Efectos del entrenamiento oclusivo en personas con enfermedad renal crónica: una revisión sistemática

Autores/as

DOI:

https://doi.org/10.15517/w4883691

Palabras clave:

actividad física, enfermedad renal crónica, hemodiálisis, entrenamiento

Resumen

El objetivo fue identificar y revisar críticamente los principales estudios disponibles que han tenido como objetivo mostrar los efectos del entrenamiento oclusivo (EO), en personas con enfermedad renal crónica (ERC). Se realizó una revisión sistemática siguiendo la guía PRISMA. Se buscaron estudios que informaran sobre los efectos del EO en la ERC en tres bases de datos (Pubmed, SPORTDiscuss y Scopus) desde sus inicios hasta septiembre 2024. Se empleó la escala PEDro para determinar la calidad metodológica de las investigaciones seleccionadas. Se identificaron diez estudios aleatorizados, de calidad metodológica entre regular y buena. Los estudios informaron del impacto del EO en variables bioquímicas, hemodinámicas, antropométricas y ligadas a la condición física. No se reportaron efectos adversos derivados del EO. Asimismo, la adherencia al programa de ejercicio fue buena. La evidencia científica al respecto de la prescripción de EO en personas con ERC es limitada. Los resultados de los estudios hasta ahora publicados indican que el EO puede producir mejoras a nivel hemodinámico, aunque sus efectos no son superiores a los de otras modalidades de ejercicio físico, que pueden ser más recomendables a la hora de lograr cambios sustanciales en la composición corporal y los niveles de fuerza muscular.

Descargas

Los datos de descarga aún no están disponibles.

Referencias

Alvis-Peña, D., y Calderón-Franco, C. (2020). Descripción de factores de riesgo para mortalidad en adultos con enfermedad renal crónica en estadio 3 - 5. Acta Medica Peruana, 37(2), 163–168. https://doi.org/10.35663/amp.2020.372.980

Bakaloudi, D. R., Siargkas, A., Poulia, K. A., Dounousi, E., y Chourdakis, M. (2020). The effect of exercise on nutritional status and body composition in hemodialysis: A systematic review. Nutrients, 12(10), 3071. https://doi.org/10.3390/nu12103071

Baker, L. A., March, D. S., Wilkinson, T. J., Billany, R. E., Bishop, N. C., Castle, E. M., Chilcot, J., Davies, M. D., Graham-Brown, M. P. M., Greenwood, S. A., Junglee, N. A., Kanavaki, A. M., Lightfoot, C. J., Macdonald, J. H., Rossetti, G. M. K., Smith, A. C., y Burton, J. O. (2022). Clinical practice guideline exercise and lifestyle in chronic kidney disease. BMC Nephrology, 23(75). https://doi.org/10.1186/s12882-021-02618-1

Barbosa, J. B. N., Maia, T. O., Alves, P. S., Bezerra, S. D., Moura, E. C. S. C., Medeiros, A. I. C., Fuzari, H. K. B., Rocha, L. G., y Marinho, P. E. M. (2018). Does blood flow restriction training increase the diameter of forearm vessels in chronic kidney disease patients? A randomized clinical trial. The Journal of Vascular Access, 19(6), 626–633. https://doi.org/10.1177/1129729818768179

Bennett, H., y Slattery, F. (2019). Effects of blood flow restriction training on aerobic capacity and performance: A systematic review. Journal of Strength and Conditioning Research, 33(2), 572–583. https://doi.org/10.1519/JSC.0000000000002963

Boffa, J.-J., y Cartery, C. (2015). Insuficiencia renal crónica o enfermedad renal crónica. EMC - Tratado de Medicina, 19(3), 1–8. https://doi.org/10.1016/s1636-5410(15)72803-5

Cardoso, R. K., Araujo, A. M., Del Vechio, F. B., Bohlke, M., Barcellos, F. C., Oses, J. P., de Freitas, M. P., y Rombaldi, A. J. (2020). Intradialytic exercise with blood flow restriction is more effective than conventional exercise in improving walking endurance in hemodialysis patients: a randomized controlled trial. Clinical Rehabilitation, 34(1), 91–98. https://doi.org/10.1177/0269215519880235

