**5. Details and aim of physical training**


436 Progress in Hemodialysis – From Emergent Biotechnology to Clinical Practice

Plasma insulin fasting Plasma glucose

Peak blood lactate Isometric strength Type muscle fibre area I Type muscle fibre

area II

CRP PCR KT/V

Pulse pressure Systolic blood pressure

Table 1. 29 studies and effects of physical activity in dialysis patients on metabolic and

**Activity Example Intensity Duration Frequency** 

**Borg´s RPE scale** = Borg rating of perceived exertion. It was constructed in the 60-ties by Gunnar Borg, professor in perception and psychophysics in Stockholm. The scale indicates different degrees of effort from 6 to 20. The rated RPE shows a linear relation to workload and heart pulse frequency. It is used

**VO2 peak**: This is the oxygen uptake which reflects the maximal performance of the individual. This has to be measured before start of programme and this helps to adjust the programme for each individual.

Table 2. Prescription on physical activities in patients with CKD and explanations

50 % 1RM Maximal number of

RPE-scale

scale

correctly performed repetitions. Corresponding to self-rated total exertion 13-15 according to Borg's

Maximal walking and number of correctly performed repetitions. Corresponding to self-rated

total exertion 13-15 according to Borg's RPE-

80% 1RM 1 set á 8-10 reps 3 times/w

3 months Arterial stiffness

12 weeks Max workload Increase < 0.05

+23% +29% -40% -6.3%

Increase Decrease

Increase

Increase

Increase Decrease Increase Increase

Decrease Decrease Decrease

< 0.05 < 0.05 <0.01 <0.01

< 0.05 < 0.05

< 0.05

< 0.05

< 0.024 < 0.046 < 0.001 < 0.026

0.01 <0.05 <0.05

3 times/w

3 times/w

**prescription duration variable % change significance** 

Hemoglobin

8-9 months HDL cholesterol

6 months VO2 peak

6 months Albumin

nutritional parameters. (Cheema BS, Sing MA 2005).

Walking, eg on treadmill or balance carpet. Standing on balance plate

Standing up from knee

Sequence training Individual training with weight cuffs or other things as resistance

within rehabilitation and training (Borg 1970).

**Reps** = repetitions, **RM** repetition maximum see page 2

Knee bow Stairs

bow

Sequential exercise Individual program with weight cuffs as resistance

Cycle ergometer, walking, jogging

Cycle ergometer 3 times/week

Aerobic strength

3 times per week

Cycle ergometer

3 times per week

training 90 min

30 min

Treadmill walking or cycle ergometer

Muscular Sustained training

Functional training (including walking-, balance- and coordinationtraining)

Isometric strength

