title: Nutrition and physical activity in CKD patients.
abstract: Chronic kidney disease (CKD) patients are at risk for protein-energy wasting, abnormal body composition and impaired physical capacity. These complications lead to increased risk of hospitalization, morbidity and mortality.In CKD patient as well as in healthy people, there is a close association between nutrition and physical activity. Namely, inadequate nutrient (energy) intake impairs physical performance thus favoring a sedentary lifestyle: this further contributes to loss of muscle strength and mass, which limit the quality of life and rehabilitation of CKD patients. In CKD as well as in end-stage-renal-disease patients, regular physical activity coupled with adequate energy and protein intake counteracts protein-energy wasting and related comorbidity and mortality. In summary, exercise training can positively influence nutritional status and the perception of well-being of CKD patients and may facilitate the anabolic effects of nutritional interventions.
authors.affiliation: Department of Clinical and Experimental Medicine, University of Pisa; Nephrology, Transplantation and Dialysis Unit, AOUP, Pisa, Italy.
authors.forename: Adamasco
authors.initials: A
authors.lastname: Cupisti
authors.forename: Claudia
authors.initials: C
authors.lastname: D'Alessandro
authors.forename: Giordano
authors.initials: G
authors.lastname: Fumagalli
authors.forename: Valentina
authors.initials: V
authors.lastname: Vigo
authors.forename: Mario
authors.initials: M
authors.lastname: Meola
authors.forename: Caterina
authors.initials: C
authors.lastname: Cianchi
authors.forename: Maria F
authors.initials: MF
authors.lastname: Egidi
mesh_terms: D004032:Diet; D015444:Exercise; D006801:Humans; D007676:Kidney Failure, Chronic / Q000178:diet therapy / Q000503:physiopathology / Q000628:therapy; D009043:Motor Activity; D009747:Nutritional Physiological Phenomena; D009752:Nutritional Status; D051436:Renal Insufficiency, Chronic / Q000178:diet therapy* / Q000503:physiopathology* / Q000628:therapy