Chang, H., Zhang, J., Yan, J., Yang, X., Chen, B., y Zhang, J. (2024). Effects of Blood Flow Restriction Training on Muscle Strength and Hypertrophy in Untrained Males: A Systematic Review and Meta-Analysis Based on a Comparison with High-Load Resistance Training. Life, 14, 1442. https://doi.org/10.3390/life14111442

Chen, Y., Ma, C., Wang, J., Gu, Y., y Gao, Y. (2022). Effects of 40% of maximum oxygen uptake intensity cycling combined with blood flow restriction training on body composition and serum biomarkers of chinese college students with obesity. International Journal of Environmental Research and Public Health, 19(1), 168. https://doi.org/10.3390/ijerph19010168

Clyne, N., y Anding-Rost, K. (2021). Exercise training in chronic kidney disease—effects, expectations and adherence. Clinical Kidney Journal, 14 (Suppl 2), II3–II14. https://doi.org/10.1093/ckj/sfab012

Conceição, M. S., y Ugrinowitsch, C. (2019). Exercise with blood flow restriction: an effective alternative for the non-pharmaceutical treatment for muscle wasting. Journal of Cachexia, Sarcopenia and Muscle, 10(2), 257–262. https://doi.org/10.1002/jcsm.12397

de Corrêa, H. L., Neves, R. V. P., de Deus, L. A., Maia, B. C. H., Maya, A. T., Tzanno-Martins, C., de Souza, M. K., da Silva, J. A. B., Haro, A. S., Costa, F., Moraes, M. R., Simões, H. G., Prestes, J., Stone, W., y dos Santos Rosa, T. (2020). Low-load resistance training with blood flow restriction prevents renal function decline: The role of the redox balance, angiotensin 1–7 and vasopressin. Physiology & Behavior, 230, 113295. https://doi.org/10.1016/j.physbeh.2020.113295

de Corrêa, H. L., Neves, R. V. P., de Deus, L. A., de Souza, M. K., Haro, A. S., Costa, F., da Silva, V. L., dos Santos, C. A. R., Moraes, M. R., Simões, H. G., Navalta, J. W., Prestes, J., y dos Santos Rosa, T. (2021). Blood flow restriction training blunts chronic kidney disease progression in humans. Medicine & Science in Sports & Exercise, 53(2), 249–257. https://doi.org/10.1249/MSS.0000000000002465

de Corrêa, H. L., de Deus, L. A., Nascimento, D. da C., Rolnick, N., Neves, R. V. P., Reis, A. L., de Araújo, T. B., Tzanno-Martins, C., Tavares, F. S., Neto, L. S. S., dos Santos, C. A. R., Rodrigues-Silva, P. L., Souza, F. H., Mestrinho, V. M. da M. V., dos Santos, R. L., Andrade, R. V., Prestes, J., y dos Santos Rosa, T. (2024). Concerns about the application of resistance exercise with blood-flow restriction and thrombosis risk in hemodialysis patients. Journal of Sport and Health Science, 13(4), 548–558. https://doi.org/10.1016/j.jshs.2024.02.006

de Deus, L. A., de Luca Corrêa, H., Neves, R. V. P., Reis, A. L., Honorato, F. S., de Araújo, T. B., Souza, M. K., Haro, A. S., Silva, V. L., da Silva Barbosa, J. M., Padula, I. A., Vieira Andrade, R., Simões, H. G., Prestes, J., Stone, W. J., Ferreira Melo, G., y Santos Rosa, T. (2022). Metabolic and hormonal responses to chronic blood-flow restricted resistance training in chronic kidney disease: a randomized trial. Applied Physiology, Nutrition and Metabolism, 47(2), 183–194. https://doi.org/10.1139/apnm-2021-0409

de Deus, L. A., Neves, R. V. P., de Luca Corrêa, H., Reis, A. L., Honorato, F. S., Silva, V. L., Branquinho de Araújo, T., Souza, M. K., Sousa, C. V., Simões, H. G., Prestes, J., Silva Neto, L. S., Rodrigues Santos, C. A., Ferreira Melo, G., Stone, W.J., y Santos Rosa, T. (2021). Improving the prognosis of renal patients: The effects of blood flow-restricted resistance training on redox balance and cardiac autonomic function. Experimental Physiology, 106(4), 1099–1109. https://doi.org/10.1113/EP089341

