Early Exercise Training After Renal Transplantation and Asymmetric Dimethylarginine: The Effect of Obesity

Background/Aims: To assess, in a prospective cohort study of 238 renal transplant patients, our hypothesis that elevated ADMA levels may be influenced by physical exercise and obesity. Methods: Blood samples before and after six months were obtained from 116 transplant patients participating in an a...

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Bibliographic Details
Main Authors: Vladimír Teplan, Andrea Mahrova, Jan Piťha, Jaroslav Racek, Robert Gürlich, Vladimír Teplan Jr, Ivo Valkovsky, Milena Štollova
Format: Article
Language:English
Published: Karger Publishers 2014-08-01
Series:Kidney & Blood Pressure Research
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Online Access:http://www.karger.com/Article/FullText/355806
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Summary:Background/Aims: To assess, in a prospective cohort study of 238 renal transplant patients, our hypothesis that elevated ADMA levels may be influenced by physical exercise and obesity. Methods: Blood samples before and after six months were obtained from 116 transplant patients participating in an aerobic exercise (Group I). A control group consisted of 122 matched transplant patients who did not exercise regularly (Group II). Results: There were no significant differences in ADMA levels between both groups before the training program (Group IB vs Group IIB). After six months of exercise, ADMA levels in Group I decreased (Group IB vs Group IA : 3.50 ± 0.45 vs 2.11 ± 0.35μmol/L; pA vs Group IIA : 2 11 ± 0 23 vs 3 25 ± 0 34μmol/L; p2) confirmed a smaller effect of exercise training (Group IBO vs Group IAO : 3 75 ± 0 52 vs 3 45 ± 0 45; pAO vs Group IIAO : 3.45 ± 0.45 vs 3.74 ± 0.62; p1C, insulin, and systolic BP were also affected by the training program. Conclusion: Elevated ADMA levels were significantly decreased by early exercise after renal transplantation. The effect of exercise was smaller in obese patients.
ISSN:1420-4096
1423-0143