Abstract

Different modes of exercise are reported to be beneficial in subjects with chronic kidney disease (CKD). Similar benefits have also been ascribed to the dietary supplement gum acacia (GA). Using several physiological, biochemical, immunological, and histopathological measurements, we assessed the effect of swimming exercise (SE) on adenine –induced CKD, and tested whether SE would influence the salutary action of GA in rats with CKD. Eight groups of rats were used, the first four of which were fed normal chow for 5 weeks, feed mixed with adenine (0.25% w/w) to induce CKD, GA in the drinking water (15% w/v), or were given adenine plus GA, as above. Another four groups were similarly treated, but were subjected to SE during the experimental period, while the first four groups remained sedentary. The pre-SE program lasted for four days (before the start of the experimental treatments), during which the rats were made to swim for 5 to 10 min, and then gradually extended to 20 min per day. Thereafter, the rats in the 5th, 6th, 7th, and 8th groups started to receive their respective treatments, and were subjected to SE three days a week for 45 min each. Adenine induced the typical signs of CKD as confirmed by histopathology, and the other measurements, and GA significantly ameliorated all these signs. SE did not affect the salutary action of GA on renal histology, but it partially improved some of the above biochemical and physiological analytes, suggesting that addition of this mode of exercise to GA supplementation may improve further the benefits of GA supplementation.

Highlights

  • Chronic kidney disease (CKD) is a major public health concern in both developed and developing countries because of the high prevalence of morbidity and mortality associated with it, mainly due to cardiovascular dysfunction [1,2]

  • swimming exercise (SE) did not result in any significant difference in caspase-3 cleavage in the group that had been treated with both adenine and gum acacia (GA)

  • It has previously been shown that GA can ameliorate CKD experimentally in rats and mice [16] and clinically in humans [17]

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Summary

Introduction

Chronic kidney disease (CKD) is a major public health concern in both developed and developing countries because of the high prevalence of morbidity and mortality associated with it, mainly due to cardiovascular dysfunction [1,2]. It has been suggested that CKD leads to reduced physical activity and an increased risk of cardiovascular disease (CVD) [2,3]. A sedentary lifestyle increases the risk of CVD, but CVD can be ameliorated by physical fitness [3,4,5]. Improving our knowledge of the effects of swimming training in animal models is relevant for CKD patients [5,6,12,13,14]

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