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Physical Exercise Prescription for Individuals with Kidney Disease

Received: 26 August 2020    Accepted: 9 September 2020    Published: 9 November 2020
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Abstract

Chronic kidney disease (CKD) is a common condition that has significant implications for patients’ health. CKD is diagnosed if evidence of kidney damage has been present for more than 3 months; it is divided into five stages depending on the glomerular filtration rate (GFR). CKD is asymptomatic and determining its prevalence relies on screening populations, so the reported prevalence depends on the population studied and screening methods used. Risk factors for CKD can be divided into initiating and perpetuating factors, and includes genetic factors, ethnicity, socio-economic factors and age. There are several causes of CKD, the most common being diabetes mellitus. In order to reduce the burden of CKD, it is essential to recognize which patients are at most risks so that they can be screened and treated early. It is hoped that with early recognition and treatment the number of patients with CKD progressing to end-stage kidney disease (ESKD) and the need for renal replacement therapy will be reduced. Exercise testing of individuals with CKD should be supervised by trained medical personnel, with the use of standard test termination criteria and test termination methods. Based on current evidence, exercise is safe for these individuals if performed at moderate intensity and if progression occurs gradually.

Published in American Journal of Science, Engineering and Technology (Volume 5, Issue 4)
DOI 10.11648/j.ajset.20200504.11
Page(s) 124-127
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Chronic Kidney Disease, Dialysis, Kidney Transplantation, Exercise Testing, Exercise Prescription

References
[1] U.S. Renal Data System. USRDS 2009 Annual Data Report: Atlas of Chronic Kidney Disease and End-Stage Renal Disease i n the United States [Internet]. Bethesda (MD): National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Disease; [ci ted 2015 Jan 15]. Available from: http: //www.usrds.org/atl as09.aspx.
[2] Johansen KL. Exercise and chronic kidney disease: current recommendations. Sports Med. 2005; 35 (6): 485–99.
[3] Centers for Disease Control and Prevention. National Chronic Kidney Disease Fact Sheet: General Information and National Estimates on Chronic Kidney Disease in the United States, 2014. Atlanta (GA): U.S. Department of Health and Human Services, Centers for Disease Control and Prevention; 2014. 4 p.
[4] KDIGO 2012) Kidney Disease: Improving Global Outcomes. KDIGO 2012 Clinical Practice Guideline for the Evaluation and Management of Chronic Kidney Disease. Kidney International Supplements. 2013; 3: 134–5.
[5] Johansen KL, Painter P. Exercise in individuals with CKD. Am J Kidney Dis. 2012; 59 (1): 126–34.
[6] American Association on Intellectual and Developmental Disabilities. Intellectual Disability: Definition, Classification, and Systems of Support. 11th ed. Washington (DC): Ameri can Association on Intellectual and Developmental Disabilities; 2010. 280 p.
[7] Painter PL, Hector L, Ray K, et al. A randomized trial of exercise training after renal transplantation. Transplantation. 2002; 74 (1): 42–8.
[8] Violan MA, Pomes T, Maldonado S, et al. Exercise capacity in hemodialysis and renal transplant patients. Transplant Pr oc. 2002; 34 (1): 417–8.
[9] Diesel W, Noakes TD, Swanepoel C, Lambert M. Isokinetic muscle strength predicts maxi mum exercise tolerance in renal patients on chronic hemodialysis. Am J Kidney Dis. 1990; 16 (2): 109–14.
[10] Heiwe S, Jacobson S. Exercise training i n adults with CKD: a systematic review and meta-analysis. Am J Kidney Dis. 2014; 64 (3): 383–93.
[11] Miller TD, Squires R W, Gau GT, Ilstrup DM, Frohnert PP, Sterioff S. Graded exercise testing and training after renaltransplantation: a preliminary study. Mayo ClinPr oc. 1987; 62 (9): 773–7.
[12] Painter PL. Exercise after renal transplantation. Adv Ren Replace Ther. 1999; 6: 159–64.
[13] ACSM’s. Guidelines for Exercise Testing and Prescription, 10th ed., Lippincott, Williams and Wilkins, Philadelphia, 2018.
Cite This Article
  • APA Style

