We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
Clinical practice guideline exercise and lifestyle in chronic kidney disease.
- Authors
Baker, Luke A.; March, Daniel S.; Wilkinson, Thomas J.; Billany, Roseanne E.; Bishop, Nicolette C.; Castle, Ellen M.; Chilcot, Joseph; Davies, Mark D.; Graham-Brown, Matthew P. M.; Greenwood, Sharlene A.; Junglee, Naushad A.; Kanavaki, Archontissa M.; Lightfoot, Courtney J.; Macdonald, Jamie H.; Rossetti, Gabriella M. K.; Smith, Alice C.; Burton, James O.
- Abstract
Structured exercise With regard to structured exercise, evidence from RCTs (including the new meta-analysis conducted in the development of these guidelines) suggests that appropriate exercise interventions can improve cardiorespiratory fitness and exercise capacity [[212]-[217]]. We suggest the following safety monitoring: o Prior to exercise, ask the patients how they feel, record last measured intradialytic blood pressure and heart rate. o During exercise, ask patient to report symptoms of pain, excessive fatigue, altered consciousness, overheating, anxiety, severe breathlessness, chest pain, dizziness / light-headedness. o Rating of perceived exertion scale can be used during exercise to monitor intensity and ensure exercise intensity does not provoke response greater than 15/hard (heavy) on the Borg RPE scale. Physical activity and exercise The following section provides a synthesis of the current evidence in order to make informed recommendations in regard to the effect of physical activity and exercise in non-dialysis CKD patients (stages 1-5). However, mobility should be encouraged as per standard care [2C] Rationale In exercise-based RCT studies [[226]] involving patients with "new" transplant (i.e. < 2-3 days post-transplant), no additional benefits of exercise were reported, and in the case of Onofre et al. [[227]], intensive physiotherapy did not attenuate the reductions in exercise capacity or peripheral muscle strength when compared to standard care (which included just simple mobility encouragement).
- Publication
BMC Nephrology, 2022, Vol 23, Issue 1, p1
- ISSN
1471-2369
- Publication type
Article
- DOI
10.1186/s12882-021-02618-1