Abstract
A 67-year-old Caucasian female with ESRD secondary to diabetes who had been treated with hemodialysis for 2 years was complaining of general fatigue and weakness. She had retired from office work upon starting dialysis treatments, which were 3.5 h/session, 3 days/week. She tolerated dialysis well and had good adherence to her dialysis treatments and associated dietary recommendations. She had an AV fistula in her left upper arm. She had history of shortness of breath with exertion before starting dialysis.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Painter P, Marcus R. Assessing physical function and physical activity in CKD patients: in-depth review. Clin J Am Soc Nephrol. 2013;8(5):861–72.
Katz S. Assessing self-maintenance: activities of daily living, mobility and instrumental activities of daily living. J Am Geriatr Soc. 1983;31:721–6.
Guralnik J, Ferrucci L, Simonsick E, Salive M, Wallace R. Lower-extremity function in persons over the age of 70 as a predictor of subsequent disability. N Engl J Med. 1995;43:845–54.
Bohannon R. Comfortable and maximum walking speed of adults aged 20–79 years: reference values and determinants. Age Ageing. 1997;26:15–9.
Perera S, Mody S, Woodman R, Studenski S. Meaningful change and responsiveness in common performance measures in older adults. J Am Geriatr Soc. 2006;54:743–9.
U.S. Department of Health and Human Services. Dietary guidelines for Americans, 2010. 7th ed. Washington, DC: U.S. Government Printing Office; 2010.
Borg G. An Introduction to Borg’s RPE scale. Ithaca, NY: Movement Publications; 1985.
U.S. Department of Health and Human Services. 2008 physical activity guidelines for Americans. Washington, DC: USDHHS; 2008.
Ainsworth B, Haskell W, Herrmann S, Meckes N, Bassett D, Tudor-Locke C, Greer J, Vezina J, Whitt-Glover M, Leon A. 2011 Compendium of physical activities: a second update of codes and MET values. Med Sci Sports Exerc. 2011;43:1575–81.
Office of the U.S. Surgeon General. Physical activity and health: a report of the surgeon general. Washington, DC: US Department of Health and Human Services, National Center for Chronic Disease Prevention and Health Promotion; 1996.
National Institute of Aging. Exercise & physical activity: your everyday guide from the National Institute on Aging! Washington, DC: National Institute on Aging, National Institutes of Health; 2009.
Haskell W, Lee I, Pate R, Powell K, Blair S, Franklin B, Macera C, Heath G, Thompson R, Bauman A. Physical activity and public health: updated recommendation for adults from the American College of Sports Medicine and the American Heart Association. Circulation. 2007;116:1081–93.
Nelson M, Rejeski W, Blair S, Duncan P, Judge J, King A, Macera C, Castaneda-Sceppa C. Physical activity and public health in older adults: recommendation from the American College of Sports Medicine and the American Heart Association. Circulation. 2007;116:1094–105.
Painter P, Carlson L, Carey S, Paul S, Myll J. Physical functioning and health-related quality-of-life changes with exercise training in hemodialysis patients. Am J Kidney Dis. 2000;35:482–92.
Fix A, Daughton D. Human activity profile professional manual. Odessa, FL: Psychological Assessment Resources; 1988.
Kutner N, Johansen K, Kaysen G, Pederson S, Chen S, Agodoa L, Eggers P, Chertow G. The comprehensive dialysis study (CDS): a USRDS special study. Clin J Am Soc Nephrol. 2009;4:645–50.
Johansen K, Chertow G, Kutner N, Dalrymple L, Grimes B, Kaysen G. Low level of self-reported physical activity in ambulatory patients new to dialysis. Kidney Int. 2010;78:1164–70.
Johansen K, Painter P, Kent-Braun J, Ng A, Carey S, Da Silva M, Chertow GM. Validation of questionnaires to estimate physical activity and functioning in ESRD. Kidney Int. 2001;59:1121–7.
O’Hare A, Tawney K, Bacchetti P, Johansen K. Decreased survival among sedentary patients undergoing dialysis: results from the dialysis morbidity and mortality study wave 2. Am J Kidney Dis. 2003;41:447–54.
