Abstract

Hemodialysis patients are significantly less active than healthy, sedentary individuals and a low intrinsic motivation has been identified as a major barrier to prescribing exercise. Regular physical activity is associated with enhanced health and well being. World Health Organisation (WHO) revealed that regular physical activity is widely recognized as a mean of preventing the occurrence of many chronic diseases and reduced risk of all-cause mortality. Physical activity during illness results in improvement in physical function. Physical activity helps dialysis patients to improve their well-being. The association of decreasing levels of leisure-time physical activity with increased mortality risk is less certain in ESRD patients than in the general population. Studies have shown that hemodialysis patients physically being active had efficient clearance of urea during dialysis compared to physically inactive patients. Yoga and exercise in hemodialysis patient increases the quality of life through reduced stress level. In our country there is lack of awareness of potential benefits of physical activity in hemodialysis patients and there are no facilities available in in-centre hemodialysis centre to implicate the exercise programe during dialysis compared to Western hemodialysis centres. So there is the great need to impart the knowledge among the patients to obtain the complete standard of living with daily physical activity during on and off dialysis days.

Highlights

  • Regular physical activity is associated with enhanced health and well being

  • World Health Organisation [1] revealed that regular physical activity is widely recognized as a mean of preventing the occurrence of many chronic diseases and reduced risk of all-cause mortality

  • Chronic kidney disease is associated with dyslipidemia, which persist as kidney failure progresses and continues to affect clinical outcomes in patients on hemodialysis [3]

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Summary

Introduction

Regular physical activity is associated with enhanced health and well being. World Health Organisation [1] revealed that regular physical activity is widely recognized as a mean of preventing the occurrence of many chronic diseases and reduced risk of all-cause mortality. Physical activity during illness results in improvement in physical function [2]. Numerous health-related benefits derived from engaging in appropriately structured exercise regimens have been documented extensively with sedentary adults, frail elderly persons, and individuals with a wide array of chronic illnesses. Physical functioning in patients with end-stage renal disease treated with dialysis is less, measured using objective laboratory measures, self-reported measures or physical performance testing [5]. Regular assessment of physical functioning and encouragement of increased physical activity are still given minimal attention within the nephrology community [6]. Rehabilitation interventions are most frequently discussed in relation to dialysis patients mostly ESRD patients along with rehabilitation programs for persons who have a kidney transplant [7,8]

Physical Activity Level in Hemodialysis Patient- Global Scenario
Benefits of Physical Activity in Hemodialysis
Exercise and Clearance
Physiological Benefits of Exercise for Hemodialysis Patients
Psychological Benefits of Physical Activity in Hemodialysis Patients
Findings
Conclusion
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