PHYSICAL TRAINING PROGRAM WITH REMOTE SUPERVISION VS PRESENTIAL SUPERVISION: STUDY OF ITS EFFECTS ON PHYSICAL AND FUNCTIONAL VARIABLES OF KIDNEY TRANSPLANTS
Kidney transplant, exercise training, heart rate variability, quality of life.
Introduction: Renal failure in its final stages its an important public health issue, with a sedentary lifestyle as a determining factor for morbidity and mortality in this population. Kidney transplantation is characterized as the therapeutic option with the best prognosis for patients with kidney failure, however, even after transplantation, the level of physical inactivity, reduced functionality and cardiovascular risk remain high in this population. Objectives: To compare the impact of two physical exercise programs (in person x remote) on cardiac autonomic modulation through analysis of heart rate variability (HRV) and physical and functional characteristics of kidney transplant recipients. Materials and methods: Kidney will be conducted in person (GP) and the other will be conducted remotely via video call (GR). The physical training program will occur with a frequency of 03x/week lasting 12 weeks. Demographic, anthropometric, functional variables, level of physical activity and HRV will be assessed prior to the start date of the intervention program and immediately after its end. Information regarding adherence to training, dropout and level of physical activity maintained after the end of training will also be investigated. In addition to initial and final assessments, to determine the effects of the intervention over time, intra- and intergroup comparisons will be carried out in the 6th week of training and also 6 weeks after the end of the program. The entire evaluation and intervention protocol will be presented in the manuscript description. In the description of the results, only the partial findings already conducted to date are included. Partial results: The general anthropometric data of 11 participants eligible for the beginning of the program were analyzed, and linear analysis of heart rate variability of six participants was studied. The general anthropometric and functional characteristics point to low pre-program physical conditioning, no significant difference was observed between HRV at rest and after submaximal effort. Expected results: With eligible participants, it is expected to verify whether the physical exercise program in kidney transplant recipients is capable of promoting significant improvements in their physical function, functionality and cardiac autonomic modulation; investigate whether there is superiority in the effects obtained by in-person care compared to remote care; identify the influencing factors for adherence or abandonment of the program and the level of physical activity maintained after its end.