1. Concerns about the application of resistance exercise with blood-flow restriction and thrombosis risk in hemodialysis patients
- Author
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Hugo de Luca Corrêa, Lysleine Alves Deus, Dahan da Cunha Nascimento, Nicholas Rolnick, Rodrigo Vanerson Passos Neves, Andrea Lucena Reis, Thais Branquinho de Araújo, Carmen Tzanno-Martins, Fernanda Silveira Tavares, Luiz Sinésio Silva Neto, Cláudio Avelino Rodrigues Santos, Paolo Lucas Rodrigues-Silva, Fernando Honorato Souza, Vitória Marra da Motta Vilalva Mestrinho, Rafael Lavarini dos Santos, Rosangela Vieira Andrade, Jonato Prestes, and Thiago dos Santos Rosa
- Subjects
Blood-flow restriction ,Chronic kidney disease ,Coagulation ,Hemodialysis ,Vascular occlusion exercises ,Sports ,GV557-1198.995 ,Sports medicine ,RC1200-1245 - Abstract
Background: Hemodialysis (HD) per se is a risk factor for thrombosis. Considering the growing body of evidence on blood-flow restriction (BFR) exercise in HD patients, identification of possible risk factors related to the prothrombotic agent D-dimer is required for the safety and feasibility of this training model. The aim of the present study was to identify risk factors associated with higher D-dimer levels and to determine the acute effect of resistance exercise (RE) with BFR on this molecule. Methods: Two hundred and six HD patients volunteered for this study (all with a glomerular filtration rate of 70 years old), and HD vintage. Furthermore, RE + BFR significantly increases D-dimer after 4 h. Patients with borderline baseline D-dimer levels (400–490 ng/mL) displayed increased risk of elevating D-dimer over the normal range (≥500 ng/mL). Conclusion: These results identified factors associated with a heightened prothrombotic state and may assist in the screening process for HD patients who wish to undergo RE + BFR. D-dimer and/or other fibrinolysis factors should be assessed at baseline and throughout the protocol as a precautionary measure to maximize safety during RE + BFR.
- Published
- 2024
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