Relationship between blood pressure response during hemodialysis and exercise tolerance or heart rate recovery measured using cardio-pulmonary exercise testing in maintenance hemodialysis patients

Abstract Background This study investigated the association between the blood pressure response during hemodialysis (HD) and exercise tolerance or heart rate recovery (HRR) measured with cardiopulmonary exercise testing (CPX). Methods The study enrolled 23 patients who had been undergoing 4-h regula...

Full description

Bibliographic Details
Main Authors: Hiroki Yabe, Kenichi Kono, Ryota Shiraki, Akiho Masuda, Yoshifumi Moriyama, Hirotake Kasuga
Format: Article
Language:English
Published: BMC 2020-01-01
Series:Renal Replacement Therapy
Subjects:
Online Access:https://doi.org/10.1186/s41100-019-0256-1
_version_ 1818382719411814400
author Hiroki Yabe
Kenichi Kono
Ryota Shiraki
Akiho Masuda
Yoshifumi Moriyama
Hirotake Kasuga
author_facet Hiroki Yabe
Kenichi Kono
Ryota Shiraki
Akiho Masuda
Yoshifumi Moriyama
Hirotake Kasuga
author_sort Hiroki Yabe
collection DOAJ
description Abstract Background This study investigated the association between the blood pressure response during hemodialysis (HD) and exercise tolerance or heart rate recovery (HRR) measured with cardiopulmonary exercise testing (CPX). Methods The study enrolled 23 patients who had been undergoing 4-h regular maintenance HD. The maximum workload (Loadpeak), peak oxygen uptake (VO2peak), workload and oxygen uptake at the anaerobic threshold (LoadAT and VO2AT, respectively), and HRR were measured with CPX. The average systolic blood pressure during HD (SBPav) was measured, and the number of times the SBP was less than 100 mmHg was determined in the 2-week period after CPX. Results The SBPav showed a significant correlation with LoadAT (r = 0.46) and Loadpeak (r = 0.43, p < 0.05). The number of times the SBP was less than 100 mmHg showed a significant correlation with the HRR (r = − 0.44, p < 0.05). Conclusion Exercise intolerance and HRR in HD patients may be associated with blood pressure instability during HD.
first_indexed 2024-12-14T02:54:56Z
format Article
id doaj.art-b58b006e6583474a9807a23dc25d82c0
institution Directory Open Access Journal
issn 2059-1381
language English
last_indexed 2024-12-14T02:54:56Z
publishDate 2020-01-01
publisher BMC
record_format Article
series Renal Replacement Therapy
spelling doaj.art-b58b006e6583474a9807a23dc25d82c02022-12-21T23:19:38ZengBMCRenal Replacement Therapy2059-13812020-01-01611710.1186/s41100-019-0256-1Relationship between blood pressure response during hemodialysis and exercise tolerance or heart rate recovery measured using cardio-pulmonary exercise testing in maintenance hemodialysis patientsHiroki Yabe0Kenichi Kono1Ryota Shiraki2Akiho Masuda3Yoshifumi Moriyama4Hirotake Kasuga5Department of Physical Therapy, School of Rehabilitation Sciences, Seirei Christopher UniversityDepartment of Physical Therapy, International University of Health and Welfare School of Health Sciences at NaritaDepartment of Health Fitness Program, Nagoya Kyoritsu HospitalDepartment of Rehabilitation, Nagoya Kyoritsu HospitalDepartment of Health Fitness Program, Nagoya Kyoritsu HospitalDepartment of Nephrology, Nagoya Kyoritsu HospitalAbstract Background This study investigated the association between the blood pressure response during hemodialysis (HD) and exercise tolerance or heart rate recovery (HRR) measured with cardiopulmonary exercise testing (CPX). Methods The study enrolled 23 patients who had been undergoing 4-h regular maintenance HD. The maximum workload (Loadpeak), peak oxygen uptake (VO2peak), workload and oxygen uptake at the anaerobic threshold (LoadAT and VO2AT, respectively), and