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Physical exercise programs in CKD: lights, shades and perspectives [corrected].

Filippo Aucella1, Yuri Battaglia, Vincenzo Bellizzi

  • 1Department of Nephrology and Dialysis, Scientific Institut for Research and Health Care "Casa Sollievo della Sofferenza" IRCCS, Viale Cappuccini n. 1, 71013, San Giovanni Rotondo, FG, Italy, f.aucella@operapadrepio.it.

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Summary

Regular exercise offers significant health benefits for individuals with chronic kidney disease (CKD), improving physical function and quality of life. Tailored exercise programs, considering individual capacity and involving patients in decision-making, are crucial for effective rehabilitation in CKD patients.

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Area of Science:

  • Nephrology
  • Exercise Physiology
  • Public Health

Background:

  • Moderate exercise benefits the general population, reducing risks of obesity, cardiovascular disease, cancer, and mortality.
  • Physical inability is a significant independent risk factor for mortality in chronic kidney disease (CKD) patients.
  • While exercise improves functional and psychological measures in CKD, rehabilitation is not routinely prescribed.

Purpose of the Study:

  • To highlight the importance of exercise rehabilitation in chronic kidney disease (CKD).
  • To emphasize the need for individualized exercise prescription based on physical capability assessment in CKD patients.
  • To identify barriers and suggest approaches for implementing exercise programs in the CKD setting.

Main Methods:

  • Review of existing literature on exercise benefits and challenges in chronic kidney disease (CKD).
  • Discussion of the heterogeneity of CKD patients and the necessity of tailored exercise programs.
  • Exploration of various exercise rehabilitation approaches, including home-based, supervised, and in-hospital programs.

Main Results:

  • Exercise improves aerobic capacity, walking ability, and health-related quality of life in CKD patients.
  • Physical capability assessment is mandatory for appropriate exercise prescription in CKD.
  • Psychological and logistical barriers can hinder exercise implementation in renal patients.

Conclusions:

  • Exercise rehabilitation is beneficial but underutilized in chronic kidney disease (CKD) care.
  • Individualized exercise programs, tailored to patient capacity and comorbidities, are essential.
  • Active involvement of healthcare professionals and patient participation in decision-making are key to successful exercise implementation in CKD.