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Exercise and physical activity for people receiving peritoneal dialysis: Why not?
Myriam Isnard-Rouchon1, Mike West2, Paul N Bennett3,4
1Department of Néphrologie, AURA-Auvergne, Chamalières, France.
Seminars in Dialysis
|March 26, 2019
Summary
Physically inactive patients with end-stage kidney disease on peritoneal dialysis experience poor health. This review offers strategies for nephrologists to encourage appropriate exercise, overcoming common barriers for better physical function.
Area of Science:
- Nephrology
- Exercise Physiology
- Public Health
Background:
- Patients with end-stage kidney disease (ESKD) undergoing peritoneal dialysis (PD) often exhibit physical inactivity.
- This inactivity contributes to diminished physical function and adverse health outcomes in the PD population.
- Current guidelines advocate for increased physical activity, yet practical implementation is hindered by perceived barriers and unclear exercise recommendations.
Purpose of the Study:
- To provide actionable strategies for nephrology professionals to encourage physical activity in PD patients.
- To address and overcome common barriers that discourage PD patients from engaging in exercise programs.
- To highlight successful approaches for increasing physical activity in this patient group.
Main Methods:
- Literature review synthesizing existing research on physical activity in PD patients.
- Inclusion of practical experiences and insights from established exercise programs in France, the United States, and Australia.
- Analysis of barriers and facilitators to exercise participation in the PD population.
Main Results:
- Identified common barriers include patient-related concerns, healthcare provider uncertainty, and program accessibility.
- Demonstrated that tailored exercise regimens can be safely and effectively implemented in PD patients.
- Highlighted the positive impact of structured exercise programs on physical function and quality of life.
Conclusions:
- Nephrology professionals play a crucial role in promoting physical activity among PD patients.
- Overcoming perceived barriers through clear guidance and support is essential for successful exercise adoption.
- Implementing evidence-based exercise strategies can significantly improve health outcomes for individuals with ESKD on PD.
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