Home dialysis and physical activity:state of knowledge and recommendations for the nephrologist
DOI:
https://doi.org/10.25796/bdd.v7i2.83663Keywords:
home dialysis, daily hemodialysis, peritoneal dialysis, physical activityAbstract
Home-Dialysis promotes the autonomy of dialysis patients, and should be accompanied by a higher level of physical activity and physical capacity than conventional hemodialysis. There are no data on daily-home-hemodialysis patients, but peritoneal dialysis patients have similar levels of physical activity and physical capacity to conventional hemodialysis patients. There are no studies evaluating the effect of a re-training program in daily-home-hemodialysis patients. Several studies have demonstrated the feasibility and safety of re-training programs in peritoneal dialysis patients, with beneficial effects on quality of life and physical capacity. Regular physical activity of 30 minutes, 5 times a week, is recommended for dialysis patients. All periods of low- to moderate-intensity physical activity should be taken into account when calculating the 30 minutes, and it is therefore possible to include physical activity as part of daily life, physical exercise, and leisure sports activities. It is the role of nephrologists to promote the practice of regular physical activity to their patients, possibly with the support of physical activity professionals whose role will be to assess patients’ physical condition, motivation, and lifestyle, design individualized physical rehabilitation programs for each patient, supervise these programs and empower patients towards a more active lifestyle and regular physical activity. The lack of studies should not be a hindrance to nephrologists, who can draw on existing recommendations from cardiology and International Society for Peritoneal Dialysis (ISPD).
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