Exercício físico na caquexia associada à doença renal crônica: revisão sistemática da literatura
DOI:
https://doi.org/10.11606/issn.1981-4690.2025e39181327Palabras clave:
Exercício, Força muscular, Doença renal crônica, CaquexiaResumen
Objetivo: Avaliar a produção científica sobre o uso do exercício físico no manejo do consumo físico em pacientes com DRC. Métodos: Revisão sistemática realizada nas bases de dados Lilacs, SciELO, Medline, Science Direct, Google Acadêmico e PubMed. Para a busca dos estudos, foram utilizados os descritores doença renal crônica, atividade física, exercício físico, depleção física, perda de massa muscular esquelética, sarcopenia e caquexia, combinados pelo operador booleano "e". Inicialmente, 837 publicações foram selecionadas a partir dos descritores; após triagem e leitura completa, observando os critérios de inclusão e exclusão, 824 artigos foram excluídos. A amostra final consistiu em 21 artigos, todos ensaios clínicos randomizados. Resultados: Os exercícios físicos, sendo os mais utilizados os exercícios de resistência e cardiorrespiratórios, podem reverter o processo inflamatório, minimizando o quadro de depressão musculoesquelética, além de otimizar a resistência física, a antropometria, o tamanho e a força muscular, as condições fisiológicas e a acidose metabólica. Conclusão: Ficou evidente que o exercício físico é um importante tratamento não farmacológico para o consumo físico associado à DRC. A análise dos estudos selecionados mostrou que a atividade física promove ganhos de massa magra e força muscular, e esses ganhos resultam em uma melhor qualidade de vida para os pacientes
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