Dataset Information

Exercise therapy improves eGFR, and reduces blood pressure and BMI in non-dialysis CKD patients: evidence from a meta-analysis.

ABSTRACT:

Background

Patients with chronic kidney disease (CKD) have a high prevalence of cardiovascular diseases, which often lead to physical inactivity that correlates with CKD exacerbation. The benefits of regular exercise to cardiovascular health have been well established in healthy population and highly suggestive in patients with CKD. To further strengthen the evidence base for the management of CKD, this meta-analysis was performed to systematically evaluate the effects of exercise therapy on renal function, blood pressure, blood lipid and body mass index (BMI) in non-dialysis CKD patients.

Methods

This meta-analysis was conducted following a previous protocol. Randomized controlled trials (RCTs) examining the effects of exercise therapy in non-dialysis CKD patients were searched in Pubmed, Embase, Cochrane Library, and three major Chinese biomedical databases (CNKI, WANGFANG and VIP) from their start date to October 30th, 2018. The Cochrane systematic review methods were applied for quality assessment and data extraction, and Revman version 5.3 was used for systematic review and meta-analysis.

Results

13 RCTs, representing 421 patients with non-dialysis CKD, were included in this meta-analysis. Compared to the controls, exercise therapy brought an increase in eGFR (MD?=?2.62, 95% CI:0.42 to 4.82, P?=?0.02, I² =?22%), and decreases in systolic blood pressure (SBP) (MD?=?-5.61, 95% CI:-8.99 to -?2.23, P?=?0.001, I² =?44%), diastolic blood pressure (DBP) (MD?=?-2.87, 95% CI:-3.65 to -?2.08, P?2 =?16%) and BMI (MD?=?-1.32, 95% CI:-2.39 to -?0.25, P?=?0.02, I² =?0%) in non-dialysis CKD patients. Exercise therapy of short-term (ConclusionExercise therapy could benefit non-dialysis CKD patients by increasing eGFR while reducing SBP, DBP and BMI. Additionally, short-term intervention of exercise could decrease TG.

SUBMITTER: Zhang L

PROVIDER: S-EPMC6821004 | biostudies-literature | 2019 Oct

REPOSITORIES: biostudies-literature

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Exercise therapy improves eGFR, and reduces blood pressure and BMI in non-dialysis CKD patients: evidence from a meta-analysis.

Zhang Lijun L Wang Yangyang Y Xiong Lianlian L Luo Yanfang Y Huang Zhijun Z Yi Bin B

BMC nephrology 20191029 1

<h4>Background</h4>Patients with chronic kidney disease (CKD) have a high prevalence of cardiovascular diseases, which often lead to physical inactivity that correlates with CKD exacerbation. The benefits of regular exercise to cardiovascular health have been well established in healthy population and highly suggestive in patients with CKD. To further strengthen the evidence base for the management of CKD, this meta-analysis was performed to systematically evaluate the effects of exercise therap ...[more]

PMID: 31664943

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Dataset Information

Exercise therapy improves eGFR, and reduces blood pressure and BMI in non-dialysis CKD patients: evidence from a meta-analysis.

Background

Methods

Results

Publications

Exercise therapy improves eGFR, and reduces blood pressure and BMI in non-dialysis CKD patients: evidence from a meta-analysis.

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