EFECTOS DEL EJERCICIO INTRADIALÍTICO SOBRE LA FUERZA MUSCULAR Y CAPACIDAD FÍSICA EN PACIENTES CON ENFERMEDAD RENAL CRÓNICA QUE RECIBEN HEMODIÁLISIS

Abstract

Introduction: patients with advanced stages of chronic kidney disease present a hypercatabolic state characterized by loss of body proteins, which has a negative impact on physical capacity and muscle strength, particularly in patients undergoing hemodialysis, leading to reduced quality of life and increased mortality. Exercise has been shown to improve muscle function in this population but remains underutilized due to safety concerns and lack of evidence. Methodology: we conducted a descriptive systematic review of cohort studies and randomized clinical trials published in the last 5 years in English or Spanish whose main intervention is intradialytic physical exercise was conducted. Results: thirteen studies were analyzed that described an improvement in physical and functional capacity of patients who were included in the intradialytic exercise groups, although changes regarding body composition were not significant. Conclusions: the implementation of structured and supervised exercise programs during hemodialysis can mitigate the adverse effects of prolonged inactivity, improve physical function, and ultimately improve the quality of life of CKD patients.