[en] Objective. To determine the effectiveness of therapeutic exercise in the management of blood pressure in patients with chronic kidney disease without renal replacement therapy and to identify its parameters. Methods. A literature review was carried out in the Pubmed, PEDro and Scopus databases. The inclusion criteria were: studies referring to individuals with chronic kidney disease without renal replacement therapy, in which the intervention consisted of the application of therapeutic exercise and in which the impact of the intervention on blood pressure was shown, written in English, Spanish or Portuguese, published in the last 5 years up to the time of the review and whose type of publication was meta-analysis, systematic reviews, reviews, controlled and/or randomized clinical trials, and clinical trials. Outcomes. 10 articles were included: 6 systematic reviews and 4 studies, of which 3 are randomized clinical trials and 1 is a pilot study of a randomized clinical trial. Positive effects on blood pressure were found with the application of aerobic therapeutic exercise, strength exercise, and a combination of both. The effects on other study variables such as glomerular filtration rate, body mass index or aerobic capacity are also significant. Aerobic training was used in most of the articles analyzed. Conclusions. Therapeutic exercise shows favorable results in blood pressure values in patients with chronic kindey disease without renal replacement therapy. However, due to the variability of the studies examined, it is not possible to establish a standard protocol when prescribing therapeutic exercise in this type of patient.

[gl] Obxectivo. Coñecer a efectividade do exercicio terapéutico no manexo da presión arterial en pacientes con enfermidade renal crónica sen tratamento renal substitutivo e identificar os seus parámetros. Material e método. Realízase una revisión bibliográfica nas bases de datos Pubmed, PEDro e Scopus. Os criterios de inclusión foron: Traballos referidos a individuos con enfermidade renal crónica sen terapia renal substitutiva, nos que a intervención consista na aplicación de exercicio terapéutico e nos que se amose o impacto da intervención na presión arterial, escritos en inglés, español ou portugués, publicados nos últimos 5 anos ata o momento de realizar a revisión e cuxo tipo de publicación fose metaanálise, revisións sistemáticas, revisións, ensaios clínicos controlados e/ou aleatorizados, e ensaios clínicos Resultados. Foron incluídos 10 artigos: 6 revisións sistemáticas e 4 estudos, dos cales 3 son ensaios clínicos aleatorizados e 1 é un estudo piloto dun ensaio clínicos aleatorizado. Atopáronse efectos positivos na presión arterial mediante a aplicación de exercicio terapéutico de carácter aeróbico, de forza e a combinación de ambos. Os efectos sobre outras variables de estudo como a taxa de filtrado glomerular, o índice de masa corporal ou a capacidade aeróbica tamén son significativos. Na maioría dos artigos analizados empregouse o adestramento aeróbico. Conclusións. O exercicio terapéutico amosa resultados favorables nos valores de presión arterial nos pacientes con enfermidade renal crónica sen terapia renal substitutiva. Con todo, debido á variabilidade dos estudos examinados, non é posible establecer un protocolo estándar á hora de prescribir exercicio terapéutico neste tipo de pacientes.