Progress in Study of Exercise Rehabilitation Management Strategy for Patients with Chronic Kidney Disease

doi:10.12114/j.issn.1007-9572.2019.00.544

Abstract

Abstract: Patients with chronic kidney disease（CKD）generally have a problem of reduced physical exercise，while exercise has an irreplaceable role in improving malnutrition，cardiorespiratory endurance and quality of life in patients with CKD.This problem is often overlooked by many health care workers and patients.This article focuses on the management strategy and effect evaluation of exercise rehabilitation in patients with CKD，in order to improve the attention of medical workers to the exercise of patients with CKD，and provide some guidance for clinical management of patients with CKD.

Key words: Chronic kidney disease, Exercise rehabilitation, Management strategy

摘要： 慢性肾脏病患者普遍存在活动量减少的问题，运动在改善慢性肾脏病患者营养不良、提高患者心肺耐力和生活质量等方面有着药物不可替代的重要作用，而这往往被很多医护工作者和患者忽略。本文重点介绍慢性肾脏患者运动康复管理策略和效果评价，以提高医护工作者对慢性肾脏病患者运动的重视，为临床管理慢性肾脏病患者提供一定指导。

关键词: 慢性肾脏病, 运动康复, 管理策略

ZANG Li,WANG Shaoqing. Progress in Study of Exercise Rehabilitation Management Strategy for Patients with Chronic Kidney Disease　[J]. Chinese General Practice, 2020, 23(1): 109-113. DOI: 10.12114/j.issn.1007-9572.2019.00.544.
臧丽,王少清. 慢性肾脏病患者运动康复管理策略研究进展[J]. 中国全科医学, 2020, 23(1): 109-113. DOI: 10.12114/j.issn.1007-9572.2019.00.544.

