Journal of Nephrology

, Volume 28, Issue 2, pp 143–150 | Cite as

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

  • Filippo AucellaEmail author
  • Yuri Battaglia
  • Vincenzo Bellizzi
  • Davide Bolignano
  • Alessandro Capitanini
  • Adamasco Cupisti


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.


Physical activity Chronic kidney disease Exercise training Physical functioning Quality of life 


Conflict of interest

The authors declare that they have no conflict of interest.


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Copyright information

© Italian Society of Nephrology 2015

Authors and Affiliations

  • Filippo Aucella
    • 1
    Email author
  • Yuri Battaglia
    • 2
  • Vincenzo Bellizzi
    • 3
  • Davide Bolignano
    • 4
  • Alessandro Capitanini
    • 5
  • Adamasco Cupisti
    • 6
  1. 1.Department of Nephrology and DialysisScientific Institut for Research and Health Care “Casa Sollievo della Sofferenza” IRCCSSan Giovanni RotondoItaly
  2. 2.Department of NephrologyUniversity-Hospital St.AnnaFerraraItaly
  3. 3.Division of Nephrology, Dialysis and Renal TransplantationUniversity Hospital “San Giovanni di Dio e Ruggi d’Aragona”SalernoItaly
  4. 4.CNR-Institute of Clinical PhysiologyReggio CalabriaItaly
  5. 5.Nephrology UnitPescia-Pistoia HospitalPesciaItaly
  6. 6.Department of Clinical and Experimental MedicineUniversity of PisaPisaItaly

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