, Shahmohammadi S. Effect of intradialytic aerobic exercise on serum electrolytes levels in hemodialysis patients. Iran J Kidney Dis 2012; 6 (2): 119–23.
30. Matuszkiewicz-Rowińska J, Skórzewska K, Radowicki S et al. Menstrual disturbances and alternations in hypophyseal gonadal axis in end-stage premenopausal women undergoing hemodialysis: A multi-center study. Pol Arch Med Wewn 2003; 109 (6): 609–15.
31. Miller BW, Cress CL, Johnson ME et al. Exercise during hemodialysis decreases the use of antihypertensive medications. Am J Kidney Dis 2002; 39 (4): 828–33.
32. Moug S, Grant S, Creed G, Boulton Jones M. Exercise during haemodialysis. West of Scotland pilot study. Scott Med J 2004; 49: 14–7.
33. Painter P, Carlson L, Carey S et al. Low-functioning hemodialysis patients improve with exercise training. Am J Kidney Dis 2000; 36: 600–8.
34. Painter P, Carlson L, Carey S et al. Physical functioning and health-related quality-of-life changes with exercise training in hemodialysis patients. Am J Kidney Dis 2000; 35: 482–92.
35. Panichi V, Cupisti A, Rosati A et al. Geriatric nutritional risk index is a strong predictor of mortality in hemodialysis patients: Data from the Riscavid cohort. J Nephrol 2014. 27 (2): 193–201. DOI: 10. 1007/s40620-013-0033-0.
36. Radowicki S, Skórzewska K, Matuszkiewicz-Rowińska J. Changes in bone density in hemodialysed women treated with transdermal hormone replacement therapy. Ginekol Pol 2003; 74 (9): 997–1001.
37. Ridley J, Hoey K, Ballagh-Howes N. The exercise during hemodialysis program. Report on a pilot study. CANNT J 1999; 9: 20–6.
38. Rosenberger J, Kissova V, Majernikova M et al. Body composition monitor assessing malnutrition in the hemodialysis population independently predicts mortality. J Ren Nutr 2014; 24 (3): 172–6. DOI: 10. 1053/j. jrn. 2014. 01. 002
39. Rush H, Neugarten J, Coco M. Women’s health issues in a dialysis population. Clin Nephrol 2000; 54 (6): 455–62.
40. Sakkas GK, Sargeant AJ, Mercer TH et al. Changes in muscle morphology in dialysis patients after 6 months of aerobic exercise training. Nephrol Dial Transplant 2003; 18 (9): 1854–61.
41. Segall L, Moscalu M, Hogaş S et al. Protein-energy wasting, as well as overweight and obesity, is a long-term risk factor for mortality in chronic hemodialysis patients. Int Urol Nephrol 2014; 46 (3): 615–21. DOI: 10. 1007/s11255-014-0650-0.
42. Toigo G, Aparacio M, Attman P et al. Espen consensus on nutritional treatment of patients with renal insufficiency. Clin Nutr 2000; 19: 197–207.
43. Vaithilingham I, Polkinghorne K, Atkins R, Kerr P. Time and exercise improve phosphate removal in hemodialysis patients. Am J Kidney Dis 2004; 43: 85–9.
44. Weisinger JR, Gonzalez L, Alvarez H et al. Role of persistent amenorrhea in bone mineral metabolism of young hemodialyzed women. Kidney Int 2000; 58 (1): 331–5.
45. Yurtkuran M, Alp A, Dilek K. A modified yoga-based exercise program in hemodialysis patients: A randomized controlled study. Complement Ther Med 2007; 15 (3): 164–71.
46. Zaluska A, Zaluska WT, Bednarek-Skublewska A, Ksiazek A. Nutrition and hydration status improve with exercise training using stationary cycling during hemodialysis (HD) in patients with end-stage renal disease (ESRD). Ann Univ Marie Curie Sklodowska 2002; 57 (2): 342–6.

А.В.Фролов

ФГБОУ ВО «Северо-Западный государственный медицинский университет им. И.И.Мечникова» Минздрава России. 191015, Россия, Санкт-Петербург, ул. Кирочная, д. 41
polyclinic@list.ru

________________________________________________

A.V.Frolov

I.I.Mechnikov State Northwestern Medical University of the Ministry of Health of the Russian Federation. 191015, Russian Federation, Saint Petersburg, ul. Kirochnaia, d. 41
polyclinic@list.ru