Resumo

Introdução: A evolução da Doença Renal Crônica (DRC) é silenciosa e assintomática, o que dificulta o diagnóstico e tratamento na fase inicial. Pacientes com DRC apresentam perda de massa muscular, diminuição da capacidade funcional e qualidade de vida (QV). 

Objetivo: Revisar os efeitos do Método Pilates na QV de pacientes com DRC. 

Métodos: Trata-se de uma revisão sistemática realizada de acordo com o PRISMA. A busca foi realizada em dezembro de 2022 nas seguintes bases de dados Google Acadêmico, Scielo, Lilacs, CINAHL, Pubmed, PEDro, Web of science e o Cochrane Central Register of Systematic Review. Para execução da busca literária foi utilizada a estratégia PICOT, e a população estudada foi paciente com DRC, a intervenção foi o treinamento com o método Pilates, comparado com pacientes que não realizaram o treinamento ou qualquer outra intervenção, o desfecho avaliado foi QV e incluímos apenas ensaios clínicos controlados e randomizados.

 Resultados: Foram encontrados 3.287 artigos, dos quais 3 foram considerados elegíveis para a nossa revisão sistemática. Devido a heterogeneidade metodológica, não foi possível realizar meta-análise. Todos os trabalhos incluídos mostraram benefícios significativos da prática do Pilates na QV de pacientes com DRC. 

Conclusão: Nossos resultados apontam que a prática de exercício físico com o método Pilates pode favorecer a melhora da QV em indivíduos com DRC.

Referências

Romão Junior JE. Chronic kidney disease: definition, epidemiology and classification. Braz J Nephrol. 2004;26(3suppl1):1-3. doi: 10.1111/jch.14186

Heiwe S, Dahlgren MA. Living with chronic renal failure: coping with physical activity of daily living. Advances in Physiotherapy. 2004;6:147-57. doi: 10.1080/14038190410019540

Johansen KL. Exercise and chronic kidney disease: current recommendations. Sports Med. 2005;35:489-99. doi: 10.2165/00007256-200535060-00003

Flisinski M, Brymora A, G Elminowska-Wenda, J Bogucka, K Walasik, A Stefanska, et al. Morphometric analysis of muscle fibre types in rat locomotor and postural skeletal muscles in different stages of chronic kidney disease. J Physiol Pharmacol. 2014;65:567-76.

Marinho DF, Melo RDC, Sousa KEP, Oliveira FA, Vieira JNS, Antunes CSP et al. Functional capacity and quality of life in chronic kidney disease. Rev Pesqui Fisioter. 2020;10(2):212-19. doi: 10.5935/0101-2800.20150008

Fletcher BR, Damery S, Aiyegbusi OL, Anderson N, Calvert M, Cockwell P et al. Symptom burden and health-related quality of life in chronic kidney disease: A global systematic review and meta-analysis. PLoS Med. 2022;19(4):e1003954. doi: 10.1371/journal.pmed.1003954

Jesus NM, de Souza GF, Mendes-Rodrigues C, Almeida Neto OP, Rodrigues DDM, Cunha CM. Quality of life of individuals with chronic kidney disease on dialysis. Braz J Nephrol. 2019;41(3):364-74. doi: 10.1590/2175-8239-JBN-2018-0152

Ghiasi B, Sarokhani D, Dehkordi AH, Sayehmiri K, Heidari MH. Quality of Life of patients with chronic kidney disease in Iran: Systematic Review and Meta-analysis. Indian J Palliat Care. 2018;24(1):104-11. doi: 10.4103/IJPC.IJPC_146_17

Cheema E, Alhomoud FK, Kinsara ASA, Alsiddik J, Barnawi MH, Al-Muwallad MA, et al. The impact of pharmacists-led medicines reconciliation on healthcare outcomes in secondary care: A systematic review and meta-analysis of randomized controlled trials, PLoS One. 2018;13(3)e0193510. doi: 10.1371/journal.pone.0193510

Duff WRD, Andrushko JW, Renshaw DW, Chilibeck PD, Farthing JP, Danielson J, et al. Impact of Pilates exercise in multiple sclerosis: a randomized controlled trial. Int J MS Care. 2018;20(2):92-100. doi: 10.7224/1537-2073.2017-066

Caldwell K, Harrison, M., Adams, M., Triplett, N.T., 2009. Effect of Pilates and taiji quan training on self-efficacy, sleep quality, mood, and physical performance of college students. J Bodyw Mov Ther. 2009;13,155e163. doi: 10.1016/j.jbmt.2007.12.001

Natour J, Cazotti Lde A, Ribeiro LH, Baptista AS, Jones A. Pilates improves pain, function and quality of life in patients with chronic low back pain: a randomized controlled trial. Clin Rehabil. 2015;29(1):59-68. doi: 10.1177/0269215514538981

Vancini RL, Rayes ABR, Lira CAB, Sarro KJ, Andrade MS. Pilates and aerobic training improve levels of depression, anxiety and quality of life in overweight and obese individuals. Arq Neuropsiquiatr. 2017;75(12):850-57. doi: 10.1590/0004-282X20170149

Denham-Jones L, Gaskell L, Spence N, Pigott T. A systematic review of the effectiveness of Pilates on pain, disability, physical function, and quality of life in older adults with chronic musculoskeletal conditions. Musculoskeletal Care. 2022;20(1):10-30. doi: 10.1002/msc.1563

Maher D, Liberati A, Tetzlaff J, Altman DG. The PRISMA Group. Preferred Reporting Items for Systematic Reviews and Meta- Analyses: The PRISMA Statement. PLoS Med.2009;6(7):e1000097. doi: 10.1371/journal.pmed.1000097

Haynes BR. Formulating research questions. J Clin Epidemiol 2006;59(9):881-6.

