The Effect of Concurrent Aerobic and Anaerobic Exercise on Stress, Anxiety, Depressive Symptoms, and Blood Pressure in Renal Transplant Female Patients: A Randomized Control Trial
Abstract
Background: Prevalence of stress, anxiety, depressive symptoms, and high blood pressure are known to be important issues among renal transplant patients. Objective: The main purpose of this study was to evaluate the effect of selected exercises on blood pressure, stress, anxiety, depressive symptoms, and blood pressure among renal transplant patients. Method: Thirty two women patients (aged, 20-50 years) with 2 to 3 years post renal transplantation history were voluntarily and objectively recruited. Participants were randomly divided into two groups, exercise (n=16) and control (n=16). The exercise group performed 10 weeks of exercise 3 days per week, and for 60-90 minutes per session. The control group involved no exercise. The DASS21 questionnaire was used to collect psychological data, and blood pressure was measured before and after 10 weeks of exercise. Data analysis was conducted using dependent and independent t-tests. Results: Concurrent exercise significantly reduced anxiety, stress, depressive symptoms, and systolic blood pressure in the exercise group only (p=0.000). Conclusion: Ten weeks of low-intensity exercise can be an effective measure to improve the stress, anxiety, depressive symptoms, and blood pressure in renal transplant patients. Our results suggest that a regular pattern of selected exercises can be effective on stress, anxiety, depressive symptoms, and blood pressure and may be beneficial for renal transplant patients.
Keywords: Selected exercise, Stress, Anxiety, Depressive symptoms, Renal transplant
Full Text:
PDFReferences
Afzalpour, M. E., Bashafaat, H., Shariat, A., Sadeghi, H., Shaw, I., Dashtiyan, A. A., & Shaw, B. S. (2016). Plasma protein carbonyl responses to anaerobic exercise in female cyclists. International Journal of Applied Exercise Physiology, 5(1), 53–58.
Anderson, E., and Geetha,S,. (2013). Effects of exercise and physical activity on anxiety. Frontiers in psychiatry 4 (27):1-4.
Baria, F., Maria A., Danilo T.A., Adriano, A., Mariana, L.R, Marco Túlio,M, and Lilian, C. (2014). Randomized controlled trial to evaluate the impact of aerobic exercise on visceral fat in overweight chronic kidney disease patients. Nephrology Dialysis Transplantation 29 (4):857-864.
Boostani, H., and Ali, A. (2014). The comparison of general health status between hemodialysis and kidney transplant patients in university hospitals of Ahvaz, Iran. Journal of Renal Injury Prevention 3 (1):27.
Boyce, M.L, Robert A.R., Pratap S.A., Carlos,R., Angelique, F., Paul.,F, Dan, S., and Chris, N. (1997). Exercise training by individuals with predialysis renal failure: cardiorespiratory endurance, hypertension, and renal function. American Journal of Kidney Diseases 30 (2):180-192.
Budde, K, J Waiser, L Fritsche, J Zitzmann, M Schreiber, R Kunz, and H-H Neumayer. (1997). Hypertension in patients after renal transplantation. Paper read at Transplantation Proceedings.
Dobbels, F, Melissa A.S, Jon J.S, Anne V.T, J Ross,M., and Bertram, L.K. (2008). Depressive disorder in renal transplantation: an analysis of Medicare claims. American Journal of Kidney Diseases 51 (5):819-828.
Dunn, A.L., Madhukar H.T., James B.K, Camillia G, C, and Heather, H. (2005). Exercise treatment for depression: efficacy and dose response. American journal of preventive medicine 28 (1):1-8.
Gordon, E.J, Thomas. P, Laura A.S, Peter J.M, and Ashwini R.S. (2005). Needed: tailored exercise regimens for kidney transplant recipients. American journal of kidney diseases: the official journal of the National Kidney Foundation 45 (4):769.
Heiwe, S, and Stefan H.J. (2011). Exercise training for adults with chronic kidney disease. The Cochrane Library.
