Kolko Labadens Anne, Lasseur Catherine, Labat Thomas, Trolonge Stanislas, Chauveau Philippe
AURA Nord Paris, 108 bis, rue Gabriel-Péri, 93400 Saint-Ouen, France.
AURAD Aquitaine, 2, allée des Demoiselles, 33171 Gradignan cedex, France.
Nephrol Ther. 2014 Jun;10(3):151-8. doi: 10.1016/j.nephro.2013.12.004. Epub 2014 May 2.
The studies that evaluated physical activity in dialysis patients show a significant inactivity. This inactivity is associated with increased mortality. In contrast, the benefits in terms of morbidity and mortality of physical activity in this population are numerous. Recommendations exist for these patients: those set out for the general elderly adult population. However, few centers are implementing training programs in dialysis patients. There are many reasons, among which the lack of knowledge of the medical staff. The purpose of this article is to clarify the assessment of physical activity in dialysis patients and implementation program for the fight against inactivity. The initial assessment by simple means is essential. It ideally requires the intervention of a specialist in physical activity. The main types of exercise are presented as well as the different types of program and their results. It is important to note that no serious adverse events were reported in the different programs and their feasibility has been demonstrated. The fight against the sedentary patients undergoing dialysis should be a goal of health care teams, as well as the fight against the other cardiovascular risk factors.
评估透析患者身体活动情况的研究表明，他们存在显著的活动不足。这种活动不足与死亡率增加相关。相比之下，身体活动对该人群的发病率和死亡率有诸多益处。针对这些患者有相关建议：即针对一般老年人群体的那些建议。然而，很少有中心在透析患者中实施培训项目。原因有很多，其中包括医务人员缺乏相关知识。本文的目的是阐明透析患者身体活动的评估以及对抗活动不足的实施方案。通过简单方法进行初步评估至关重要。理想情况下，这需要身体活动专家的干预。文中介绍了主要的运动类型以及不同类型的项目及其效果。需要注意的是，在不同项目中均未报告严重不良事件，且已证明其可行性。对抗透析久坐患者应成为医疗团队的目标，就如同对抗其他心血管危险因素一样。
