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

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 ph...

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Main Authors: Agnieszka Turoń-Skrzypińska, Alicja Mińko, Aleksandra Rył, Aneta Cymbaluk-Płoska, Maciej Domański, Kazimierz Ciechanowski, Iwona Rotter
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Nephrology
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Online Access:https://doi.org/10.1186/s12882-024-03917-z
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author Agnieszka Turoń-Skrzypińska
Alicja Mińko
Aleksandra Rył
Aneta Cymbaluk-Płoska
Maciej Domański
Kazimierz Ciechanowski
Iwona Rotter
author_facet Agnieszka Turoń-Skrzypińska
Alicja Mińko
Aleksandra Rył
Aneta Cymbaluk-Płoska
Maciej Domański
Kazimierz Ciechanowski
Iwona Rotter
author_sort Agnieszka Turoń-Skrzypińska
collection DOAJ
description 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.
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institution Kabale University
issn 1471-2369
language English
publishDate 2025-01-01
publisher BMC
record_format Article
series BMC Nephrology
spelling doaj-art-8fd27b39c6904ae8ab0e6660276487202025-01-05T12:11:05ZengBMCBMC Nephrology1471-23692025-01-012611910.1186/s12882-024-03917-zAnalysis 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 hemodialysisAgnieszka Turoń-Skrzypińska0Alicja Mińko1Aleksandra Rył2Aneta Cymbaluk-Płoska3Maciej Domański4Kazimierz Ciechanowski5Iwona Rotter6Department of Medical Rehabilitation and Clinical Physiotherapy, Pomeranian Medical UniversityDepartment of Medical Rehabilitation and Clinical Physiotherapy, Pomeranian Medical UniversityDepartment of Medical Rehabilitation and Clinical Physiotherapy, Pomeranian Medical UniversityDepartment of Reconstructive Surgery and Gynecological Oncology, Pomeranian Medical UniversityDepartment of Nephrology, Transplantology and Internal Medicine, Pomeranian Medical UniversityDepartment of Nephrology, Transplantology and Internal Medicine, Pomeranian Medical UniversityDepartment of Medical Rehabilitation and Clinical Physiotherapy, Pomeranian Medical UniversityAbstract 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.https://doi.org/10.1186/s12882-024-03917-zCytokineHemodialysisIntradialytic exerciseRenal diseaseVirtual reality
spellingShingle Agnieszka Turoń-Skrzypińska
Alicja Mińko
Aleksandra Rył
Aneta Cymbaluk-Płoska
Maciej Domański
Kazimierz Ciechanowski
Iwona Rotter
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 Nephrology
Cytokine
Hemodialysis
Intradialytic exercise
Renal disease
Virtual reality
title 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
title_full 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
title_fullStr 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
title_full_unstemmed 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
title_short 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
title_sort 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
topic Cytokine
Hemodialysis
Intradialytic exercise
Renal disease
Virtual reality
url https://doi.org/10.1186/s12882-024-03917-z
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