Inhibition of renin activity has long been considered to be the logical step to interrupt the renin angiotensin aldosterone system which becomes the cornerstone to retard the progression of Chronic Kidney Disease. Currently, little is known about the impact of aerobic exercise on the plasma renin in chronic kidney disease patients. Aim of this study was to investigate the influence of aerobic exercise on plasma renin in the chronic kidney disease patients with secondary hypertension. Forty chronic kidney disease patients aged 40-55 years were randomly assigned to study group and control group. Study group performed moderate intensity aerobic exercise on an electronic treadmill for 30 minutes, 3 times per week, for 8 weeks. Control group received their medication only and no changes in their life style during the same trail period. The mean values for patients in groups A and B after the study were as following: For Plasma renin level (0.82 ± 0.214) and (2.09 ± 0.468) respectively, for systolic blood pressure (152.1 ± 4.86) and (155.8 ± 5.16) mmHg respectively, for diastolic blood pressure (95 ± 3.81) and (102.6 ± 6.93) mmHg respectively and for 6-minute walk test speed (1.83 ± 0.07) and (1.68 ± 0.06) m/s respectively. There were significant differences between two groups in their Plasma renin level and blood pressure (systolic and diastolic) and 6-minute walk test speed after the study. It was concluded that moderate aerobic exercise resulted in improved kidney functions with chronic kidney disease in pre-dialysis patients as reducing plasma renin and improving the blood pressure with non-significant negative weak correlation between Plasma renin level and blood pressure and a significant moderate negative correlation between exercise improvement and plasma renin.
Published in | European Journal of Preventive Medicine (Volume 5, Issue 3) |
DOI | 10.11648/j.ejpm.20170503.11 |
Page(s) | 33-38 |
Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
Copyright |
Copyright © The Author(s), 2017. Published by Science Publishing Group |
Treadmill Exercise, Chronic Kidney Disease, Plasma Renin
[1] | Levey AS, Coresh J, Balk E, Kausz AT, Levin A, Steffes MW, Hogg RJ, Perrone RD, Lau J, Eknoyan G. National Kidney Foundation practice guidelines for chronic kidney disease: evaluation, classification, and stratification. Annals of internal medicine. 2003 Jul 15; 139 (2): 137-47. |
[2] | Thomas R, Kanso A, Sedor JR. Chronic kidney disease and its complications. Primary care: Clinics in office practice. 2008 Jun 30; 35 (2): 329-44. |
[3] | Kalra PA. Renal specific secondary hypertension, J Ren Care 2007 Jan-Mar; 33 (1): 4-10. |
[4] | Papadakis MA, McPhee SJ, Rabow MW. Current medical diagnosis & treatment 2013. McGraw-Hill Medical; 2013. |
[5] | Go AS, Chertow GM, Fan D, McCulloch CE, Hsu CY. Chronic kidney disease and the risks of death, cardiovascular events, and hospitalization. New England Journal of Medicine. 2004 Sep 23; 351 (13): 1296-305. |
[6] | Collins AJ, Foley RN, Chavers B, Gilbertson D, Herzog C, Johansen K, Kasiske B, Kutner N, Liu J, Peter WS, Guo H. US Renal Data System 2011 Annual Data Report. American Journal of Kidney Diseases. 2012 Jan 1; 59 (1): A7. |
[7] | Tedla FM, Brar A, Browne R, Brown C. Hypertension in chronic kidney disease: navigating the evidence. International journal of hypertension. 2011 May 24; 2011. |
[8] | Stevens LA, Levey AS. Current status and future perspectives for CKD testing. American Journal of Kidney Diseases. 2009 Mar 31; 53 (3): S17-26. |
[9] | Grassmann A, Gioberge S, Moeller S, Brown G. ESRD patients in 2004: global overview of patient numbers, treatment modalities and associated trends. Nephrology Dialysis Transplantation. 2005 Dec 1; 20 (12): 2587-93. |
[10] | Kosmadakis GC, Bevington A, Smith AC, Clapp EL, Viana JL, Bishop NC, Feehally J. Physical exercise in patients with severe kidney disease. Nephron Clinical Practice. 2010 Feb 19; 115 (1): c7-16. |
