Pool walking may improve renal function by suppressing the renin-angiotensin-aldosterone system in healthy pregnant women.

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Tytuł:: Pool walking may improve renal function by suppressing the renin-angiotensin-aldosterone system in healthy pregnant women.
Autorzy:: Yoshihara T; Department of Clinical Pharmacology, Faculty of Medical Sciences, Kyushu University, Maidashi 3-1-1, Higashi-ku, Fukuoka, 812-8582, Japan. .; Clinical Research Center, Fukuoka Mirai Hospital, Kashiiteriha 3-5-1, Higashi-ku, Fukuoka, 813-0017, Japan. .
Zaitsu M; Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, 677 Huntington Avenue, 7th Floor, Boston, Massachusetts, 02115, USA.; Department of Public Health, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-0033, Japan.
Kubota S; Kubota Maternity Clinic, Fukuoka, Japan.; Kubota Life Science Laboratory Co., Ltd., Saga, Japan.
Arima H; Department of Preventive Medicine and Public Health, Faculty of Medicine, Fukuoka University, Nanakuma 8-19-1, Jonan-ku, Fukuoka, 814-0180, Japan.
Sasaguri T; Department of Clinical Pharmacology, Faculty of Medical Sciences, Kyushu University, Maidashi 3-1-1, Higashi-ku, Fukuoka, 812-8582, Japan.
Źródło:: Scientific reports [Sci Rep] 2020 Feb 19; Vol. 10 (1), pp. 2891. Date of Electronic Publication: 2020 Feb 19.
Typ publikacji:: Clinical Trial; Journal Article; Research Support, Non-U.S. Gov't
Język:: English
Imprint Name(s):: Original Publication: London : Nature Publishing Group, copyright 2011-
MeSH Terms:: Kidney Function Tests*
Kidney/*physiology
Renin-Angiotensin System/*physiology
Walking/*physiology
Adult ; Female ; Humans ; Pregnancy
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Entry Date(s):: Date Created: 20200221 Date Completed: 20201112 Latest Revision: 20210218
Update Code:: 20240105
PubMed Central ID:: PMC7031536
DOI:: 10.1038/s41598-020-59598-9
PMID:: 32076019
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This study aimed to examine the effect of pool walking on renal function in pregnant women. Fifteen pregnant women (mean gestational age, 37.8 weeks) walked in a pool (depth 1.3 m) for 1 h. A few days later, they walked on a street for 1 h. Within each activity, the starting and ending levels of plasma renin activity were measured. The total urine volume, creatinine clearance, and change in plasma renin activity levels between each activity were compared by Wilcoxon rank-sum test. The renin-angiotensin-aldosterone level was suppressed during pool walking: the mean starting and ending values of plasma renin activity and serum aldosterone were 6.8 vs. 5.5 ng/mL/h (p = 0.002) and 654 vs. 473 pg/mL (p = 0.01), respectively. The decreases in plasma renin activity and serum aldosterone levels were more evident in pool walking than in land walking (plasma renin activity, -1.27 vs. 0.81 ng/mL/h, p = 0.002; serum aldosterone, -180.9 vs. 3.1 ng/mL/h, p = 0.03), resulting in higher total urine volume (299 vs. 80 mL, p < 0.001) and creatinine clearance (161.4 vs. 123.4 mL/min, p = 0.03) in pool walking. Pool walking may improve renal function in pregnant women partly through the suppressed renin-angiotensin-aldosterone system.

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