ヘモダイアリスを受けている被験者の機能能力に対する2つの低頻度イントラダイアリスティックサイクリングトレーニングプログラムの効果:ランダム化制御試験
Ahmad Mahdi Ahmad1, Mona Mohammed Ghareeb2, Ahmed Ezzat Mansour3
1Department of Physical Therapy for Cardiovascular and Respiratory Disorders, Faculty of Physical Therapy, Cairo University, Giza, Egypt.
まとめ
2つの低頻度内透析サイクリングプログラム,低から中等強度の連続トレーニング (L-MICT) と中等から高強度の間隔トレーニング (M-HIIT) は,同様に血液透析患者の機能能力を改善しました. 両方の運動介入は8週間にわたって6分の歩行距離の有意な増加を示しました.
科学分野:
- 腎臓科
- 運動 生理学
- リハビリテーション医学
背景:
- 血液透析患者の機能能力の低下は死亡率の増加と関連しています.
- 機能的低下を緩和するための潜在的介入です.
研究 の 目的:
- 低頻度の内透析サイクリングトレーニングプログラムが血液透析患者の機能能力に与える影響を比較する.
- 低強度から中等強度までの継続訓練 (L-MICT) と中等強度から高強度までの間隔トレーニング (M-HIIT) を評価する.
主な方法:
- 67人の血液透析患者 (35~55歳) はランダムにL-MICT,M-HIIT,または対照群に分けられた.
- L-MICT:連続サイクリング (低〜中程度の強度) 20〜30分
- M-HIIT: 8週間の間隔サイクル (中等から高い強度) で,活発な回復. 6分歩行テスト (6MWT) で評価された機能能力.
主要な成果:
- すべてのグループは,ベースラインから6分歩行距離 (6MWD) の有意な改善を示した.
- L-MICTグループ: 18.2m増加 (p=0.004)
- M-HIITグループ: 17. 6m増加 (p=0. 001)
- コントロールグループ: 11. 4m増加 (p=0. 014).
- L-MICT群とM-HIIT群の間で6MWD改善の有意な差は認められなかった.
結論:
- L-MICTとM-HIITの両方が,8週間にわたって週2回実施された場合,血液透析患者の6MWDを同様に改善します.
- 6MWDで観察された改善は,この集団で最小限の検出可能な変化を超えませんでした.
- 低頻度の内透析サイクル運動は,血液透析を受けている患者の機能能力を高めるための有効な戦略です.
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