Maher CG, Sherrington C, Herbert RD, Moseley AM, Elkins M. Reliability of the PEDro scale for rating quality of randomized controlled trials. Phys Ther 2003; 83:713-21.

Kheirkhah D, Mirsane A, Ajorpaz NM, Rezaei M. Effects of Pilates exercise on quality of life of patients on hemodialysis. Crit Care Nurs J. 2016;9(3):e6981. doi: 10.1016/j.jbmt.2016.05.012

Rahimimoghadam Z, Rahemi Z, Mirbagher Ajorpaz N, Sadat Z. Effects of Pilates exercise on general health of hemodialysis patients. J Bodyw Mov Ther. 2017;21(1):86-92. doi: 10.1016/j.jbmt.2016.05.012

Rahimimoghadam Z, Rahemi Z, Sadat Z, Mirbagher Ajorpaz N. Pilates exercises and quality of life of patients with chronic kidney disease. Complement Ther Clin Pract. 2019;34:35-40. doi: 10.1016/j.ctcp.2018.10.017

Denham-Jones L, Gaskell L, Spence N, Pigott T. A systematic review of the effectiveness of Pilates on pain, disability, physical function, and quality of life in older adults with chronic musculoskeletal conditions. Musculoskeletal Care. 2022;20(1):10-30. doi: 10.1002/msc.1563

Espíndula RC, Nadas GB, Rosa MID, Foster C, Araújo FC, Grande AJ. Pilates for breast cancer: A systematic review and meta-analysis. Rev Assoc Med Bras. 1992;63(11):1006-12. doi: 10.1590/1806-9282.63.11.1006

Anand S, Johansen KL, Kurella Tamura M. Aging and chronic kidney disease: the impact on physical function and cognition. J Gerontol A Biol Sci Med Sci. 2014;69(3):315-22. doi: 10.1093/gerona/glt109

Shlipak MG, Stehman-Breen C, Fried LF, Song X, Siscovick D, Fried LP, Psaty BM, Newman AB. The presence of frailty in elderly persons with chronic renal insufficiency. Am J Kidney Dis. 2004;43(5):861-7. doi: 10.1053/j.ajkd.2003.12.049

Odden MC, Whooley MA, Shlipak MG. Association of chronic kidney disease and anemia with physical capacity: the heart and soul study. J Am Soc Nephrol. 2004;15(11):2908–15. doi: 10.1097/01.ASN.0000143743.78092.E3

Guclu-Gunduz A, Citaker S, Irkec C, Nazliel B, Batur-Caglaya HZ. The effects of Pilates on balance, mobility and strength in patients with multiple sclerosis. NeuroRehabilitation. 2014;34(2):337–42. doi: 10.3233/NRE-130957

Cruz-Ferreira A, Fernandes J, Laranjo L, Bernardo LM, Silva A. A systematic review of the effects of Pilates method of exercise in healthy people. Arch Phys Med Rehabil. 2011;92(12):2071–81. doi: 10.1016/j.apmr.2011.06.018

Oliveira FC, Almeida FA, Gorges B. Effects of Pilates method in elderly people: Systematic review of randomized controlled trials. J Bodyw Mov Ther. 2015;19(3):500-8. doi: 10.1016/j.jbmt.2015.03.003

Souza C, Krüger RL, Schmit EFD, Wagner Neto ES, Reischak-Oliveira Á, de Sá CKC, Loss JF. Cardiorespiratory adaptation to Pilates training. Res Q Exerc Sport. 2021;92(3):453-59. doi: 10.1080/02701367.2020.1749222

Tinoco-Fernández M, Jiménez-Martín M, Sánchez-Caravaca MA, Fernández-Pérez AM, Ramírez-Rodrigo J, Villaverde-Gutiérrez C. The Pilates method and cardiorespiratory adaptation to training. Res Sports Med. 2016;24(3):281-6.doi: 10.1080/15438627.2016.1202829

Sarmento LA, Pinto JS, da Silva AP, Cabral CM, Chiavegato LD. Effect of conventional physical therapy and Pilates in functionality, respiratory muscle strength and ability to exercise in hospitalized chronic renal patients: a randomized controlled trial. Clin Rehabil. 2017;31(4):508-20. doi: 10.1177/0269215516648752

Seliger SL, Siscovick DS, Stehman-Breen CO, et al. Moderate renal impairment and risk of dementia among older adults: The Cardiovascular Health Cognition Study. J Am Soc Nephrol. 2004;15(7):1904–11. doi: 10.1097/01.asn.0000131529.60019.fa

Buchman AS, Tanne D, Boyle PA, Shah RC, Leurgans SE, Bennett DA. Kidney function is associated with the rate of cognitive decline in the elderly. Neurology. 2009;73(12):920–27. doi: 10.1212/WNL.0b013e3181b72629

Singh B, Olds T, Curtis R, Dumuid D, Virgara R, Watson A, et al. Effectiveness of physical activity interventions for improving depression, anxiety and distress: an overview of systematic reviews. Br J Sports Med. 2023. doi: 10.1136/bjsports-2022-106195

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