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Related Experiment Videos

Exercise and chronic kidney disease: current recommendations.

Kirsten L Johansen1

  • 1Department of Medicine, University of California San Francisco, San Francisco, California, USA.

Sports Medicine (Auckland, N.Z.)
|June 25, 2005
PubMed
Summary

Patients with chronic kidney disease (CKD) benefit from exercise, with aerobic and resistance training improving physical function. Despite safety and benefits, CKD patients remain inactive, highlighting the need for better exercise integration and support.

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Area of Science:

  • Nephrology
  • Exercise Physiology
  • Rehabilitation Medicine

Background:

  • Patients with chronic kidney disease (CKD) exhibit physical inactivity and reduced physical functioning.
  • Aerobic exercise shows potential for improving cardiorespiratory fitness, blood pressure, lipid profiles, and mental health in CKD patients.
  • Resistance exercise may enhance muscle strength and size, contributing to improved physical functioning.

Purpose of the Study:

  • To review the evidence on the benefits and safety of exercise interventions for patients with chronic kidney disease.
  • To explore the impact of aerobic and resistance exercise on physical functioning, performance, and other health parameters in CKD.
  • To identify barriers to exercise participation and provider recommendations in CKD populations.

Main Methods:

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  • Systematic review of existing studies on aerobic, resistance, and combined exercise interventions in CKD patients.
  • Analysis of data regarding improvements in maximal oxygen consumption, physical functioning, muscle strength, and other clinical markers.
  • Examination of reported safety, patient adherence, and barriers to exercise implementation.

Main Results:

  • Aerobic exercise training improves maximal oxygen consumption and physical functioning in selected CKD patients.
  • Resistance exercise training appears to increase muscle strength and size.
  • Evidence suggests exercise is safe and beneficial, yet CKD patients remain largely inactive, with limited access to exercise programs.

Conclusions:

  • Exercise, including aerobic and resistance training, is safe and beneficial for patients with chronic kidney disease.
  • Despite proven benefits, significant barriers prevent widespread adoption of exercise programs for CKD patients.
  • Further research and interventions are needed to overcome barriers and integrate exercise effectively into CKD care, potentially incorporating it into dialysis sessions.