Improved Outcomes in Hemodialysis/Hemodiafiltration Treatments Applying Exercise and Physiological Monitoring Techniques: Preliminary Results*
Por:
Del Angel F.L., Azpiroz Leehan J., Martinez F., Rock E.S., Moron M A., Gerardo Rosas A., Fonseca A.A., Karla Quevedo G., De La Rosa A.M., Miguel Cadena M., Mendez D.
Publicada:
1 ene 2019
Resumen:
End-stage renal disease affects millions of people worldwide, and the only definitive solutions are renal transplants that are not widely available. Temporary solutions are renal replacement therapies such as peritoneal dialysis, hemodialysis and hemodiafiltration. These therapies as they are applied today are just partial measures and have many drawbacks and complications such as high mortality rates and high costs due to the use of supplemental drugs and emergency room visits. Many enhancements to the therapies have been published, but they are not applied consistently in real world practice. Our work presents the results from the systematic application of several techniques to provide individualized therapies that can minimize the drawbacks and improve patient outcomes. This approach is based on the use of exercise, analysis of cardiovascular parameters, such as heart-rate variability, body composition and dry weight measurements through the use of bioimpedance and real-time monitoring of energy expenditure and nutrition intradialytically in order to provide individualized and dynamically variable therapies. Results show that patients can lead long, productive lives while maintaining a quality of life equivalent to that of a renal transplant. © 2019 IEEE.
Filiaciones:
Del Angel F.L.:
CI3M, Universidad Autónoma Metropolitana, Mexico
Azpiroz Leehan J.:
CI3M, Universidad Autónoma Metropolitana, Mexico
Martinez F.:
CI3M, Universidad Autónoma Metropolitana, Mexico
Rock E.S.:
CI3M, Universidad Autónoma Metropolitana, Mexico
Moron M A.:
Asociación Mexicana de Obesidad Riñón y Nutrición, Mexico
Gerardo Rosas A.:
N3FRORED SAPI, Mexico
Fonseca A.A.:
N3FRORED SAPI, Mexico
Karla Quevedo G.:
N3FRORED SAPI, Mexico
De La Rosa A.M.:
N3FRORED SAPI, Mexico
Miguel Cadena M.:
N3FRORED SAPI, Mexico
Mendez D.:
Universidad Nacional Autónoma de México, Mexico
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