[11] | Brown MJ. Renin: friend or foe?. Heart. 2007 Sep 1; 93 (9): 1026-33. |
[12] | Castrop H, Höcherl K, Kurtz A, Schweda F, Todorov V, Wagner C. Physiology of kidney renin. Physiological Reviews. 2010 Apr 1; 90 (2): 607-73. |
[13] | Walker BR, Colledge NR. Davidson's principles and practice of medicine. Elsevier Health Sciences; 2013 Dec 6. |
[14] | Turner JM, Bauer C, Abramowitz MK, Melamed ML, Hostetter TH. Treatment of chronic kidney disease. Kidney international. 2012 Feb 2; 81 (4): 351-62. |
[15] | Engeli S, Böhnke J, Gorzelniak K, Janke J, Schling P, Bader M, Luft FC, Sharma AM. Weight loss and the renin-angiotensin-aldosterone system. Hypertension. 2005 Mar 1; 45 (3): 356-62. |
[16] | Goessler K, Polito M, Cornelissen VA. Effect of exercise training on the renin–angiotensin–aldosterone system in healthy individuals: a systematic review and meta-analysis. Hypertension Research. 2015 Sep 24. |
[17] | Hambrecht R, Wolf A, Gielen S, Linke A, Hofer J, Erbs S, Schoene N, Schuler G. Effect of exercise on coronary endothelial function in patients with coronary artery disease. New England Journal of Medicine. 2000 Feb 17; 342 (7): 454-60. |
[18] | Baria F, Kamimura MA, Aoike DT, Ammirati A, Rocha ML, de Mello MT, Cuppari L. Randomized controlled trial to evaluate the impact of aerobic exercise on visceral fat in overweight chronic kidney disease patients. Nephrology Dialysis Transplantation. 2014 Apr 1; 29 (4): 857-64. |
[19] | Moinuddin I, Leehey DJ. A comparison of aerobic exercise and resistance training in patients with and without chronic kidney disease. Advances in chronic kidney disease. 2008 Jan 31; 15 (1): 83-96. |
[20] | Watson EL, Kosmadakis GC, Smith AC, Viana JL, Brown JR, Molyneux K, Pawluczyk IZ, Mulheran M, Bishop NC, Shirreffs S, Maughan RJ. Combined walking exercise and alkali therapy in patients with CKD4–5 regulates intramuscular free amino acid pools and ubiquitin E3 ligase expression. European journal of applied physiology. 2013 Aug 1; 113 (8): 2111-24. |
[21] | Johansen KL. Exercise and chronic kidney disease. Sports medicine. 2005 Jun 1; 35 (6): 485-99. |
[22] | Wilkinson TJ, Shur NF, Smith AC. “Exercise as medicine” in chronic kidney disease. Scandinavian journal of medicine & science in sports. 2016 Aug 1; 26 (8): 985-8. |
[23] | Patlar S. Effect of acute and chronic submaximal exercise on plasma renin and aldosterone levels in football players. Isokinetics and exercise science. 2011; 19 (3): 227-30. |
[24] | Martinelli B, Barrile SR, Arca EA, Franco RJ, Martin LC. Effect of aerobic exercise on plasma renin in overweight patients with hypertension. Arquivos brasileiros de cardiologia. 2010 Jul; 95 (1): 91-8. |
[25] | Zainuldin R, Mackey MG, Alison JA. Prescription of walking exercise intensity from the 6-minute walk test in people with chronic obstructive pulmonary disease. Journal of cardiopulmonary rehabilitation and prevention. 2015 Jan 1; 35 (1): 65-9. |
[26] | Eng JJ, Chu KS, Dawson AS, Kim CM, Hepburn KE. Functional walk tests in individuals with stroke. Stroke. 2002 Mar 1; 33 (3): 756-61. |
[27] | American College of Sports Medicine. ACSM's guidelines for exercise testing and prescription. Lippincott Williams & Wilkins; 2013 Mar 4. |
[28] | Løppenthin K, Esbensen BA, Jennum P, Østergaard M, Christensen JF, Thomsen T, Bech JS, Midtgaard J. Effect of intermittent aerobic exercise on sleep quality and sleep disturbances in patients with rheumatoid arthritis - design of a randomized controlled trial. BMC Musculoskelet Disord. 2014 Feb 21; 15: 49. doi: 10.1186/1471-2474-15-49. |
[29] | Robinson-Cohen C, Katz R, Mozaffarian D, Dalrymple LS, De Boer I, Sarnak M, Shlipak M, Siscovick D, Kestenbaum B. Physical activity and rapid decline in kidney function among older adults. Archives of internal medicine. 2009 Dec 14; 169 (22): 2116-23. |
[30] | Kirkman DL, Lennon-Edwards S, Edwards DG. Exercise for Chronic Kidney Disease. Journal of renal nutrition: the official journal of the Council on Renal Nutrition of the National Kidney Foundation. 2014 Nov; 24 (6): e51. |
