Advances in exercise therapy in predialysis chronic kidney disease, hemodialysis, peritoneal dialysis, and kidney transplantation

被引:75
作者
Wilkinson, Thomas J. [1 ]
McAdams-DeMarco, Mara [2 ,3 ]
Bennett, Paul N. [4 ,5 ]
Wilund, Kenneth [6 ]
机构
[1] Univ Leicester, Dept Hlth Sci, Leicester Kidney Lifestyle Team, Leicester, Leics, England
[2] Johns Hopkins Univ, Sch Med, Dept Surg, Baltimore, MD 21205 USA
[3] Johns Hopkins Bloomberg Sch Publ Hlth, Dept Epidemiol, Baltimore, MD USA
[4] Satellite Healthcare Inc, Med Clin Affairs, San Jose, CA USA
[5] Deakin Univ, Fac Hlth, Melbourne, Vic, Australia
[6] Univ Illinois, Dept Kinesiol & Community Hlth, Champaign, IL 61820 USA
基金
美国国家卫生研究院;
关键词
chronic kidney disease; dialysis; exercise; intradialytic exercise; physical activity; physical function; PHYSICAL-ACTIVITY; INTRADIALYTIC EXERCISE; RECIPIENTS; LIFE; RESPONSES; PROGRAM; QUALITY; LEVEL;
D O I
10.1097/MNH.0000000000000627
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Purpose of review Chronic kidney disease (CKD) is characterized by poor levels of physical activity which contribute to increased morbidity across the disease trajectory. The short nature, small samples, and poor methodology across most studies have failed to translate the role of exercise in CKD into its adoption as a frontline adjunct therapeutic option. This review focuses on recent advances surrounding the benefits of exercise interventions across the CKD spectrum. Recent findings Key recent advances in exercise studies have focused on the efficacy of novel intervention strategies across the CKD spectrum. These include high-intensity interval training, virtual reality gaming, intradialytic yoga, electrical stimulation of muscles, blood flow restriction training, and protocols combining exercise with nutritional supplementation. Research is also beginning to explore the role of prehabilitation for patients prior to dialysis and kidney transplantation. Studies continue to demonstrate wide-ranging benefits of exercise across CKD; however, implementation of exercise remains scarce. Future research needs include evaluating the efficacy of larger and/or more comprehensive interventions on clinically important outcomes. It is hoped with increasing global evidence, high-quality clinical studies, and sustained clinician and patient engagement, exercise programs will become better prioritized in the nephrology field.
引用
收藏
页码:471 / 479
页数:9
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