Response of hypertension in chronic kidney patients submitted to resistance and aerobic training: a narrative review

Abstract

Background: Chronic Kidney Disease (CKD) is characterized by the progressive loss of kidney function, with or without morphological changes in the kidneys. Hypertension is a potential risk factor for the onset and worsening of the disease and it has gained attention from researchers and specialists due to the increase in adverse cardiovascular events during treatment. Aim: this work aims to carry out a review on the effects of resistance training and aerobic training on hypertension in Intradialytic chronic renal patients. Materials and Methods: The terms ("Chronic Kidney Disease") AND (Hypertension)) AND ("Aerobic Training") OR ("Resistance Training")) were searched in the PUBMED and Web of Science databases. Only original articles with humans with chronic kidney disease, hypertension, who underwent to a physical exercise program were accepted. Apenas artigos originais, com humanos doentes renais crônicos, com hipertensão, submetidos ao exercício físico formam aceitos.Results: 20 articles were found, however, 17 were excluded by the exclusion criteria and 3 were considered eligible. The selected studies provide data from 286 patients. Discussion: There are a variety of studies that prove the benefits of physical exercise for the health of a general population and there is little evidence about the role of exercise on hypertension in patients with CKD, but they all agree that staying physically active even with the diagnosis of the disease, it positively assists in the treatment, decreasing the mortality and morbidity rate, improving cardiovascular capacity, among others. Conclusion: the practice of aerobic and resistance exercises in hypertensive chronic renal patients helps in the acute control of blood pressure.