[31] | Rahmy AF, Afifi WM, Ghorab AA, Mostafa HA. Effect of moderate aerobic exercises on kidney function and lipid profile in chronic kidney disease patients. Journal of The Egyptian Society of Nephrology and Transplantation. 2016 Jul 1; 16 (3): 97. |
[32] | Hagberg JM, Montain SJ, Martin WH, Ehsani AA. Effect of exercise training in 60-to 69-year-old persons with essential hypertension. The American journal of cardiology. 1989 Aug 1; 64 (5): 348-53. |
[33] | Morishita Y, Nagata D. Strategies to improve physical activity by exercise training in patients with chronic kidney disease. International journal of nephrology and renovascular disease. 2015; 9: 19. |
[34] | Mustata S, Groeneveld S, Davidson W, Ford G, Kiland K, Manns B. Effects of exercise training on physical impairment, arterial stiffness and health-related quality of life in patients with chronic kidney disease: a pilot study. International urology and nephrology. 2011 Dec 1; 43 (4): 1133-41. |
[35] | Kiyonaga A, Arakawa K, Tanaka H, Shindo M. Blood pressure and hormonal responses to aerobic exercise. Hypertension. 1985 Jan 1; 7 (1): 125-31. |
[36] | Jennings GA, Nelson L, Nestel PA, Esler M, Korner P, Burton D, Bazelmans J. The effects of changes in physical activity on major cardiovascular risk factors, hemodynamics, sympathetic function, and glucose utilization in man: a controlled study of four levels of activity. Circulation. 1986 Jan 1; 73 (1): 30-40. |
[37] | Waib PH, Gonçalves MI, Barrile SR. Improvements in insulin sensitivity and muscle blood flow in aerobic-trained overweight-obese hypertensive patients are not associated with ambulatory blood pressure. The Journal of Clinical Hypertension. 2011 Feb 1; 13 (2): 89-96. |
[38] | Aoike DT, Baria F, Rocha ML, Kamimura MA, Mello MT, Tufik S, Ammirati A, Cuppari L. Impact of training at ventilatory threshold on cardiopulmonary and functional capacity in overweight patients with chronic kidney disease. Jornal Brasileiro de Nefrologia. 2012 Jun; 34 (2): 139-47. |
[39] | Headley S, Germain M, Milch C, Pescatello L, Coughlin MA, Nindl BC, Cornelius A, Sullivan S, Gregory S, Wood R. Exercise training improves HR responses and VO2 peak in predialysis kidney patients. Medicine and science in sports and exercise. 2012 Dec; 44 (12): 2392-9. |
APA Style
Hala Ezz Aldeen, Mariam Elsayed Abd Elaal, Wael Fouad Hussein Nassar, Khaled Kheder Alkhoudari. (2017). Plasma Renin Response to Treadmill Exercise in Secondary Hypertension Kidney Disease Patients. European Journal of Preventive Medicine, 5(3), 33-38. https://doi.org/10.11648/j.ejpm.20170503.11
ACS Style
Hala Ezz Aldeen; Mariam Elsayed Abd Elaal; Wael Fouad Hussein Nassar; Khaled Kheder Alkhoudari. Plasma Renin Response to Treadmill Exercise in Secondary Hypertension Kidney Disease Patients. Eur. J. Prev. Med. 2017, 5(3), 33-38. doi: 10.11648/j.ejpm.20170503.11
AMA Style
Hala Ezz Aldeen, Mariam Elsayed Abd Elaal, Wael Fouad Hussein Nassar, Khaled Kheder Alkhoudari. Plasma Renin Response to Treadmill Exercise in Secondary Hypertension Kidney Disease Patients. Eur J Prev Med. 2017;5(3):33-38. doi: 10.11648/j.ejpm.20170503.11
@article{10.11648/j.ejpm.20170503.11, author = {Hala Ezz Aldeen and Mariam Elsayed Abd Elaal and Wael Fouad Hussein Nassar and Khaled Kheder Alkhoudari}, title = {Plasma Renin Response to Treadmill Exercise in Secondary Hypertension Kidney Disease Patients}, journal = {European Journal of Preventive Medicine}, volume = {5}, number = {3}, pages = {33-38}, doi = {10.11648/j.ejpm.20170503.11}, url = {https://doi.org/10.11648/j.ejpm.20170503.11}, eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ejpm.20170503.11}, abstract = {Inhibition of renin activity has long been considered to be the logical step to interrupt the renin angiotensin aldosterone system which becomes the cornerstone to retard the progression of Chronic Kidney Disease. Currently, little