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Related Concept Videos

Chronic Kidney Disease III: Interprofessional Care01:28

Chronic Kidney Disease III: Interprofessional Care

Chronic kidney disease (CKD) requires collaborative and comprehensive management. CKD progresses through stages and can lead to end-stage kidney disease (ESKD) if untreated. Interprofessional collaboration and patient education are crucial, enabling patients to manage their health and improve their quality of life.Diagnostic approach for chronic kidney diseaseThe diagnosis of CKD primarily focuses on the glomerular filtration rate (GFR), which assesses kidney function by measuring how well...
Acute Kidney Injury V: Interprofessional Care01:20

Acute Kidney Injury V: Interprofessional Care

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Heart Failure Drugs: Inhibitors of Renin-Angiotensin System

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Acute Kidney Injury IV: Diagnostic Studies and Prevention01:30

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Renal Failure: Dose Adjustments01:11

Renal Failure: Dose Adjustments

In patients with renal impairment, drugs undergo significant changes in their pharmacokinetics, which require dosage adjustments to ensure safe and effective therapy.
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Related Experiment Video

Updated: Jun 19, 2026

5/6 Nephrectomy Using Sharp Bipolectomy Via Midline Laparotomy in Rats
05:34

5/6 Nephrectomy Using Sharp Bipolectomy Via Midline Laparotomy in Rats

Published on: April 4, 2025

Anabolic interventions in ESRD.

Thomas W Storer1

  • 1Section of Endocrinology, Diabetes, and Nutrition, Boston University School of Medicine, Boston, Massachusetts 02118, USA. tstorer@bu.edu

Advances in Chronic Kidney Disease
|October 6, 2009
PubMed
Summary
This summary is machine-generated.

Resistance exercise may improve muscle strength in patients with end-stage renal disease (ESRD), but effects on lean body mass (LBM) and physical function require further investigation. Optimizing training protocols is key for potential anabolic benefits in ESRD.

Related Experiment Videos

Last Updated: Jun 19, 2026

5/6 Nephrectomy Using Sharp Bipolectomy Via Midline Laparotomy in Rats
05:34

5/6 Nephrectomy Using Sharp Bipolectomy Via Midline Laparotomy in Rats

Published on: April 4, 2025

Area of Science:

  • Nephrology
  • Exercise Physiology
  • Muscle Biology

Background:

  • End-stage renal disease (ESRD) causes muscle atrophy, weakness, and dysfunction due to a chronic catabolic state.
  • Interventions to counteract muscle loss can significantly enhance the quality of life for ESRD patients.
  • While endurance exercise shows some anabolic effects, resistance exercise is more potent for stimulating muscle growth and improving performance.

Purpose of the Study:

  • To evaluate the efficacy of resistance exercise training as an anabolic intervention in patients with end-stage renal disease (ESRD).
  • To investigate the impact of resistance training on lean body mass (LBM), muscle strength, and physical function in ESRD.
  • To identify potential limitations in previous studies, such as duration, training load, and sample size, that may have affected outcomes.

Main Methods:

  • Review of controlled trials investigating resistance exercise training in ESRD patients.
  • Analysis of studies measuring changes in LBM, muscle strength, and physical function.
  • Consideration of factors influencing the effectiveness of resistance training interventions.

Main Results:

  • Previous resistance training studies in ESRD patients have yielded equivocal results regarding significant changes in LBM.
  • Some studies indicate improvements in other markers of anabolism and typical increases in muscle strength.
  • Improvements in physical function, whether objectively measured or self-reported, remain inconsistent across studies.

Conclusions:

  • Resistance exercise training shows promise for improving muscle strength in ESRD patients, but its impact on LBM and physical function needs further research.
  • Optimizing study durations, training loads, and sample sizes may be crucial for detecting more substantial benefits.
  • While androgens and growth hormone show potential for improving LBM and strength, their long-term safety and efficacy in ESRD require more investigation before widespread recommendation.