Exercise & Sports Science Australia (ESSA) position statement on exercise and chronic kidney disease

摘要: Objectives: Chronic kidney disease (CKD) is prevalent, affecting 13% of adult Australians and poses increased risk for cardiovascular morbidity mortality. This position article provides evidence-based guidelines on the role exercise training CKD patients recommendations prescribing delivering training. Design: Position stand. Methods: Synthesis published work within field chronic disease. Results: Exercise likely to provide benefits patients, including improvements in cardiorespiratory fitness, quality life, sympatho-adrenal activity, muscle strength energy intake possible reduction inflammatory biomarkers. Existing studies generally report small sample sizes, brief periods relatively high attrition rates. appears be safe with no deaths directly related over 30,000 patient-hours, although strict medical exclusion criteria previous resulted 25% being excluded potentially impacting generalisability findings. Conclusions: Aerobic at an intensity >60% maximum capacity recommended improve cardio-respiratory fitness. Few data are available resistance it unclear whether this form retards catabolic/inflammatory processes typical CKD. However, should considered important due its proven beneficial effects bone density mass. Due prevalence incidence co-morbidities programs prescribed delivered by individuals appropriate qualifications experience recognise accommodate associated complications.