References

［1］MAEDA S，IEMITSU M，JESMIN S，et al．Acute exercise causes an enhancement of tissue renin-angiotensin system in the kidney in rats［J］．Acta Physiol Scand，2005，185（1）：79-86．DOI：10.1111/j.1365-201X.2005.01459.x.
［2］REESE P P，CAPPOLA A R，SHULTS J，et al．Physical performance and frailty in chronic kidney disease［J］．Am J Nephrol，2013，38（4）：307-315．DOI：10.1159/000355568.
［3］HOWDEN E J，COOMBES J S，ISBEL N M.The role of exercise training in the management of chronic kidney disease［J］．Curr Opin Nephrol Hypertens，2015，24（6）：480-487．DOI：10.1097/MNH.0000000000000165.
［4］GOULD D W，GRAHAM-BROWN M P，WATSON E L，et al．Physiological benefits of exercise in pre-dialysis chronic kidney disease［J］．Nephrology（Carlton），2014，19（9）：519-527．DOI：10.1111/nep.12285.
［5］WILKINSON T J，SHUR N F，SMITH A C．"Exercise as medicine" in chronic kidney disease［J］．Scand J Med Sci Sports，2016，26（8）：985-988．DOI：10.1111/sms.12714.
［6］JOHANSEN K L，PAINTER P．Exercise in individuals with CKD［J］．Am J Kidney Dis，2012，59（1）：126-134．DOI：10.1053/j.ajkd.2011.10.008.
［7］HEIWE S，JACOBSON S H．Exercise training in adults with CKD：a systematic review and meta-analysis［J］．Am J Kidney Dis，2014，64（3）：383-393．DOI：10.1053/j.ajkd.2014.03.020.
［8］范汝艳，张红梅.对太极拳运动在慢性肾脏病患者健康促进中的认识［J］．中国中西医结合肾病杂志，2015，16（2）：179-181.
FAN R Y，ZHANG H M．Understanding of Taijiquan exercise in the health promotion of patients with chronic kidney disease［J］．Chin J Integr Tradit West Nephrol，2015，16（2）：179-181.
［9］罗春华.运动疗法对慢性肾脏病患者血脂及肾功能的影响［J］．湖北中医杂志，2014，36（12）：39-40.
LUO C H．Effect of exercise therapy on blood lipid and renal function in patients with chronic kidney disease［J］．Hubei J Tradit Chin Med，2014，36（12）：39-40.
［10］MACKINNON H J，FEEHALLY J，SMITH A C．A review of the role of exercise and factors affecting its uptake for people with chronic kidney disease（CKD） not requiring renal replacement therapy［J］．Pril（Makedon Akad Nauk Umet Odd Med Nauki），2015，36（1）：37-46.
［11］VIANA J L，KOSMADAKIS G C，WATSON E L，et al．Evidence for anti-inflammatory effects of exercise in CKD［J］．J Am Soc Nephrol，2014，25（9）：2121-2130．DOI：10.1681/ASN.2013070702.
［12］石肖女.慢性肾脏病患者微炎症状态相关影响因素分析［D］．长春：吉林大学，2014.
SHI X N．Analysis of the related influencing factors of chronic kidney disease with micro inflammatory state［D］．Changchun：Jilin University，2014.
［13］严艳，洪明玉，汪年松，等．非透析肾衰竭患者微炎症、白蛋白、前白蛋白与营养不良的关系［J］．中国中西医结合肾病杂志，2009，10（6）：520-523．DOI：10.3969/j.issn.1009-587X.2009.06.014.
YAN Y，HONG M Y，WANG N S，et al．Relationship between microinflammatory status，serum albumin，prealbumin and malnutrition in pre-dialysis chronic renal failure patients［J］．Chin J Integr Tradit West Nephrol，2009，10（6）：520-523．DOI：10.3969/j.issn.1009-587X.2009.06.014.
［14］王维平，何萍，熊长青.维持性血液透析患者甲状腺功能异常与炎症的关系［J］．中国中西医结合肾病杂志，2015，16（11）：1004-1005.
WANG W P，HE P，XIONG C Q．Relationship between thyroid dysfunction and inflammation in maintenance hemodialysis patients［J］．Chin J Integr Tradit West Nephrol，2015，16（11）：1004-1005.
［15］CHEEMA B S，CHAN D，FAHEY P，et al．Effect of progressive resistance training on measures of skeletal muscle hypertrophy，muscular strength and health-related quality of life in patients with chronic kidney disease：a systematic review and meta analysis［J］．Sports Med，2014，44（8）：1125-1138．DOI：10.1007/s40279-014-0176-8.
［16］JHAMB M，WEINER D E．Exercise to improve physical function and quality of life in CKD［J］．Clin J Am Soc Nephrol，2014，9（12）：2023-2024．DOI：10.2215/cjn.10411014.
［17］WU Y Y，HE Q，YIN X H，et al．Effect of individualized exercise during maintenance haemodialysis on exercise capacity and health-related quality of life in patients with uraemia［J］．J Int Med Res，2014，42（3）：718-727．DOI：10.1177/0300060513509037.
［18］SHENG K X，ZHANG P，CHEN L L，et al．Intradialytic exercise in hemodialysis patients：a systematic review and meta analysis［J］．Am J Nephrol，2014，40（5）：478-490．DOI：10.1159/000368722.
［19］玖九.康复医疗发展路漫漫［J］．中国卫生人才，2018，20（1）：33-40.
JIU J.The development of rehabilitation medical care is long［J］．China Heal Hum Resour，2018,20（1）：33-40.
［20］KOUFAKI P，GREENWOOD S，PAINTER P，et al．The bases expert statement on exercise therapy for people with chronic kidney disease［J］．J Sports Sci，2015，33（18）：1902-1907．DOI：10.1080/02640414.2015.1017733.
［21］VAN DE PORT I G，KWAKKEL G，WITTINK H．Systematic review of cardiopulmonary exercise testing post stroke：are we adhering to practice recommendations?［J］．J Rehabil Med，2015，47（10）：881-900.DOI：10.2340/16501977-2031．
［22］张雅玲，郝文亭.运动处方的制定与应用［J］．中国学校卫生，2005，26（6）：484-485．DOI：10.3969/j.issn.1000-9817.2005.06.009.
ZHANG Y L，HAO W T．The formulation and application of exercise prescriptions［J］．Chin J Sch Heal，2005，26（6）：484-485．DOI：10.3969/j.issn.1000-9817.2005.06.009.
［23］ROSHANRAVAN B，GAMBOA J，WILUND K．Exercise and CKD：skeletal muscle dysfunction and practical application of exercise to prevent and treat physical impairments in CKD［J］．Am J Kidney Dis，2017，69（6）：837-852．DOI：10.1053/j.ajkd.2017.01.051.
［24］PESCATELLO L S，FRANKLIN B A，FAGARD R，et al．American college of sports medicine position stand exercise and hypertension［J］．Med Sci Sports Exerc，2004，36（3）：533.
［25］THOMPSON P D，ARENA R，RIEBE D，et al．ACSM's new preparticipation health screening recommendations from ACSM's guidelines for exercise testing and prescription，ninth edition［J］．Curr Sports Med Rep，2013，12（4）：215-217．DOI：10.1249/JSR.0b013e31829a68cf.
［26］ABD AZIZ N A S，TENG N I M F，ABDUL HAMID M R，
et al．Assessing the nutritional status of hospitalized elderly［J］．Clin Interv Aging，2017，12：1615-1625．DOI：10.2147/CIA.S140859.
［27］黄晓琳，燕铁斌.康复医学［M］．北京：人民卫生出版社，2013.
［28］葛均波，徐永健，王辰.内科学［M］．北京：人民卫生出版社，2017.
［29］AYIS S A，AYERBE L，ASHWORTH M，et al．Evaluation of the hospital anxiety and depression scale（hads） in screening stroke patients for symptoms：item response theory（IRT）analysis［J］．J Affect Disord，2018，228：33-40．DOI：10.1016/j.jad.2017.11.037.