Johansen, A, Jostein H, Robert S, and Ottar B. (2012). Anxiety and depression symptoms in arterial hypertension: the influence of antihypertensive treatment. The HUNT study, Norway. European journal of epidemiology 27 (1):63-72.
Johansen, K.L. (2005). Exercise and chronic kidney disease. Sports Medicine 35 (6):485-499.
Jonas, B. S, and James F.L. (2000). Negative affect as a prospective risk factor for hypertension. Psychosomatic Medicine 62 (2):188-196.
Kargarfard, M., Lam, E. T. C., Shariat, A., Shaw, I., Shaw, B. S., & Tamrin, S. B. M. (2016). Efficacy of massage on muscle soreness, perceived recovery, physiological restoration and physical performance in male bodybuilders. Journal of Sports Sciences, 34(10), 959–965.
Kargarfard, M., Shariat, A., Shaw, B. S., Shaw, I., Lam, E. T. C., Kheiri, A., … Tamrin, S. B. M. (2015). Effects of Polluted Air on Cardiovascular and Hematological Parameters After Progressive Maximal Aerobic Exercise. Lung, 193(2), 275–281.
Kasiske,.B.L, Miguel A, William E, Robert S, Gabriel M, Robert S, David R,. (2000). Recommendations for the outpatient surveillance of renal transplant recipients. Journal of the American Society of Nephrology 11 (suppl 1):S1-S86.
Ma, L, Hong, L, Yueh-Min, L, Hsiang-Li, H, Lan, L, Mei-Yu, L, and Kuo-Cheng, L. (2013). The relationship between health-promoting behaviors and resilience in patients with chronic kidney disease. The Scientific World Journal, 12(3), 76-79.
Magee, C, and Edie, M. (2004). Clinical aspects of renal transplantation. Brenner BM. Brenner & Rector's The kidney. 7th ed. Philadelphia: WB. Saunders, Elsevier:2810-6.
Mahdavi-Mazdeh, M. (2012). The Iranian model of living renal transplantation. Kidney international 82 (6):627-634.
Marmot, M.G. 1985. Psychosocial factors and blood pressure. Preventive medicine 14 (4):451-465.
Masoudi, A, Khadije, Sh, and Zahra, A. (2009). Depression and anxiety in patients undertaken renal replacement therapy in Kashan during 2008. KAUMS Journal (FEYZ) 12 (4):46-51.
Mazzoni, D, E Cicognani, G Mosconi, V Totti, GS Roi, M Trerotola, and A Nanni Costa. (2014). Sport Activity and Health-Related Quality of Life After Kidney Transplantation. Paper read at Transplantation Proceedings.
Miller, B.W, Cheryl,L, Mary, E, Darlene, H, and Mark, A. (2002). Exercise during hemodialysis decreases the use of antihypertensive medications. American Journal of Kidney Diseases 39 (4):828-833.
Mousavi, S, Soleimani, A and Mousavi,M. 2014. Epidemiology of end-stage renal disease in Iran: A review article. Saudi Journal of Kidney Diseases and Transplantation 25 (3):697.
Nybo, L, Emil, S, Markus, D, Magni,M, Therese,H, Lene,S, Jens,B, Morten,B, Jens,J, and Per,A. (2010). High-intensity training versus traditional exercise interventions for promoting health. Med Sci Sports Exerc 42 (10):1951-8.
Painter, L, Lisa,H, Karen,R, Liliana,L, Steven,M, Marylin,D, Stephen,L, and Nancy,L. 2003. Effects of exercise training on coronary heart disease risk factors in renal transplant recipients. American journal of kidney diseases 42 (2):362-369.
Painter, P, Lisa,H, Karen,R, Liliana,L, Suzanne,D, Steven,P, Stephen,T, and Nancy,L. (2002). A randomized trial of exercise training after renal transplantation. Transplantation 74 (1):42-48.
