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논문분류	춘계학술대회 초록집
제목	GOLD-X Case Series: Increment of Physical Activity and Home Exercises as Therapy on Elderly with Chronic Kidney Disease, Hypertension, Diabetes, Obesity and More
저자	Alvin Wiharja
출판정보	2019; 2019(1):
키워드	Exercise \| CKD \| Geriatric \| Diabetes \| Sports Medicine
초록	"BackgroundGOLD-X is Geriatric Optimal Lifestyle Development on eXercise, a pilot program designated on sports medicine intervention as therapy in elderly. Physical activity and exercise can act as medicine almost in every condition, including Chronic Kidney Disease and other metabolic disease. Instead giving an oral medication, an exercise program is given to manage this medical problem. The sedentary condition can lead to worsen condition. Applying physical activity and exercise could impact the combine medical condition also promote healthy longevity and increment on quality of life. MethodStructured tailored-made exercise was applied on a 68 years old lady with CKD and other metabolic disease (Figure.1) for 3 months. It consists of cardiopulmonary exercise, flexibility exercise and strengthening exercise. Physical fitness capacity, creatinine, blood glucose, HbA1C and blood pressure were used as evaluation parameters. ResultThe intensity of the exercise was done at medium not to low level. Mean of systole [127mmHg (SD±7,13)]-diastole [71mmHg (SD±4.85)] before exercise and systole [137mmHg (SD±7,49)]-diastole [77mmHg (SD±4.14)] after exercise. Mean heart rate before [61bpm (SD±7.33)], during [119bpm (SD±5,83)], and after exercise [69bpm (SD±4.56)] (Tabel.1). Heart rate was recorded in every supervised exercise (Figure.2). Subjectively and objectively no clinical symptoms, led to cardiovascular and complication of disease, were found. There was an improvement in the cardiovascular endurance function. Other parameters, such as body composition (1,8% body fat decreased), muscle strength and muscular endurance, are in the same category but with improvements in their value (Table.2). ConclusionPrescribing physical activity and exercise not only manage the disease but also improve the quality of life in elderly with CKD and other metabolic disease. By applying this method, patient also obtained the other benefit of exercise conjunction with healthy longevity."
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