脏疾病的体育炼:一种常被低估的治疗方式
Mehmet Kanbay1, Sidar Copur2, Abdullah B Yildiz2
1Division of Nephrology, Department of Medicine, Koc University School of Medicine, Istanbul, Turkey.
European journal of clinical investigation
|October 10, 2023
概括
定期体育活动通过改善炎症,氧化应激和生活质量,有利于慢性病 (CKD) 患者. 虽然运动在CKD各个阶段都显示出好处,但它对功能和长期结果的直接影响需要进一步研究.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 运动生理学 运动生理学
- 公共卫生 公共卫生
背景情况:
- 身体不活动是许多健康疾病的重要危险因素.
- 慢性病 (CKD) 和久坐不动的生活方式之间存在强烈的相关性.
- 当前的医疗实践往往优先考虑药理疗法,而不是生活方式干预措施,例如对CKD的体力活动.
研究的目的:
- 审查身体炼在CKD中所带来的益处的病理生理机制.
- 讨论临床研究和试验,涉及对慢性病患者的运动干预措施.
主要方法:
- 现有文献的叙述性审查.
- 解释运动对病理生理路径的影响.
- 在CKD的各个阶段对临床试验的分析.
主要成果:
- 运动积极影响炎症,氧化应激,血管功能,免疫反应和新陈代谢.
- 在透析前的CKD中,运动可以降低体重,炎症标志物和禁食葡萄糖,改善功能能力和生活质量.
- 在透析和移植患者中,运动提高心肺呼吸能力,行走能力和生活质量,联合训练对氧气吸收最有效.
结论:
- 身体炼对于改善慢性瘤患者的炎症,氧化应激,血管功能和生活质量至关重要,不论阶段或治疗.
- 运动对功能的直接影响尚不清楚.
- 需要进一步进行广泛的长期试验,以确定运动对死亡率和心血管风险等主要临床结果的影响.
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