Dias, E. C., Orcy, R., Antunes, M. F., Kohn, R., Rombaldi, A. J., Ribeiro, L., Oses, J. P., Ferreira, G. D., Araújo, A. M., Boff, I. F., y Böhlke, M. (2020). Intradialytic exercise with blood flow restriction: Something to add to hemodialysis adequacy? Findings from a crossover study. Hemodialysis International, 24(1), 71–78. https://doi.org/10.1111/hdi.12793

Domingos, E., y Polito, M. D. (2018). Blood pressure response between resistance exercise with and without blood flow restriction: A systematic review and meta-analysis. Life Sciences, 209, 122–131. https://doi.org/10.1016/j.lfs.2018.08.006

Early, K. S., Rockhill, M., Bryan, A., Tyo, B., Buuck, D., y McGinty, J. (2020). Effect of Blood Flow Restriction Training on Muscular Performance, Pain and Vascular Function. International Journal of Sports Physical Therapy, 15(6), 892–900. https://doi.org/10.26603/ijspt20200892

Gavanda, S., Isenmann, E., Schloder, Y., Roth, R., Freiwald, J., Schiffer, T., Geisler, S., y Behringer, M. (2020). Low-intensity blood flow restriction calf muscle training leads to similar functional and structural adaptations than conventional lowload strength training: A randomized controlled trial. PLoS ONE, 15(6), e0235377. https://doi.org/10.1371/journal.pone.0235377

Hughes, L., Paton, B., Rosenblatt, B., Gissane, C., y Patterson, S. D. (2017). Blood flow restriction training in clinical musculoskeletal rehabilitation: A systematic review and meta-analysis. British Journal of Sports Medicine, 51(13), 1003–1011. https://doi.org/10.1136/bjsports-2016-097071

Maher, C. G., Sherrington, C., Herbert, R. D., Moseley, A. M., y Elkins, M. (2003). Reliability of the PEDro Scale for Rating Quality of Randomized Controlled Trials. Physical Therapy, 83(8), 713–721. https://doi.org/10.1093/ptj/83.8.713

Martínez-Majolero, V., Urosa, B., y Hernández-Sánchez, S. (2022). Physical Exercise in People with Chronic Kidney Disease—Practices and Perception of the Knowledge of Health Professionals and Physical Activity and Sport Science Professionals about Their Prescription. International Journal of Environmental Research and Public Health, 19(2). https://doi.org/10.3390/ijerph19020656

Nantakool, S., Rerkasem, K., Reanpang, T., Worraphan, S., y Prasannarong, M. (2020). A systematic review with meta-analysis of the effects of arm exercise training programs on arteriovenous fistula maturation among people with chronic kidney disease. Hemodialysis International, 24(4), 439–453. https://doi.org/10.1111/hdi.12875

Nobre, R., Cardoso, R., Araujo, A., Orcy, R., Aquino, J., Ribeiro, L., Catto, R., Conteratto, A. C., Rombaldi, A., y Bohlke, M. (2022). Is It Safe for Hemodialysis Patients to Seek Gains with Less Pain? Acute Hemodynamic Response to Intradialytic Blood Flow Restriction Training. International Journal of Exercise Science, 15(2), 434–441. https://doi.org/10.70252/FSCW3440

Ocak, G., Lijfering, W. M., Verduijn, M., Dekker, F. W., Rosendaal, F. R., Cannegieter, S. C., y Vossen, C. Y. (2013). Risk of venous thrombosis in patients with chronic kidney disease: Identification of high-risk groups. Journal of Thrombosis and Haemostasis, 11(4), 627–633. https://doi.org/10.1111/jth.12141

Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J. M., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo-Wilson, E., McDonald, S., … Moher, D. (2021). The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. The BMJ, 372(71). https://doi.org/10.1136/bmj.n71

Patterson, S. D., Hughes, L., Warmington, S., Burr, J., Scott, B. R., Owens, J., Abe, T., Nielsen, J. L., Libardi, C. A., Laurentino, G., Rodrigues Neto, G., Brandner, C., Martin-Hernandez, J., y Loenneke, J. (2019). Blood flow restriction exercise position stand: Considerations of methodology, application, and safety. Frontiers in Physiology, 10, 1–15. https://doi.org/10.3389/fphys.2019.00533