Painter P, Messer-Rehak D, Hanson P, Zimmerman S, Glass N. Exercise capacity in hemodialysis, CAPD, and renal transplant patients. Nephron. 1986;42:47–51.
Barnea H, Drory Y, Iaina A, Lapidot C, Reisin E, Eliahou H, Kellerman J. Exercise tolerance in patients on chronic hemodialysis. Isr J Med Sci. 1980;16:17–21.
Beasley C, Smith D, Neale T. Exercise capacity in chronic renal failure patients managed by continuous ambulatory peritoneal dialysis. Aust N Z J Med. 1986;16:5–10.
Moore G, Brinker K, Stray-Gundersen J, Mitchell J. Determinants of VO2peak in patients with end-stage renal disease: on and off dialysis. Med Sci Sports Exerc. 1993;25:18–23.
Moore G, Parsons D, Stray-Gundersen J, Painter P, Brinker K, Mitchell J. Uremic myopathy limits aerobic capacity in hemodialysis patients. Am J Kidney Dis. 1993;22:277–87.
Violan M, Pomes T, Maldonado S, Roura G, Fuente I, Verdaguer T, Lloret R, Torregrosa J, Campistol J. Exercise capacity in hemodialysis and renal transplant patients. Transplant Proc. 2002;34:417–8.
Padilla J, Krasnoff J, Da Silva M, Hsu CY, Frassetto L, Johansen KL, Painter P. Physical functioning in patients with chronic kidney disease. J Nephrol. 2008;21:550–9.
Sietsema K, Amato A, Adler S, Brass E. Exercise capacity as a predictor of survival among ambulatory patients with end-stage renal disease. Kidney Int. 2004;65:719–24.
Goldberg A, Geltman E, Hagberg J, Gavin J, Delmez J, Carney R, Naumowicz A, Oldfield M, Harter H. Therapeutic benefits of exercise training for hemodialysis patients. Kidney Int. 1983;24:S303–9.
Goldberg A, Hagberg J, Delmez J, Haynes M, Harter H. Metabolic effects of exercise training in hemodialysis patients. Kidney Int. 1980;18:754–61.
Zabetakis P, Gleim G, Pasternack F, Saraniti A, Nicholas J, Michelis M. Long-duration submaximal exercise conditioning in hemodialysis patients. Clin Nephrol. 1982;18:17–22.
Shalom R, Blumenthal J, Williams R, McMurray R, Dennis V. Feasibility and benefits of exercise training in patients on maintenance dialysis. Kidney Int. 1984;25:958–63.
Lennon D, Shrago E, Madden M, Nagle F, Hanson P, Zimmerman S. Carnitine status, plasma lipid profiles, and exercise capacity of dialysis patients: effects of a submaximal exercise program. Metabolism. 1986;35:728–35.
Boyce M, Robergs R, Avasthi P, Roldan C, Foster A, Montner P, Stark D, Nelson C. Exercise training by individuals with predialysis renal failure: cardiorespiratory endurance, hypertension, and renal function. Am J Kidney Dis. 1997;30:180–92.
Clyne N, Ekholm J, Jogestrand T, Lins LE, Pehrsson SK. Effects of exercise training in predialytic uremic patients. Nephron. 1991;59:84–9.
Johansen K, Shubert T, Doyle J, Soher B, Sakkas G, Kent-Braun J. Muscle atrophy in patients receiving hemodialysis: effects on muscle strength, muscle quality, and physical function. Kidney Int. 2003;63:201–7.
DeOreo P. Hemodialysis patient-assessed functional health status predicts continued survival, hospitalization, and dialysis-attendance compliance. Am J Kidney Dis. 1997;30:204–12.
Lowrie E, Curtin R, LePain N, Schatell D. Medical outcomes study short form-36: a consistent and powerful predictor of mortality in dialysis patients. Am J Kidney Dis. 2003;41:1286–92.
Wu A, Fink N, Marsh-Manzi J, Meyer K, Finkelstein F, Chapman M, Powe N. Changes in quality of life during hemodialysis and peritoneal dialysis treatment: generic and disease specific measures. J Am Soc Nephrol. 2004;15:743–53.
