Effect of exercise intensity on renal blood flow in patients with chronic kidney disease stage 2 View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2019-02-07

AUTHORS

Kazuko Kotoku, Tetsuhiko Yasuno, Shotaro Kawakami, Kanta Fujimi, Takuro Matsuda, Shihoko Nakashima, Yoshinari Uehara, Hiroaki Tanaka, Takao Saito, Yasuki Higaki

ABSTRACT

BackgroundAcute exercise reduces renal blood flow (RBF). However, the effect of exercise intensity on RBF in patients with chronic kidney disease (CKD) stage 2 is not known. We investigated the association between RBF and exercise intensity in patients with CKD stage 2 using pulsed Doppler ultrasonography.MethodsEight men with CKD stage 2 (cystatin C-based estimate of glomerular filtration rate: 60–89 ml/min/1.73 m2) participated in this study. Using a bicycle ergometer, participants undertook a maximal graded exercise test (MGET) (experiment 1) and a multi-stage exercise test (experiment 2) to determine their lactate threshold (LT). Participants undertook a multi-stage exercise test for 4-min each. Workloads of 60%, 80%, 100%, 120%, and 140% of LT were used in experiment 3. RBF was measured by pulsed Doppler ultrasonography at rest, immediately after exercise, and 1 h after exercise in experiment 1, and at rest and immediately after each exercise bout in experiment 3.ResultsRenal blood flow after the MGET was 52% lower than at rest, and did not recover as well as after the exercise test. Cross-sectional area (CSA) was significantly lower after graded exercise. RBF tended to be lower at 100% of LT and was significantly lower at 120% of LT. CSA was significantly lower at 100% of LT.ConclusionsRenal blood flow does not change during exercise until the LT is reached. These findings may assist in making appropriate exercise recommendations to patients with CKD stage 2. More... »

PAGES

621-628

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URI

http://scigraph.springernature.com/pub.10.1007/s10157-018-01685-3

DOI

http://dx.doi.org/10.1007/s10157-018-01685-3

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1111949305

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/30729347


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