Publications

Journal Article Epublish

PubMed: 39743553 DOI: 10.1186/s12882-024-03917-z

Analysis of changes in PCSK9 and TNF-α concentrations in response to physical exercises using virtual reality in patients in the fifth stage of chronic kidney disease undergoing hemodialysis.

BMC Nephrol 26(1):1

Authors: Agnieszka Turoń-Skrzypińska, Alicja Mińko, Aleksandra Rył, Aneta Cymbaluk-Płoska, Maciej Domański, Kazimierz Ciechanowski, Iwona Rotter

Affiliations

  • Department of Medical Rehabilitation and Clinical Physiotherapy, Pomeranian Medical University, Żołnierska 54, Szczecin, 71-210, Poland.
  • Department of Medical Rehabilitation and Clinical Physiotherapy, Pomeranian Medical University, Żołnierska 54, Szczecin, 71-210, Poland.
  • Department of Reconstructive Surgery and Gynecological Oncology, Pomeranian Medical University, Powstańców Wielkopolskich 72, Szczecin, 70- 111, Poland.
  • Department of Nephrology, Transplantology and Internal Medicine, Pomeranian Medical University, Powstańców Wielkopolskich 72, Szczecin, 70-111, Poland.

Abstract

BACKGROUND

The problem of reduced physical activity in patients with stage 5 Chronic Kidney Disease (CKD) is becoming more and more interesting in the medical community. One of the innovative solutions that can significantly increase patients' motivation to exercise is the integration of physical training with virtual reality (VR) technology during hemodialysis. The aim of this study was to comprehensively assess the impact of regular physical activity using virtual reality on the concentration of plasma PCSK9 protein and TNF-α in patients with stage 5 CKD treated with hemodialysis.

METHODS

A prototype of the NefroVR system was used in the research project. The study group consisted of patients who were entrusted with the task of conducting training using the prototype of the NefroVR system.

RESULTS

In the conducted research, a significant decrease in PCSK9 protein and TNF-α concentration was observed in the study group after 3 months of exercises using virtual reality in hemodialysis patients.

CONCLUSION

Regular physical activity using innovative physiotherapy methods, such as virtual reality, contributes to the improvement of inflammatory parameters and may improve lipid homeostasis.

CLINICAL TRIAL NUMBER

not applicable.

MeSH

Exercise, Kidney Diseases, Virtual Reality, Kidney, Research