HRR were measured with CPX. The average systolic blood pressure during HD (SBPav) was measured, and the number of times the SBP was less than 100 mmHg was determined in the 2-week period after CPX. Results The SBPav showed a significant correlation with LoadAT (r = 0.46) and Loadpeak (r = 0.43, p < 0.05). The number of times the SBP was less than 100 mmHg showed a significant correlation with the HRR (r = − 0.44, p < 0.05). Conclusion Exercise intolerance and HRR in HD patients may be associated with blood pressure instability during HD.https://doi.org/10.1186/s41100-019-0256-1Blood pressure instabilityCardio-pulmonary exercise testingExercise toleranceHeart rate recoveryHemodialysis
spellingShingle Hiroki Yabe
Kenichi Kono
Ryota Shiraki
Akiho Masuda
Yoshifumi Moriyama
Hirotake Kasuga
Relationship between blood pressure response during hemodialysis and exercise tolerance or heart rate recovery measured using cardio-pulmonary exercise testing in maintenance hemodialysis patients
Renal Replacement Therapy
Blood pressure instability
Cardio-pulmonary exercise testing
Exercise tolerance
Heart rate recovery
Hemodialysis
title Relationship between blood pressure response during hemodialysis and exercise tolerance or heart rate recovery measured using cardio-pulmonary exercise testing in maintenance hemodialysis patients
title_full Relationship between blood pressure response during hemodialysis and exercise tolerance or heart rate recovery measured using cardio-pulmonary exercise testing in maintenance hemodialysis patients
title_fullStr Relationship between blood pressure response during hemodialysis and exercise tolerance or heart rate recovery measured using cardio-pulmonary exercise testing in maintenance hemodialysis patients
title_full_unstemmed Relationship between blood pressure response during hemodialysis and exercise tolerance or heart rate recovery measured using cardio-pulmonary exercise testing in maintenance hemodialysis patients
title_short Relationship between blood pressure response during hemodialysis and exercise tolerance or heart rate recovery measured using cardio-pulmonary exercise testing in maintenance hemodialysis patients
title_sort relationship between blood pressure response during hemodialysis and exercise tolerance or heart rate recovery measured using cardio pulmonary exercise testing in maintenance hemodialysis patients
topic Blood pressure instability
Cardio-pulmonary exercise testing
Exercise tolerance
Heart rate recovery
Hemodialysis
url https://doi.org/10.1186/s41100-019-0256-1
work_keys_str_mv AT hirokiyabe relationshipbetweenbloodpressureresponseduringhemodialysisandexercisetoleranceorheartraterecoverymeasuredusingcardiopulmonaryexercisetestinginmaintenancehemodialysispatients
AT kenichikono relationshipbetweenbloodpressureresponseduringhemodialysisandexercisetoleranceorheartraterecoverymeasuredusingcardiopulmonaryexercisetestinginmaintenancehemodialysispatients
AT ryotashiraki relationshipbetweenbloodpressureresponseduringhemodialysisandexercisetoleranceorheartraterecoverymeasuredusingcardiopulmonaryexercisetestinginmaintenancehemodialysispatients
AT akihomasuda relationshipbetweenbloodpressureresponseduringhemodialysisandexercisetoleranceorheartraterecoverymeasuredusingcardiopulmonaryexercisetestinginmaintenancehemodialysispatients
AT yoshifumimoriyama relationshipbetweenbloodpressureresponseduringhemodialysisandexercisetoleranceorheartraterecoverymeasuredusingcardiopulmonaryexercisetestinginmaintenancehemodialysispatients
AT hirotakekasuga relationshipbetweenbloodpressureresponseduringhemodialysisandexercisetoleranceorheartraterecoverymeasuredusingcardiopulmonaryexercisetestinginmaintenancehemodialysispatients