is known about the impact of aerobic exercise on the plasma renin in chronic kidney disease patients. Aim of this study was to investigate the influence of aerobic exercise on plasma renin in the chronic kidney disease patients with secondary hypertension. Forty chronic kidney disease patients aged 40-55 years were randomly assigned to study group and control group. Study group performed moderate intensity aerobic exercise on an electronic treadmill for 30 minutes, 3 times per week, for 8 weeks. Control group received their medication only and no changes in their life style during the same trail period. The mean values for patients in groups A and B after the study were as following: For Plasma renin level (0.82 ± 0.214) and (2.09 ± 0.468) respectively, for systolic blood pressure (152.1 ± 4.86) and (155.8 ± 5.16) mmHg respectively, for diastolic blood pressure (95 ± 3.81) and (102.6 ± 6.93) mmHg respectively and for 6-minute walk test speed (1.83 ± 0.07) and (1.68 ± 0.06) m/s respectively. There were significant differences between two groups in their Plasma renin level and blood pressure (systolic and diastolic) and 6-minute walk test speed after the study. It was concluded that moderate aerobic exercise resulted in improved kidney functions with chronic kidney disease in pre-dialysis patients as reducing plasma renin and improving the blood pressure with non-significant negative weak correlation between Plasma renin level and blood pressure and a significant moderate negative correlation between exercise improvement and plasma renin.}, year = {2017} }
TY - JOUR T1 - Plasma Renin Response to Treadmill Exercise in Secondary Hypertension Kidney Disease Patients AU - Hala Ezz Aldeen AU - Mariam Elsayed Abd Elaal AU - Wael Fouad Hussein Nassar AU - Khaled Kheder Alkhoudari Y1 - 2017/07/05 PY - 2017 N1 - https://doi.org/10.11648/j.ejpm.20170503.11 DO - 10.11648/j.ejpm.20170503.11 T2 - European Journal of Preventive Medicine JF - European Journal of Preventive Medicine JO - European Journal of Preventive Medicine SP - 33 EP - 38 PB - Science Publishing Group SN - 2330-8230 UR - https://doi.org/10.11648/j.ejpm.20170503.11 AB - Inhibition of renin activity has long been considered to be the logical step to interrupt the renin angiotensin aldosterone system which becomes the cornerstone to retard the progression of Chronic Kidney Disease. Currently, little is known about the impact of aerobic exercise on the plasma renin in chronic kidney disease patients. Aim of this study was to investigate the influence of aerobic exercise on plasma renin in the chronic kidney disease patients with secondary hypertension. Forty chronic kidney disease patients aged 40-55 years were randomly assigned to study group and control group. Study group performed moderate intensity aerobic exercise on an electronic treadmill for 30 minutes, 3 times per week, for 8 weeks. Control group received their medication only and no changes in their life style during the same trail period. The mean values for patients in groups A and B after the study were as following: For Plasma renin level (0.82 ± 0.214) and (2.09 ± 0.468) respectively, for systolic blood pressure (152.1 ± 4.86) and (155.8 ± 5.16) mmHg respectively, for diastolic blood pressure (95 ± 3.81) and (102.6 ± 6.93) mmHg respectively and for 6-minute walk test speed (1.83 ± 0.07) and (1.68 ± 0.06) m/s respectively. There were significant differences between two groups in their Plasma renin level and blood pressure (systolic and diastolic) and 6-minute walk test speed after the study. It was concluded that moderate aerobic exercise resulted in improved kidney functions with chronic kidney disease in pre-dialysis patients as reducing plasma renin and improving the blood pressure with non-significant negative weak correlation between Plasma renin level and blood pressure and a significant moderate negative correlation between exercise improvement and plasma renin. VL - 5 IS - 3 ER -