Pooranfar, S, E Shakoor, MJ Shafahi, M Salesi, MH Karimi, J Roozbeh, and M Hasheminasab. (2014). The Effect of Exercise Training on Quality and Quantity of Sleep and Lipid Profile in Renal Transplant Patients: A Randomized Clinical Trial. International journal of organ transplantation medicine 5 (4):157.
Rigatto, C, Robert,N, Gloria,M, Ronald, G, and Patrick,S. 2000. Long-term changes in left ventricular hypertrophy after renal transplantation. Transplantation 70 (4):570-575.
Sadeghi, H., Hakim, M. N., Hamid, T. A., Amri, S. Bin, Razeghi, M., Farazdaghi, M., & Shakoor, E. (2016). The Effect of Exergaming on Knee Proprioception in Older Men: A Randomized Controlled Trial. Archives of Gerontology and Geriatrics.
Sadeghi, H., Shariat, A., Asadmanesh, E., & Mosavat, M. (2013). The Effects of Core Stability Exercise on the Dynamic Balance of Volleyball Players. International Journal of Applied Exercise Physiology, 2(2), 1–10.
Salehi,F, J. 2009. A comparative study of anxiety, stress, and depression in physically abused and non-abused Iranian wives. Iranian Journal of Psychiatry and Behavioral Sciences 3.
Shakoor, E, Maryam,K., Mohsen,S, and Hassan, S. 2015. The Effects of 10 Weeks Concurrent Aerobic and Strength Exercise on Quality of Life and Resilience of Kidney Transplant Patients. International Journal of Applied Exercise Physiology 4 (2):1-8.
Shariat, A., Bahri Mohd Tamrin, S., Daneshjoo, A., & Sadeghi, H. (2015). The Adverse Health Effects of Shift Work in Relation to Risk of Illness/Disease: A Review. Acta Medica Bulgarica, 42(1), 63–72.
Shariat, A., Kargarfard, M., & Sharifi, G. R. (2012). The effect of heavy resistance exercise on circadian rhythm of salivary cortisol in male body building athletes. Journal of Isfahan Medical SchooL (I.U.M.S), 29, 2400–2412.
Shariat, A, Kargarfard,M., Danaee, M., and Tamrin, SBM. (2015). Intensive resistance exercise and circadian salivary testosterone concentrations among young male recreational lifters. The Journal of Strength & Conditioning Research 29 (1):151-158.
Shinn, E., Walker,S., Kay, T., Sachik, T, and John, P. (2001). Blood pressure and symptoms of depression and anxiety: a prospective study*. American Journal of Hypertension, 14 (7), 660-664.
Smith, LL, and CH Elliott. 2003. Demystifying and defeating depression. Depression for dummies. New Jersey, NJ: Wiley.
Sorensen, E, Mark,J, Hocine, T., Tammy, S., Lena,M., Bethany,K., Kristina,L., and Daniel,E,. (2012). The kidney disease quality of life cognitive function subscale and cognitive performance in maintenance hemodialysis patients. American Journal of Kidney Diseases, 60 (3), 417-426.
Spitzer, A, and Ellis,D. (2012). Inheritance of kidney and urinary tract diseases. Vol. 9: Springer Science & Business Media.
Ulubay, G., B. Akman, S. Sezer, K. Calik, F. Eyuboglu Oner, N. Ozdemir, and M. Haberal. (2006). Factors Affecting Exercise Capacity in Renal Transplantation Candidates on Continuous Ambulatory Peritoneal Dialysis Therapy. Transplantation Proceedings, 38 (2), 401-405.
Refbacks
- There are currently no refbacks.
This work is licensed under a Creative Commons Attribution 4.0 International License.
2013-2024 (CC-BY) Australian International Academic Centre PTY.LTD.
International Journal of Kinesiology and Sports Science
You may require to add the 'aiac.org.au' domain to your e-mail 'safe list’ If you do not receive e-mail in your 'inbox'. Otherwise, you may check your 'Spam mail' or 'junk mail' folders.