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Physical exercise and peritoneal dialysis: An area yet to be explored
José Inacio Maia Neves Menezes1, Luciano Artur Lopes Pereira2
1Faculty of Medicine of University of Porto, Portugal.
Nefrologia
|October 9, 2022
Summary
Physical exercise may improve health-related quality of life and physical function in patients undergoing peritoneal dialysis (PD). More research is needed to confirm benefits and address barriers for PD patients.
Area of Science:
- Nephrology
- Exercise Physiology
- Public Health
Background:
- Chronic kidney disease (CKD) impairs patients' quality of life and physical capacity.
- Physical exercise benefits CKD and hemodialysis (HD) patients, but evidence for peritoneal dialysis (PD) patients is limited.
- The PD population is growing and shares similar risk factors and outcomes with HD patients.
Purpose of the Study:
- To review the literature on physical exercise's impact on PD patients' quality of life, physical functioning, and cardiovascular parameters.
- To identify barriers and limitations to physical exercise practice in the PD population.
- To provide guidance for nephrologists on addressing these barriers.
Main Methods:
- Literature review including randomized controlled trials, reviews, and meta-analyses.
- Assessment of studies focusing on health-related quality of life (HRQoL), physical functioning, and cardiovascular parameters in PD patients undergoing exercise.
- Evaluation of reported barriers and limitations for exercise in PD patients.
Main Results:
- Limited but emerging evidence suggests potential benefits of physical exercise for PD patients.
- Further investigation is required to establish definitive exercise protocols and outcomes for PD.
- Barriers to exercise in PD patients need to be identified and addressed by healthcare providers.
Conclusions:
- Physical exercise interventions show promise for improving outcomes in PD patients.
- Addressing patient-specific barriers is crucial for successful exercise implementation.
- More research is essential to optimize exercise strategies for the growing PD population.
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