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Table 2 Exercise training parameters

From: Effects of exercise training on proteinuria in adult patients with chronic kidney disease: a systematic review and meta-analysis

Study

Modality

Intensity

Session long, min

Follow-up, mo

Frequency

Setting

Supervision

Adherence reporting

Hellberg [26] Sweden (2019)

E1: ST + ET

ST: RPE 13–17

ST: 90 min/w

12 mo

ST: 3 times/w

HB /nearby gym

NO

YES

ET: Walking, running, cycling, and rowing etc.

ET: RPE 13–15

ET: 30 min, 60 min/w

ET: 2 times/w

(Vigorous)

ST: Quadriceps extension, hamstrings curl, lats-pull down, etc. 2–3 sets of 10 repetitions.

E2: BT + ET

ST: RPE 13–17

BT: 90 min/w

12 mo

BT: 3 times/w

ET: The same to E1.

BT: RPE 13–17

ET: 30 min, 60 min/w

ET: 2 times/w

BT: Static and dynamic balance exercises (maintaining balance while standing with feet together, standing on one leg, etc.) 10 repetitions, 2–3 sets.

(Vigorous)

Liang [27] China (2016)

E1: AE

E1: 50%

AE: 30 min

3 mo

3 times/w

Unclear

Unclear

NO

5 min warm up, ride a bike, 5 min of relaxation.

VO2peak

RPE 12–13 (Moderate)

RE: 10 s/actions, 10 times/actions

E2: AE + RE

E2: 50% VO2peak

5 min warm up, ride a bike plus thera-band resistance training.

RPE 12–13

(Moderate)

C: High quality and low protein (≤0.6 g/kg/d) and other reasonable diet, and routine treatment.

Aoike [28] Brizal (2017)

E1: HB AE

AE: Walking.

E1: 40–60% VO2peak

(Moderate)

AE: 30 min,

Puls 10 min/4 w

3 mo

3 times/w

HB+ CB

YES

NO

E2: CB AE

AE: Walking on a treadmill.

E2: 40–60% VO2peak (Moderate)

C: Usual care

Leehey [29] The USA (2009)

E: AE

E: 20–60% VO2peak

30 min

6 mo

3 times/w

CB+ HB

YES (6 w)

NO (18 w)

(Mixed)

NO

AE: Walking on a treadmill. Warm-up, range-of-motion exercises, interval training, cool-down, and post-exercise range-of-motion exercises.

(Moderate)

Plus 5 min/2 w

C: Underwent the same testing battery but did not participate in any exercise training.

Hiraki [30] Japan (2017)

E: AE + RE

E: RPE

AE: 30 min/8000

12 mo

3 times/w

HB

NO

YES

AE: Walking.

(Moderate)

−10,000 steps

RE: Handgrip strengthening device squats and calf raises 20–30 repetitions per exercise.

RE: 20–30 min

 

C: Wore an accelerometer, but not given any exercise advice and continue the daily exercise.

Leehey [31] The USA (2016)

E: AE + RE + diet (Nutritional counselling)

E: 25–84% VO2peak

AE: 60 min

13 mo

60 min/time- 3 times/w

HB

YES

NO

(Vigorous)

RE: 20–30 min

30 min/time- 6 times/w

AE: Interval training on a treadmill.

HB (AE + RE):

RE: An elliptical trainer and cycle ergometer progressive resistance lower body exercise using elastic bands, hand-held weights or weight machine.

30 min/time, or 60 min/time

C: Diet (Nutritional counselling).

Pechter [32] Estonia (2003)

E: AE

E: Low intensity

30 min

3 mo

2 times/w

Unclear

Unclear

N0

AE: Water-based, vertically in the pool with total immersion (water temperature, 24 °C), 10 min warm-up exercises with gradually increasing intensity, 10 min cooling-down exercise.

C: Unclear

Viana [33] England (2014)

E: AE

E: RPE 12–14

30 min

6 mo

5 times/w

HB

YES

NO

AE: walking.

(Moderate)

C: Usual physical activity.

Nylen [34] The USA (2015)

E1: AE + RE

E1: 50–80% HRR

60 min

3 mo

Unclear

Unclear

YES

NO

AE + RE: 1 h session conclude that warm-up and cool-down and 30 min of combined aerobic and resistance training.

(Vigorous)

E2: The same to E1.

E2: 50–80% HRR

60 min

3 mo

Unclear

(Vigorous)

E3: The same to E1.

E3: 50–80% HRR

60 min

3 mo

Unclear

(Vigorous)

Hamada [35] Japan (2016)

E: AE + RE

RE: 3–4 METS

90–120 min

6 mo

6 session/month

HB

Unclear

NO

AE + RE: Resistance and effective walking.

AE: 12–14 RPE

(Moderate)

Zhang [36] China (2018)

E:AE + RE

IPAQ

30 min

6 mo

3 times/w

HB

Unclear

NO

Regular walking, yoga, aerobic gymnastics, biking, etc.

(Vigorous)

One or more forms of the aerobic and resistance exercise items.

C: Ordinary daily activities.

  1. Notes. E Exercise group, C Control group, AE Aerobic exercise, RE Resistance exercise, w week, mo month, ST Strength training, BT Balance training, HB Home-based, CB Center-based, min minutes, HRR Heart rate reserve, ET Endurance training, RPE Rating of perceived exertion, METs Metabolic equivalent, VO2peak Peak oxygen uptake, IPAQ International Physical Activity Questionnaire. The intensity of classification about low, moderate, and vigorous according to the advice of ACSM [23]