Johansen K, Chertow G, Silva MD, Carey S, Painter P. Determinants of physical performance in ambulatory patients on hemodialysis. Kidney Int. 2001;60:1586–91.
Knight E, Oftshun N, Teng M, Lazarus J, Curhan G. The association between mental health, physical function, and hemodialysis mortality. Kidney Int. 2003;63:1843–51.
Fried L, Tangen C, Walston J, Newman A, Hirsch C, Gottdiener J, Seeman T, Tracy R, Kop W, Burke G, BcBurnie M. Group, ftCHSCR: frailty in older adults: evidence for a phenotype. J Gerontol A Biol Sci Med Sci. 2001;56A:M146–56.
Shlipak M, Stehman-Breen C, Fried L, Song X, Siscovick D, Fried L, Psaty B, Newman A. The presence of frailty in elderly persons with chronic renal insufficiency. Am J Kidney Dis. 2004;43:861–7.
Woods N, LaCroix A, Gray S, Aragaki A, Cochrane B, Brunner R, Masaki K, Murray A, Newman A. Frailty: emergence and consequences in women aged 65 and older in the Women’s Health Initiative Observational Study. J Am Geriatr Soc. 2005;53:1321–30.
Johansen K, Chertow G, Jin C, Kutner N. Significance of frailty among dialysis patients. J Am Soc Nephrol. 2007;18:2960–7.
Bao Y, Dalrymple L, Chertow G, Kaysen G, Johansen K. Frailty, dialysis initiation, and mortality in end-stage renal disease. Arch Intern Med. 2012;172(14):1071–7.
Johansen KL, Painter P. Exercise in individuals with CKD. Am J Kidney Dis. 2012;59:126–34.
Cheema B, Singh M. Exercise training in patients receiving maintenance hemodialysis: a systematic review of clinical trials. Am J Nephrol. 2005;25:352–64.
Painter P. Physical functioning in end-stage renal disease patients: update 2005. Hemodial Int. 2005;9:218–35.
Johansen K. Exercise in the end-stage renal disease population. J Am Soc Nephrol. 2007;18:1845–54.
Parsons T, King-Vanvlack C. Exercise and end-stage kidney disease: functional exercise capacity and cardiovascular outcomes. Adv Chronic Kidney Dis. 2009;16:459–81.
Eidemak I, Haaber AB, Feldt-Rasmussen B, Kanstrup IL, Strandgaard S. Exercise training and the progression of chronic renal failure. Nephron. 1997;75:36–40.
Pechter U, Maaroos J, Mesikepp S, Veraksits A, Ots M. Regular low-intensity aquatic exercise improves cardio-respiratory functional capacity and reduces proteinuria in chronic renal failure patients. Nephrol Dial Transplant. 2003;18:624–5.
Leehey D, Moinuddin I, Bast J, Qureshi S, Jelinek C, Cooper C, Edwards L, Smith B, Collins E. Aerobic exercise in obese diabetic patients with chronic kidney disease: a randomized and controlled pilot study. Cardiovasc Diabetol. 2009;8:62.
Mustata S, Groeneveld S, Davidson W, Ford G, Kiland K, Manns B. Effects of exercise training on physical impairment, arterial stiffness and health-related quality of life in patients with chronic kidney disease: a pilot study. Int Urol Nephrol. 2011;43(4):1133–41.
Gregory S, Headley S, Germain M, Flyvbjerg A, Coughlin M, Milch C, Sullivan S, Nindl B. Lack of circulating bioactive and immunoreactive IGF-1 changes despite improved fitness in chronic kidney disease patients following 48 weeks of physical training. Growth Horm IGF Res. 2011;21(1):51–6.
Heiwe S, Tollback A, Clyne N. Twelve weeks of exercise training increases muscle function and walking capacity in elderly predialysis patients and healthy subjects. Nephron. 2001;88:48–56.
Johansen K, Painter P. Exercise in individuals with CKD. Am J Kidney Dis. 2011;59:126–34.
