Exercise As a Therapeutic Intervention in Chronic Kidney Disease: Are We Nearly There Yet?

Overview

Journal Curr Opin Nephrol Hypertens

Specialties Cardiology & Vascular Diseases
Nephrology

Date 2023 Aug 25

PMID 37622530

Authors

Ellen M Castle

Roseanne E Billany

Courtney J Lightfoot

Coby Annema

Stefan De Smet

Matthew P M Graham-Brown

Sharlene A Greenwood

Affiliations

Soon will be listed here.

Abstract

Purpose Of Review: The opportunity to review the more recent evidence for prescribing exercise-based physical rehabilitation for people living with chronic kidney disease (CKD) is timely. There has been a recent global focus evaluating how physical activity interventions might improve health-related quality of life and outcomes for people living with chronic health conditions in a post-COVID era. There is finally a long overdue commitment from the kidney research and clinical community to deliver pragmatic interventions to help people living with CKD to be able to live well with their condition.

Recent Findings: This article reviews recent research, and discusses the challenges and potential solutions, for providing exercise-based therapeutic options for people living with CKD; including predialysis self-management interventions, options for both prehabilitation and posttransplant rehabilitation, pragmatic considerations for delivery of exercise therapy for people receiving haemodialysis treatment and the role of virtual kidney-specific rehabilitation.

Summary: Whilst there remains a need for further research in this area of patient care, there is now a body of evidence and kidney-specific guidelines that firmly support a rollout of pragmatic and scalable exercise-based interventions for people living with CKD. We are indeed nearly there now.

Citing Articles

Exploring How the Kidney BEAM Physical Activity Digital Health Intervention Improved Mental Health-Related Quality of Life for People Living With Kidney Disease.

Castle E, Billany R, Young H, Walklin C, Briggs J, Asgari E Kidney Int Rep. 2024; 9(12):3517-3531.

PMID: 39698363 PMC: 11652097. DOI: 10.1016/j.ekir.2024.09.029.

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