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The role of exercise training on cardiovascular risk factors and heart disease in patients with chronic kidney disease G3-G5 and G5D: a clinical consensus statement of the European Association of Preventive Cardiology (EAPC) of the ESC and the European Association of Rehabilitation in Chronic Kidney Disease (EURORECKD)


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Title: The role of exercise training on cardiovascular risk factors and heart disease in patients with chronic kidney disease G3-G5 and G5D: a clinical consensus statement of the European Association of Preventive Cardiology (EAPC) of the ESC and the European Association of Rehabilitation in Chronic Kidney Disease (EURORECKD)
Authors : Kouidi, Evangelia
Hanssen, Henner
Anding-Rost, Kirsten
Cupisti, Adamasco
Deligiannis, Asterios
Grupp, Clemens
Segura Ortí, Eva
Keywords: Ejercicio físicoExerciseMedicina preventivaPreventive medicineInsuficiencia renal crónicaChronic renal failureSistema cardiovascular-EnfermedadesCardiovascular systems-Diseases
Publisher: Oxford University
European Society of Cardiology
Citation: Kouidi, E., Hanssen, H., Anding-Rost, K., Cupisti, A., Deligiannis, A., Grupp, C., Koufaki, P., Leeson, P., Segura-Orti, E., Van Craenenbroeck, A., Van Craenenbroeck, E., Clyne, N. & Martin, H. (2024). The role of exercise training on cardiovascular risk factors and heart disease in patients with chronic kidney disease G3-G5 and G5D: a clinical consensus statement of the European Association of Preventive Cardiology (EAPC) of the ESC and the European Association of Rehabilitation in Chronic Kidney Disease (EURORECKD). European Journal of Preventive Cardiology, art. zwae130. Advance online publication (9 apr.). DOI: https://doi.org/10.1093/eurjpc/zwae130
Abstract: Cardiovascular (CV) morbidity and mortality is high in patients with chronic kidney disease (CKD). Most patients reveal a high prevalence of CV risk factors such as diabetes or arterial hypertension and many have manifest cardiovascular disease (CVD), such as coronary artery disease and chronic heart failure with an increased risk of clinical events including sudden cardiac death. Diabetes mellitus and hypertension contribute to the development of CKD and the prevalence of CKD is in the range of 20–65% in diabetic and 30–50% in hypertensive patients. Therefore, prevention and optimal treatment of CV risk factors and comorbidities are key strategies to reduce CV risk and improve survival in CKD. Beyond common CV risk factors, patients with CKD are often physically inactive and have low physical function leading to subsequent frailty with muscle fatigue and weakness, sarcopenia and increased risk of falling. Consequently, the economic health burden of CKD is high, requiring feasible strategies to counteract this vicious cycle. Regular physical activity and exercise training (ET) have been shown to be effective in improving risk factors, reducing CVD and reducing frailty and falls. Nonetheless, combining ET and a healthy lifestyle with pharmacological treatment is not frequently applied in clinical practice. For that reason, this Clinical Consensus Statement reviews the current literature and provides evidence-based data regarding the role of ET in reducing CV and overall burden in patients with CKD. The aim is to increase awareness among cardiologists, nephrologists, and healthcare professionals of the potential of exercise therapy in order to encourage implementation of ET in clinical practice, eventually reducing CV risk and disease, as well as reducing frailty in patients with CKD G3–G5D.
Description: Este es el post-print del siguiente artículo: Kouidi, E., Hanssen, H., Anding-Rost, K., Cupisti, A., Deligiannis, A., Grupp, C., Koufaki, P., Leeson, P., Segura-Orti, E., Van Craenenbroeck, A., Van Craenenbroeck, E., Clyne, N. & Martin, H. (2024). The role of exercise training on cardiovascular risk factors and heart disease in patients with chronic kidney disease G3-G5 and G5D: a clinical consensus statement of the European Association of Preventive Cardiology (EAPC) of the ESC and the European Association of Rehabilitation in Chronic Kidney Disease (EURORECKD). European Journal of Preventive Cardiology, art. zwae130. Advance online publication (9 apr.), que se ha publicado de forma definitiva en: https://doi.org/10.1093/eurjpc/zwae130
This is the peer reviewed version of the following article: Kouidi, E., Hanssen, H., Anding-Rost, K., Cupisti, A., Deligiannis, A., Grupp, C., Koufaki, P., Leeson, P., Segura-Orti, E., Van Craenenbroeck, A., Van Craenenbroeck, E., Clyne, N. & Martin, H. (2024). The role of exercise training on cardiovascular risk factors and heart disease in patients with chronic kidney disease G3-G5 and G5D: a clinical consensus statement of the European Association of Preventive Cardiology (EAPC) of the ESC and the European Association of Rehabilitation in Chronic Kidney Disease (EURORECKD). European Journal of Preventive Cardiology, art. zwae130. Advance online publication (9 apr.), which has been published in final form at: https://doi.org/10.1093/eurjpc/zwae130
URI: http://hdl.handle.net/10637/16039
Rights : http://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
ISSN: 2047-4873
2047-4881 (Electrónico)
metadata.dc.date.endEmbargo: 2025-04-09
Issue Date: 9-Apr-2024
Center : Universidad Cardenal Herrera-CEU
Appears in Collections:Dpto. Enfermería y Fisioterapia





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