Evidence mapPaperPMID 39835199Full record

ReviewFrontiers in physiology2024

The impact of different exercise modalities on chronic kidney disease: an umbrella review of meta-analyses.

Hugo L Correa, Thiago S Rosa, Rafael L Santos, Vitoria M Mestrinho, Thaís S Aquino, Weberth O Santos, Rodrigo P Neves, Lysleine A Deus, Andrea L Reis, Jessica M Barbosa and 7 more

Abstract readReview
In one paragraph

Review in Frontiers in physiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Review
  6. Review
  7. Article
  8. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors.

Hugo L Correa *Center for Transplantation Sciences, Department of Surgery, Massachusetts General Hospital, Harvard Medical School, Charlestown, MA, United States.
Thiago S Rosa *Graduate Program in Physical Education, Catholic University of Brasilia, Brasília, Brazil.
Rafael L SantosGraduate Program in Genomic Sciences and Biotechnology, Catholic University of Brasilia, Brasília, Brazil.
Vitoria M MestrinhoDepartment of Medicine, Catholic University of Brasilia, Brasília, Brazil.
Thaís S AquinoDepartment of Medicine, Catholic University of Brasilia, Brasília, Brazil.
Weberth O SantosDepartment of Medicine, Catholic University of Brasilia, Brasília, Brazil.
Rodrigo P NevesGraduate Program in Physical Education, Catholic University of Brasilia, Brasília, Brazil.
Lysleine A DeusGraduate Program in Physical Education, Catholic University of Brasilia, Brasília, Brazil.
Andrea L ReisGraduate Program in Physical Education, Catholic University of Brasilia, Brasília, Brazil.
Jessica M BarbosaGraduate Program in Physical Education, Catholic University of Brasilia, Brasília, Brazil.
Thais B AraujoGraduate Program in Physical Education, Catholic University of Brasilia, Brasília, Brazil.
Ruchama VerhoeffCenter for Transplantation Sciences, Department of Surgery, Massachusetts General Hospital, Harvard Medical School, Charlestown, MA, United States.
Karim YatimCenter for Transplantation Sciences, Department of Surgery, Massachusetts General Hospital, Harvard Medical School, Charlestown, MA, United States.
Daniel MendesCenter for Transplantation Sciences, Department of Surgery, Massachusetts General Hospital, Harvard Medical School, Charlestown, MA, United States.
Roberto C ManfroCenter for Transplantation Sciences, Department of Surgery, Massachusetts General Hospital, Harvard Medical School, Charlestown, MA, United States.
Thiago J BorgesCenter for Transplantation Sciences, Department of Surgery, Massachusetts General Hospital, Harvard Medical School, Charlestown, MA, United States.
Leonardo V RiellaCenter for Transplantation Sciences, Department of Surgery, Massachusetts General Hospital, Harvard Medical School, Charlestown, MA, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Exercise is widely recognized for its benefits to chronic kidney disease (CKD) patients. However, the specific impact of different exercise modalities on CKD-related outcomes remains unclear. This study sought to summarize the effects of different exercise modalities on the main outcomes impacted by CKD. Methods: We searched for systematic review with meta-analysis in PubMed, Embase, Web of Science, Scopus, and Cochrane databases. We evaluated the methodological quality of included studies by AMSTAR2 tool and by individually evaluating the heterogeneity, sample power, and statistical significances from meta-analyses. Results: We included 44 meta-analyses, encompassing 35,432 CKD patients in pre-dialysis and dialysis stages (peritoneal and hemodialysis). Data from meta-analyses with highly suggestive or strong evidence grading suggests that aerobic and combined training were most effective in improving cardiorespiratory fitness (main effect: 2.1, 95% CI: 0.8-3.4, and main effect: 3.4; 95% CI: 2.4-4.6, respectively). Combined training showed a consistent benefit in psychosocial domains (main effect: -7.3; 95% CI: -9.31 to -53). All exercise modalities significantly improve functional performance, except isometric training, which impacted just fistula maturation (main effect: 0.84; 95% CI: 0.5-1.2). Conclusion: Exercise emerges as a potential non-pharmacological therapy for CKD patients. Tailoring exercise to specific outcomes appears to be crucial, as different exercise modalities exhibit varying effectiveness.

Indexed as

aerobic exercisechronic kidney diseasecombined trainingeletromyostimulationexercise modalitieshome-based exercisemeta-analysisresistance training

Identifiers

PMID39835199
PMCPMC11743718

What Socratic holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.