Review Article

Inflammatory Factors and Exercise in Chronic Kidney Disease

Table 4

Exercise intervention studies in predialysis chronic kidney disease patients.

StudyDesign
(Number of patients)
TrainingOutcome measures:
exercise versus control (unless stated otherwise)

Castaneda et al., 2004 [96]RCT
(14 EX versus 12 CON)
(median GFR 27.5 ml/min/1.73 m2)
Supervised
5x resistance exercise machines
3 sets, 8 reps @ 80% 1 RM (progressive)
3x/wk, 12 wks
Type I muscle fibre CSA: 24% versus −14%
Type II muscle fibre CSA: 22% versus −13%
Muscle strength: +86 ± 45 kg versus −35 ± 62 kg
CRP: −1.7 mg/L versus +1.5 mg/L
IL-6: −4.2 pg/mL versus 2.3 pg/mL

Headley et al., 2012 [97]RCT
(10 EX versus 11 CON)
(CKD stage 2–4)
Mixed aerobic training up to
55 min @ 50–60% VO2peak and some resistance exercises
3x/wk, 48 wks
VO2peak: 18.1 to 19.5 versus 18.8 to
17.0 mL/kg/min
hs-CRP: NC
IL-6: NC

Leehey et al., 2009 [98]RCT
(7 EX versus 4 CON)
CKD stage 2–4
Walking exercise >30 min 3x/wk
6 wks supervised followed by
18 wks home based
Exercise duration at 0, 6, and 24 wks:
EX: 6.6 to 11.3 to 10.2 min versus CON: NC
CRP: NC

CON: control; CRP: C-reactive protein; CSA: cross-sectional area; EX: exercise; GFR: glomerular filtration rate; IL: interleukin; NC: no significant changes; RCT: randomised controlled trial; RM: repetition maximum.