Pei, G., Tang, Y., Tan, L., Tan, J., Ge, L., y Qin, W. (2019). Aerobic exercise in adults with chronic kidney disease (CKD): a meta-analysis. International Urology and Nephrology, 51, 1787–1795. https://doi.org/https://doi.org/10.1007/s11255-019-02234-x

Rodríguez Rey, D., Sanchez-Lastra, M. A., y Pérez, C. A. (2020). Impact of aquatic exercise on persons with kidney disease: A systematic review and meta-analysis. Archivos de Medicina Del Deporte, 37(5), 339–347. https://doi.org/10.18176/ARCHMEDDEPORTE.0008

Roshanravan, B., Robinson-Cohen, C., Patel, K. V., Ayers, E., Littman, A. J., de Boer, I. H., Ikizler, T. A., Himmelfarb, J., Katzel, L. I., Kestenbaum, B., y Seliger, S. (2013). Association between physical performance and all-cause mortality in CKD. Journal of the American Society of Nephrology, 24(5), 822–830. https://doi.org/10.1681/ASN.2012070702

Silva, I. B., Barbosa, J. B. N., Araújo, A. X. P., y Marinho, P. E. M. (2021). Effect of an exercise program with blood flow restriction on the muscular strength of patients with chronic kidney disease: A randomized clinical trial. Journal of Bodywork and Movement Therapies, 28, 187–192. https://doi.org/10.1016/j.jbmt.2021.06.022

Silverman, S. R., Schertz, L. A., Yuen, H. K., Lowman, J. D., y Bickel, C. S. (2012). Systematic review of the methodological quality and outcome measures utilized in exercise interventions for adults with spinal cord injury. Spinal Cord, 50, 718–727. https://doi.org/10.1038/sc.2012.78

Spranger, M. D., Krishnan, A. C., Levy, P. D., O’Leary, D. S., y Smith, S. A. (2015). Blood flow restriction training and the exercise pressor reflex: A call for concern. American Journal of Physiology - Heart and Circulatory Physiology, 309(9), H1440–H1452. https://doi.org/10.1152/ajpheart.00208.2015

Suga, T., Dora, K., Mok, E., Sugimoto, T., Tomoo, K., Takada, S., Hashimoto, T., y Isaka, T. (2021). Exercise adherence-related perceptual responses to low-load blood flow restriction resistance exercise in young adults: A pilot study. Physiological Reports, 9(23), e15122. https://doi.org/10.14814/phy2.15122

Tanaka, Y., y Takarada, Y. (2018). The impact of aerobic exercise training with vascular occlusion in patients with chronic heart failure. ESC Heart Failure, 5(4), 586–591. https://doi.org/10.1002/ehf2.12285

Valle Pedroso, R., Sanchez-Lastra, M. A., Iglesias Comesaña, L, y Ayán, C. (2021). Home-Based Exercise for People With Chronic Kidney Disease: A Systematic Review and Meta-Analysis. Journal of Physical Activity and Health, 18(9), 1143–1154. https://doi.org/10.1123/jpah.2020-0652

Villanego, F., Naranjo, J., Vigara, L. A., Cazorla, J. M., Montero, M. E., García, T., Torrado, J., y Mazuecos, A. (2020). Impacto del ejercicio físico en pacientes con enfermedad renal crónica: revisión sistemática y metaanálisis. Nefrología, 40(3), 237–252. https://doi.org/10.1016/j.nefro.2020.01.002

Wilkinson, T. J., McAdams-Demarco, M., Bennett, P. N., y Wilund, K. (2020). Advances in exercise therapy in predialysis chronic kidney disease, hemodialysis, peritoneal dialysis, and kidney transplantation. Current Opinion in Nephrology and Hypertension, 29(5), 471–479. https://doi.org/10.1097/MNH.0000000000000627

Publicado

2025-08-21

Cómo citar

González-Devesa, D., de la Puente, F., Sanchez-Lastra, M. A., García-Fresneda, A., Bueno-Russo, R., & Ayán, C. (2025). Efectos del entrenamiento oclusivo en personas con enfermedad renal crónica: una revisión sistemática. Pensar En Movimiento: Revista De Ciencias Del Ejercicio Y La Salud, 23(2), e115. https://doi.org/10.15517/w4883691

Artículos similares

También puede Iniciar una búsqueda de similitud avanzada para este artículo.