Merve FIRAT, Naciye VARDAR YAGLI, Tolga YILDIRIM, Melda SAĞLAM, Ebru ÇALIK KÜTÜKÇÜ, Deniz İNCE

Kronik böbrek hastalarında solunum kas kuvveti, egzersiz kapasitesi ve fizyolojik harcama indeksinin değerlendirilmesi

Amaç: Bu çalışmanın amacı evre 3 kronik böbrek hastalığı olan bireylerde solunum kas kuvveti, egzersiz kapasitesi ve fizyolojik harcama indeksini değerlendirmek idi. Yöntem: Yirmi dört evre 3 kronik böbrek hastası (46,21±9,48 yıl, 13 kadın (%54,2), 11 erkek (%45,8)) retrospektif olarak incelendi. Solunum kas kuvveti (maksimal inspiratuar basınç ve ekspiratuar basınç) ağız basıncı ölçüm cihazı, egzersiz kapasitesi 6 dakika yürüme testi ve enerji harcaması fizyolojik harcama indeksi ile değerlendirildi. Bulgular: Kronik böbrek hastalarının %62,5’inde inspiratuar kas zayıflığı (81,29±17,74 cmH2O), %79,17’sinde egzersiz kapasitesinde azalma (501,92±58,50 metre) ve %75’inde artmış fizyolojik harcama indeksi (0,47±0,13 atım/metre) vardı. Sonuç: Hastalığın erken evrelerinde olmalarına rağmen evre 3 kronik böbrek hastalarının solunum kas kuvveti ve egzersiz kapasitesinin azaldığı, enerji harcamasının ise arttığı görülmüştür. Bu hastalarda solunum kas ve aerobik egzersiz eğitimi ile solunum kas kuvveti, egzersiz kapasitesi ve enerji harcamasında gelişme sağlanabilir.

Anahtar Kelimeler:

Egzersiz kapasitesi, Kronik böbrek hastalığı, Solunum kasları

Evaluation of respiratory muscle strength, exercise capacity, and physiological cost index in patients with chronic kidney disease

Purpose: The purpose of this study was to evaluate respiratory muscle strength, exercise capacity and physiological cost index in individuals with stage 3 chronic kidney disease. Methods: Twenty-four stage 3 chronic kidney disease patients (46.21±9.48 years, 13 female (54.2 %), 11 male (45.8 %)) were reviewed, retrospectively. Respiratory muscle strength (maximal inspiratory pressure and expiratory pressure) was evaluated by a mouth pressure device, exercise capacity by 6-minute walk test and energy expenditure by physiological cost index. Results: The 62.5 % of chronic kidney disease patients had inspiratory muscle weakness (81.29±17.74 cmH2O), 79.17 % had decreased exercise capacity (501.92±58.50 meters), and 75 % had increased physiological cost index (0.47±0.13 beats/meters). Conclusion: Although they are in the early stages of the disease, patients with stage 3 chronic kidney disease have diminished respiratory muscle strength and exercise capacity, and enlarged energy expenditure. In these patients, respiratory muscle and aerobic exercise training can improve respiratory muscle strength, exercise capacity and energy expenditure.

Keywords:

Exercise capacity, Chronic kidney disease, Respiratory muscles,

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