| Exercise in individuals with CKD. | |
| | |
MedLine Citation:
|
PMID: 22113127 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
There are few studies evaluating exercise in the nondialysis chronic kidney disease (CKD) population. This review covers the rationale for exercise in patients with CKD not requiring dialysis and the effects of exercise training on physical functioning, progression of kidney disease, and cardiovascular risk factors. In addition, we address the issue of the risk of exercise and make recommendations for implementation of exercise in this population. Evidence from uncontrolled studies and small randomized controlled trials shows that exercise training results in improved physical performance and functioning in patients with CKD. In addition, although there are no studies examining cardiovascular outcomes, several studies suggest that cardiovascular risk factors such as hypertension, inflammation, and oxidative stress may be improved with exercise training in this population. Although the current literature does not allow for definitive conclusions about whether exercise training slows the progression of kidney disease, no study has reported worsening of kidney function as a result of exercise training. In the absence of guidelines specific to the CKD population, recent guidelines developed for older individuals and patients with chronic disease should be applied to the CKD population. In sum, exercise appears to be safe in this patient population if begun at moderate intensity and increased gradually. The evidence suggests that the risk of remaining inactive is higher. Patients should be advised to increase their physical activity when possible and be referred to physical therapy or cardiac rehabilitation programs when appropriate. |
| | |
Authors:
|
Kirsten L Johansen; Patricia Painter |
Related Documents
:
|
22143107 - Effects of eccentrically biased versus conventional weight training in older adults. 16490427 - Usefulness of early exercise testing and clinical risk score for prognostic evaluation ... 22021757 - Yoga respiratory training improves respiratory function and cardiac sympathovagal balan... 21697747 - Effect of resistance, endurance and concurrent training on tnf-α, il-6 and crp. 12618567 - Polestriding exercise and vitamin e for management of peripheral vascular disease. 12766247 - Effects of short-term training on plasma acid-base balance during incremental exercise ... |
Publication Detail:
|
Type: Journal Article; Review Date: 2011-11-23 |
Journal Detail:
|
Title: American journal of kidney diseases : the official journal of the National Kidney Foundation Volume: 59 ISSN: 1523-6838 ISO Abbreviation: Am. J. Kidney Dis. Publication Date: 2012 Jan |
Date Detail:
|
Created Date: 2011-12-19 Completed Date: 2012-02-13 Revised Date: 2013-02-20 |
Medline Journal Info:
|
Nlm Unique ID: 8110075 Medline TA: Am J Kidney Dis Country: United States |
Other Details:
|
Languages: eng Pagination: 126-34 Citation Subset: IM |
Copyright Information:
|
Copyright © 2011 National Kidney Foundation, Inc. Published by Elsevier Inc. All rights reserved. |
Affiliation:
|
Division of Nephrology, University of California San Francisco, San Francisco, CA; Nephrology Section, San Francisco VA Medical Center, San Francisco, CA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Cardiovascular Diseases
/
prevention & control Exercise* Exercise Therapy Humans Practice Guidelines as Topic Renal Insufficiency, Chronic* / complications, physiopathology, therapy Risk Factors |
| Grant Support | |
ID/Acronym/Agency:
|
K24 DK085153-01A1/DK/NIDDK NIH HHS; K24 DK085153-02/DK/NIDDK NIH HHS; K24 DK085153-03/DK/NIDDK NIH HHS |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Comparison of concurrent complications of CKD by 2 risk categorization systems.
Next Document: Discriminating Between Simple and Perforated Appendicitis.