Chronic kidney disease, exercise, and sports in children, adolescents, and adults.
Individuals with chronic kidney disease have poor exercise tolerance and are easily fatigued compared with their healthy peers. The primary reasons for poor exercise tolerance include anemia, effects of chronic uremia and metabolic acidosis on the heart and skeletal muscles, and lower levels of physical activity. Studies suggest that regular and early implementation of both aerobic and resistance exercise programs in persons with chronic kidney disease have positive effects on muscle function, exercise tolerance, and quality of life. Before starting any exercise program, a medical assessment and exercise testing are generally recommended. No consensus exists regarding allowing young athletes with a solitary kidney who want to participate in contact or collision sports. Decisions to allow participation in different sports and leisure activities should be made on an individual basis, considering multiple factors. This article reviews factors that affect exercise tolerance in persons with chronic kidney disease, the effects of exercise, and exercise recommendations.
Patel
Dilip R
DR
Michigan State University Kalamazoo, Center for Medical Studies, 1000 Oakland Dr., Kalamazoo, MI 49008, USA. patel@kcms.msu.edu
Raj
Vimal Master Sankar
VM
Torres
Alfonso
A
D000293:Adolescent; D000328:Adult; D002648:Child; D015444:Exercise; D017079:Exercise Tolerance; D005221:Fatigue / Q000209:etiology / Q000517:prevention & control; D006801:Humans; D007676:Kidney Failure, Chronic / Q000503:physiopathology*; D011788:Quality of Life; D012307:Risk Factors; D013177:Sports