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Physical excercise programs in CKD: lights, shades and perspectives: a position paper of the “Physical Exercise in CKD Study Group” of the Italian Society of Nephrology

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An Erratum to this article was published on 27 May 2015

Abstract

In the general population, moderate exercise is associated with several health benefits including a decreased risk of obesity, coronary heart disease, stroke, certain types of cancer and all-cause mortality. In chronic kidney disease (CKD), physical inability is an independent risk of death. Health benefits of regular exercise in CKD patients include improvements in functional and psychological measures such as aerobic and walking capacity and health-related quality of life. Nonetheless, in CKD patients exercise rehabilitation is not routinely prescribed. Renal patients are heterogeneous across the different stages of CKD so that the assessment of physical capability is mandatory for a correct exercise program prescription. To plan appropriate exercise programs in the CKD setting, targeted professional figures should be actively involved as many psychological or logistic barriers may hamper exercise implementation in these subjects. Different approaches, such as home exercise rehabilitation programs, supervised exercise training or in-hospital gym may theoretically be proposed. However, physical exercise should always be tailored to the individual capacity and comorbidities and each patient should ideally be involved in the decision-making process.

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The authors declare that they have no conflict of interest.

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Authors and Affiliations

  1. Department of Nephrology and Dialysis, Scientific Institut for Research and Health Care “Casa Sollievo della Sofferenza” IRCCS, Viale Cappuccini n. 1, 71013, San Giovanni Rotondo, FG, Italy

    Filippo Aucella

  2. Department of Nephrology, University-Hospital St.Anna, Ferrara, Italy

    Yuri Battaglia

  3. Division of Nephrology, Dialysis and Renal Transplantation, University Hospital “San Giovanni di Dio e Ruggi d’Aragona”, Salerno, Italy

    Vincenzo Bellizzi

  4. CNR-Institute of Clinical Physiology, Reggio Calabria, Italy

    Davide Bolignano

  5. Nephrology Unit, Pescia-Pistoia Hospital, Pescia, Italy

    Alessandro Capitanini

  6. Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy

    Adamasco Cupisti

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  1. Filippo Aucella
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  2. Yuri Battaglia
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  3. Vincenzo Bellizzi
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  4. Davide Bolignano
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  5. Alessandro Capitanini
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  6. Adamasco Cupisti
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Correspondence to Filippo Aucella.

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Aucella, F., Battaglia, Y., Bellizzi, V. et al. Physical excercise programs in CKD: lights, shades and perspectives: a position paper of the “Physical Exercise in CKD Study Group” of the Italian Society of Nephrology. J Nephrol 28, 143–150 (2015). https://doi.org/10.1007/s40620-014-0169-6

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