Anderson J, Stewart K, Hatchett L. Effect of exercise training on interdialytic ambulatory and treatment-related blood pressure in hemodialysis patients. Ren Fail. 2004;26:539–44.
Miller B, Cress C, Johnson M, Nichols D, Schnitzler M. Exercise during hemodialysis decreases the use of antihypertensive medications. Am J Kidney Dis. 2002;39:826–33.
Castaneda C, Gordon PL, Parker R, Uhlin K, Roubenoff R, Levey AS. Resistance training to reduce the malnutrition-inflammation complex syndrome of chronic kidney disease. Am J Kidney Dis. 2004;43:607–16.
Pechter U, Ots M, Mesikepp S, Zilmer K, Kullissaar T, Vihalemm T, Zilmer M, Maaroos J. Beneficial effects of water-based exercise in patients with chronic kidney disease. Int J Rehabil Res. 2003;26:153–6.
National Kidney Foundation. K/DOQI clinical practice guidelines for cardiovascular disease in dialysis patients. Am J Kidney Dis. 2005;45:S1–154.
Carlson S, Hootman J, Powell K, Macera C, Heath G, Gilchrist J, Kimsey C, Kohl H. Self-reported injury and physical activity levels: United States 2000 to 2002. Ann Epidemiol. 2006;16:712–9.
Johansen K, Sakkas G, Doyle J, Shubert T, Dudley R. Exercise counseling practices among nephrologists caring for patients on dialysis. Am J Kidney Dis. 2003;41:171–8.
Delgado C, Johansen KL. Deficient counseling on physical activity among nephrologists. Nephron Clin Pract. 2010;116:c330–6.
Nowicki M, Murlikiewicz K, Jagodzinska M. Pedometers as a means to increase spontaneous physical activity in chronic hemodialysis patients. J Nephrol. 2010;23:297–305.
Medical Education Institute, ME: Life Options. http://lifeoptions.org/catalog/
Huang Y, Zhang R, Culler S, Kutner N. Costs and effectiveness of cardiac rehabilitation for dialysis patients following coronary bypass. Kidney Int. 2008;74:1079–84.
Parsons T, Toffelmire E, King-VanVlack C. Exercise training during hemodialysis improves dialysis efficacy and physical performance. Arch Phys Med Rehabil. 2006;87:680–7.
Painter P. Implementing exercise: what do we know? Where do we go? Adv Chronic Kidney Dis. 2009;16: 536–44.
Painter P, Carlson L, Carey S, Myll J, Paul S. Determinants of exercise encouragement practices in hemodialysis staff. Nephrol Nurs J. 2004;31:67–74.
Weuve J, Kang J, Manson J, Breteler M, Ware J, Grodstein F. Physical activity, including walking, and cognitive function in older women. JAMA. 2004;292:1454–61.
Lee I, Paffenbarger Jr R. Physical activity and stroke incidence: the Harvard Alumni Health Study. Stroke. 1998;29:2049–54.
Gregg E, Gerzoff R, Caspersen C, Williamson D, Narayan K. Relationship of walking to mortality among US adults with diabetes. Arch Intern Med. 2003;163:1440–7.
Manson J, Greenland P, LaCroix A, Stefanick M, Mouton C, Oberman A, Perri M, Sheps D, Pettinger M, Siscovick D. Walking compared with vigorous exercise for the prevention of cardiovascular events in women. N Engl J Med. 2002;347:716–25.
Goodman E, Ballou M. Perceived barriers and motivators to exercise in hemodialysis patients. Nephrol Nurs J. 2004;31:23–9.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2014 Springer Science+Business Media New York
About this chapter
Cite this chapter
Johansen, K.L., Painter, P. (2014). Physical Activity and Exercise. In: Byham-Gray, L., Burrowes, J., Chertow, G. (eds) Nutrition in Kidney Disease. Nutrition and Health. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-62703-685-6_16
Download citation
DOI: https://doi.org/10.1007/978-1-62703-685-6_16
Published:
Publisher Name: Humana Press, Totowa, NJ
Print ISBN: 978-1-62703-684-9
Online ISBN: 978-1-62703-685-6
eBook Packages: MedicineMedicine (R0)