    Getu Teferi, Bayih Ejigu. (2020). Physical Exercise Prescription for Individuals with Kidney Disease. American Journal of Science, Engineering and Technology, 5(4), 124-127. https://doi.org/10.11648/j.ajset.20200504.11

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    ACS Style

    Getu Teferi; Bayih Ejigu. Physical Exercise Prescription for Individuals with Kidney Disease. Am. J. Sci. Eng. Technol. 2020, 5(4), 124-127. doi: 10.11648/j.ajset.20200504.11

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    AMA Style

    Getu Teferi, Bayih Ejigu. Physical Exercise Prescription for Individuals with Kidney Disease. Am J Sci Eng Technol. 2020;5(4):124-127. doi: 10.11648/j.ajset.20200504.11

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  • @article{10.11648/j.ajset.20200504.11,
      author = {Getu Teferi and Bayih Ejigu},
      title = {Physical Exercise Prescription for Individuals with Kidney Disease},
      journal = {American Journal of Science, Engineering and Technology},
      volume = {5},
      number = {4},
      pages = {124-127},
      doi = {10.11648/j.ajset.20200504.11},
      url = {https://doi.org/10.11648/j.ajset.20200504.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajset.20200504.11},
      abstract = {Chronic kidney disease (CKD) is a common condition that has significant implications for patients’ health. CKD is diagnosed if evidence of kidney damage has been present for more than 3 months; it is divided into five stages depending on the glomerular filtration rate (GFR). CKD is asymptomatic and determining its prevalence relies on screening populations, so the reported prevalence depends on the population studied and screening methods used. Risk factors for CKD can be divided into initiating and perpetuating factors, and includes genetic factors, ethnicity, socio-economic factors and age. There are several causes of CKD, the most common being diabetes mellitus. In order to reduce the burden of CKD, it is essential to recognize which patients are at most risks so that they can be screened and treated early. It is hoped that with early recognition and treatment the number of patients with CKD progressing to end-stage kidney disease (ESKD) and the need for renal replacement therapy will be reduced. Exercise testing of individuals with CKD should be supervised by trained medical personnel, with the use of standard test termination criteria and test termination methods. Based on current evidence, exercise is safe for these individuals if performed at moderate intensity and if progression occurs gradually.},
     year = {2020}
    }
    

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    AU  - Getu Teferi
    AU  - Bayih Ejigu
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    T2  - American Journal of Science, Engineering and Technology
    JF  - American Journal of Science, Engineering and Technology
    JO  - American Journal of Science, Engineering and Technology
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    PB  - Science Publishing Group
    SN  - 2578-8353
    UR  - https://doi.org/10.11648/j.ajset.20200504.11
    AB  - Chronic kidney disease (CKD) is a common condition that has significant implications for patients’ health. CKD is diagnosed if evidence of kidney damage has been present for more than 3 months; it is divided into five stages depending on the glomerular filtration rate (GFR). CKD is asymptomatic and determining its prevalence relies on screening populations, so the reported prevalence depends on the population studied and screening methods used. Risk factors for CKD can be divided into initiating and perpetuating factors, and includes genetic factors, ethnicity, socio-economic factors and age. There are several causes of CKD, the most common being diabetes mellitus. In order to reduce the burden of CKD, it is essential to recognize which patients are at most risks so that they can be screened and treated early. It is hoped that with early recognition and treatment the number of patients with CKD progressing to end-stage kidney disease (ESKD) and the need for renal replacement therapy will be reduced. Exercise testing of individuals with CKD should be supervised by trained medical personnel, with the use of standard test termination criteria and test termination methods. Based on current evidence, exercise is safe for these individuals if performed at moderate intensity and if progression occurs gradually.
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Author Information
  • Department of Sports Science, Debremarkos University, Debremarkos, Ethiopia

  • Department of Sports Science, Debremarkos University, Debremarkos, Ethiopia

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