Evaluation of the safety, effectiveness, and health-related QOL impact of early rehabilitation in patients with nephrotic syndrome

• Published in: Clinical and experimental nephrology Vol. 23; no. 5; pp. 606 - 612
• Main Authors: Iwai, Kohji, Hatanaka, Yasuhiko, kawaguchi, Tamiro, Araki, Shin-ichi
• Format: Journal Article
• Language: English
• Published: Singapore Springer Singapore 01.05.2019; Springer Nature B.V
• Subjects: Aerobics; Anaerobic threshold; Body weight; Creatinine; Kidney diseases; Medical records; Medicine; Medicine & Public Health; Nephrology; Nephrotic syndrome; Original Article; Oxygen consumption; Patients; Physical training; Quadriceps muscle; Rehabilitation; Strength training; Urea; Urology; Quadriceps resistance training; Nephrotic syndrome; Rehabilitation; Aerobic training
• ISSN: 1342-1751; 1437-7799; 1437-7799
• DOI: 10.1007/s10157-018-1681-0

Background The aim of this study was to evaluate the safety, effectiveness, and health-related QOL impact of early rehabilitation in patients with nephrotic syndrome. Methods Subjects consisted of 23 patients with nephrotic syndrome who had previously received steroid treatment. Patients worked performed quadriceps resistance training and aerobic training 5 days per week for 5 weeks. Urinary protein, albumin (Alb), creatinine (Cre), and blood urea nitrogen (BUN) were monitored once every week over a 5-week period based on medical records. The 36-item short form health survey (SF-36) score was used to evaluate health-related QOL. Results There was no significant difference in quadriceps force and no significant effect of age as shown by ANCOVA. Anaerobic threshold (AT) and peak oxygen consumption (peak V O 2 ) both increased significantly. AT was affected by the degree of change in body weight according to ANCOVA. Cre and BUN were not significantly altered. Urinary protein showed a significant decrease and Alb was significantly increased. Only physical function (PF) in the SF-36 showed a significant improvement following the intervention. Conclusion Our data indicate that early rehabilitation involving quadriceps resistance training and aerobic training for nephrotic syndrome is safe and effective.