[1]	ZHANG Peng, GAO Ying, YANG Hongxi, WAN Chunxiao. Association between Serum Uric Acid Level and the Risk of Chronic Kidney Disease among the Elderly in Longevity Areas of China [J]. Chinese General Practice, 2023, 26(31): 3884-3889.
[2]	ZHANG Yunsheng, ZHANG Peng, JIN Yujing, GAO Ying. Association of Blood Pressure Level with the Risk of Chronic Kidney Disease among the Elderly in Longevity Areas of China [J]. Chinese General Practice, 2023, 26(28): 3502-3506.
[3]	SU Guobin, LING Xitao, DUAN Ruolan, ZHANG La, XU Yuan, PENG Yu, HOU Haijing, LIU Xusheng, LU Fuhua. Selection of Therapeutic Drugs for COVID-19 Infection in Adults with Chronic Kidney Disease Based on Medical Evidence [J]. Chinese General Practice, 2023, 26(26): 3220-3229.
[4]	YAO Huijuan, YANG Yu, XU Ajing. Interpretation of Diabetes Management in Chronic Kidney Disease: a Consensus Report by the American Diabetes Association (ADA) and Kidney Disease: Improving Global Outcomes (KDIGO) [J]. Chinese General Practice, 2023, 26(12): 1415-1421.
[5]	YAN Peng, SONG Jianling, FANG Xiangdong. Recent Developments in Parathyroid Hormone Type 1 Receptor and Kidney Disease [J]. Chinese General Practice, 2023, 26(11): 1398-1403.
[6]	LIU Linhua, ZHAN Jinfeng, XIA Zhongbin. Effect of Impaired Fasting Glucose on Estimated Glomerular Filtration Rate [J]. Chinese General Practice, 2023, 26(03): 304-307.
[7]	Chinese Medical Association Clinical Pharmacy Branch. Chinese Expert Consensus on Medication Safety in Polypharmacy in Type 2 Diabetics with Chronic Kidney Disease [J]. Chinese General Practice, 2022, 25(23): 2819-2835.
[8]	ZHANG Xianlong，LIU Xusheng，FU Lizhe，TANG Fang，ZHANG Dingjun，WANG Linglan，XIA Bingqing，DONG Chendi，WU Yifan. Effects of Remote Diet Record versus Paper-based Three-day Diet Record on Nutritional Management Compliance of Patients with CKD　 [J]. Chinese General Practice, 2021, 24(15): 1909-1914.
[9]	CHENG Gaiping，QIN Wei，LIU Jing，LIU Yuan. Interpretation of the KDOQI Clinical Practice Guideline for Nutrition in CKD：2020 Update　 [J]. Chinese General Practice, 2021, 24(11): 1325-1332.
[10]	TANG Rining，WANG Xiaochen，WANG Liting，CHEN Sijie，ZHANG Yuxia，ZHANG Shuofan. New Risk Factors of Cardiac Valve Calcification in Patients with Chronic Kidney Disease　 [J]. Chinese General Practice, 2021, 24(11): 1365-1371.
[11]	ZHU Xiaoyu，JIANG Lili，WEI Yudan，ZHANG Yangyang，HUANG Xiu，DU Yujun. Recent Advances in Uric Acid and Chronic Kidney Disease-mineral and Bone Disorder　 [J]. Chinese General Practice, 2020, 23(5): 511-515.
[12]	SU Guobin，QIN Xindong，ZHANG La，WU Yifan，HUANG Jiasheng，HE Jiawei，ZENG Jiahao，MO Yenan，XIAO Cuixia，WEN Zehuai，LU Fuhua，LIU Xusheng. Facilitators and Barriers to be Physically Active in Patients with Chronic Kidney Disease Based on PEAKING Cohort　 [J]. Chinese General Practice, 2020, 23(31): 3971-3975.
[13]	ZHANG Yu，LIAO Xiaoyang，GUO Ru，LI Zhichao. Clinical Application of Sodium Glucose Transporter 2 Inhibitors in Type 2 Diabetics Mellitus with Chronic Kidney Disease：Recent Status and Challenges　 [J]. Chinese General Practice, 2020, 23(29): 3655-3660.
[14]	HUANG Yanping，RU Qianying，ZHANG Danhuan，FAN Chenhao，MAO Peiju. Prevalence of Chronic Kidney Disease among the Elderly in Changning District of Shanghai from 2012 to 2016　 [J]. Chinese General Practice, 2020, 23(17): 2215-2218.
[15]	PAN Yongyi，XIE Wenhong，JIA Ling，HUANG Jingxin，XIE Di，YANG Xiaobing，TAO Xiaolei，ZHAO Hao. Correlation of Activation with Psychological Distress and Social Support in Chronic Kidney Disease Patients：an Outpatient Follow-up Study　 [J]. Chinese General Practice, 2020, 23(13): 1647-1653.