Intradialytic cycling does not exacerbate microparticles or circulating markers of systemic inflammation in haemodialysis patients.


Journal

European journal of applied physiology
ISSN: 1439-6327
Titre abrégé: Eur J Appl Physiol
Pays: Germany
ID NLM: 100954790

Informations de publication

Date de publication:
Mar 2022
Historique:
received: 08 09 2021
accepted: 09 11 2021
pubmed: 3 12 2021
medline: 15 3 2022
entrez: 2 12 2021
Statut: ppublish

Résumé

Patients receiving haemodialysis (HD) display elevated circulating microparticle (MP) concentration, tissue factor (TF) expression and markers of systemic inflammation, though regular intradialytic cycling (IDC) may have a therapeutic effect. This study investigated the impact of regular, moderate-intensity IDC on circulating MPs and inflammatory markers in unit-based HD patients. Patients were cluster-randomised to intervention (n = 20, age: 51.4 ± 18.1 years, body mass: 77.6 ± 18.3 kg, mean ± SD) or no-exercise control (n = 20, 56.8 ± 14.0 years, 80.5 ± 26.5 kg). Intervention participants completed 30 min of moderate intensity (rating of perceived exertion [RPE] of 12-14) IDC, thrice weekly for 6 months. Pre-dialysis venous blood samples were obtained at 0, 3 and 6 months. Circulating MP phenotypes, cytokines, chemokine and MP TF expression were quantified using flow cytometry and cytometric bead array assays. Despite high exercise compliance (82%), no IDC-dependent effects were observed for any MP, cytokine or chemokine measure (p ≥ 0.051, η Six months of regular, moderate-intensity IDC had no effect on MPs, cytokines or chemokines. This suggests that the exercise did not exacerbate thrombotic or inflammatory status, though further functional assays are required to confirm this. ISRCTN1129707, prospectively registered on 05/03/2015.

Identifiants

pubmed: 34854982
doi: 10.1007/s00421-021-04846-7
pii: 10.1007/s00421-021-04846-7
pmc: PMC8854296
doi:

Substances chimiques

Biomarkers 0

Banques de données

ISRCTN
['ISRCTN1129707']

Types de publication

Journal Article Randomized Controlled Trial

Langues

eng

Sous-ensembles de citation

IM

Pagination

599-609

Subventions

Organisme : NIHR
ID : CS-2013-13-014
Organisme : NIHR
ID : DRF-2016-09-015

Informations de copyright

© 2021. The Author(s).

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Auteurs

Patrick J Highton (PJ)

School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK.
NIHR Applied Research Collaboration East Midlands, Leicester Diabetes Centre of Research, University of Leicester, Leicester, UK.

Daniel S March (DS)

Department of Cardiovascular Sciences, University of Leicester, Leicester, UK.
John Walls Renal Unit, Leicester General Hospital, University Hospitals of Leicester, Leicester, UK.

Darren R Churchward (DR)

Department of Cardiovascular Sciences, University of Leicester, Leicester, UK.

Charlotte E Grantham (CE)

Department of Cardiovascular Sciences, University of Leicester, Leicester, UK.

Hannah M L Young (HML)

John Walls Renal Unit, Leicester General Hospital, University Hospitals of Leicester, Leicester, UK.
Department of Respiratory Sciences, University of Leicester, Leicester, UK.

Matthew P M Graham-Brown (MPM)

Department of Cardiovascular Sciences, University of Leicester, Leicester, UK.
John Walls Renal Unit, Leicester General Hospital, University Hospitals of Leicester, Leicester, UK.

Seila Estruel (S)

Department of Physiological Sciences, University of Barcelona, Barcelona, Spain.

Naomi Martin (N)

Leicester School of Allied Health Sciences, Faculty of Health and Life Sciences, De Montfort University, Leicester, UK.

Nigel J Brunskill (NJ)

Department of Cardiovascular Sciences, University of Leicester, Leicester, UK.
John Walls Renal Unit, Leicester General Hospital, University Hospitals of Leicester, Leicester, UK.

Alice C Smith (AC)

John Walls Renal Unit, Leicester General Hospital, University Hospitals of Leicester, Leicester, UK.
Department of Health Sciences, University of Leicester, Leicester, UK.

James O Burton (JO)

School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK.
Department of Cardiovascular Sciences, University of Leicester, Leicester, UK.
John Walls Renal Unit, Leicester General Hospital, University Hospitals of Leicester, Leicester, UK.

Nicolette C Bishop (NC)

School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK. N.C.Bishop@lboro.ac.uk.

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Classifications MeSH