| 梁 丰,晁 敏,王 尊,季 鹏,王 磊.不同运动方式对慢性肾脏病患者肾功能及心血管疾病相关危险因素的影响[J].中国康复医学杂志,2016,(11):1234~1238 |
| 不同运动方式对慢性肾脏病患者肾功能及心血管疾病相关危险因素的影响 点此下载全文 |
| 梁 丰 晁 敏 王 尊 季 鹏 王 磊 |
南京中医药大学(现工作单位：浙江省人民医院康复医学科)
，南京，210029 |
| 基金项目：全国高校博士点基金项目（20123237120008） |
| DOI： |
| 摘要点击次数: 1543 |
| 全文下载次数: 2430 |
| 摘要： |
| 摘要
目的：探究有氧运动和有氧运动联合抗阻训练对慢性肾脏病（CKD）患者肾功能及心血管疾病相关危险因素的影响。
方法：87例CKD患者随机分为对照组（n=29）、有氧运动组（n=29）和有氧联合抗阻训练组（n=29）。有氧运动组以50%峰值摄氧量（VO2peak）踏功率自行车，每次30min。有氧联合抗阻训练组先以50%VO2peak踏功率自行车30min，再进行弹力带抗阻训练。两组运动周期均为每周3次，共12周。比较三组间运动前后肾小球滤过率（eGFR）、血肌酐（SCr）、血尿素氮（SBUN）、24h尿蛋白定量（24UP）、收缩压（SBP）、舒张压（DBP）、静息心率（RHR）、甘油三酯（TG）、总胆固醇（TC）和低密度脂蛋白（LDL-C）的差异。
结果：运动前三组间各指标均无显著差异（P＞0.05）；运动后，与对照组相比运动组在eGFR、SCr、SBUN、24UP、SBP、DBP、RHR、TG、TC和LDL-C均有显著改善（P＜0.05）；且运动后，与有氧运动组相比有氧联合抗阻训练组在TG、TC、和LDL-C改善更明显（P＜0.05）。
结论：单纯有氧运动和有氧运动联合抗阻训练对CKD患者肾功能及心血管疾病相关危险因素均有改善作用，且与单纯有氧运动相比有氧运动联合抗阻训练对CKD患者的血脂改善效果更好。 |
| 关键词：慢性肾脏病 心血管疾病 危险因素 运动方式 有氧运动 抗阻训练 |
| The effects of exercises of different types on renal function and the risk factors associated with cardiovascular disease in patients with chronic kidney disease Download Fulltext |
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| Nanjing University of Chinese Medicine, Nanjing, 210029 |
| Fund Project: |
| Abstract: |
| Abstract
Objective: To observe the effects of aerobic training and aerobic combined with resistance training on renal function and the risk factors associated with cardiovascular disease in patients with chronic kidney disease（CKD）.
Method: Eighty-seven patients with CKD were divided into control group (n=29), aerobic training group (n=29) and aerobic combined with resistance training group (n=29). Aerobic training group performed cycle ergometer at 50%VO2peak for 30 min per time. Aerobic combined with resistance training group firstly performed cycle ergometer at 50%VO2peak for 30 min, then performed one section of thera-band resistance training. Training duration of both groups was 12 weeks, 3 times every week. All patients were evaluated the eGFR, SCr, SBUN, 24UP, SBP, DBP, RHR, TG, TC and LDL-C before and after training.
Result: There was no significant difference (P＞0.05) in all variables in three groups before training. After training, the eGFR, SCr, SBUN, 24UP, SBP, DBP, RHR, TG, TC and LDL-C of aerobic training group and aerobic combined with resistance training group were both significantly different with control group (P＜0.05). And there was also significant difference in TG, TC and LDL-C between aerobic training group and aerobic combined with resistance training group (P＜0.05).
Conclusion: Both aerobic training and aerobic combined with resistance training possesed positive effect on renal function and the risk factors associated with cardiovascular disease in patients with CKD. Meanwhile, aerobic combined with resistance training was more effective to improve blood fat level in patients with CKD. |
| Keywords:chronic kidney disease cardiovascular disease exercises aerobic training aerobic exercise resistance training |
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