Abstract
Available data indicated that physical activity was related to improved outcomes in hemodialysis patients. Multiple observational studies involving different cohorts have reported that increased physical activity level was associated with decreased mortality among hemodialysis patients. Therefore, promoting physical activity has become an increasingly critical and promising approach to improving cardiovascular health and clinical outcomes in hemodialysis patients. This review summarizes the published articles regarding physical activity and hemodialysis patients, focusing on mortality and strategy to promote physical activity.
Highlights
End-stage renal disease (ESRD) is a global health problem characterized by high morbidity and mortality [1]
HD patients can benefit from even low-intensity physical activity to change health outcomes
Considering the substantial cost associated with HD treatment and the somewhat theoretical benefit of physical activity, we should focus on keeping HD patients participating in physical activity
Summary
End-stage renal disease (ESRD) is a global health problem characterized by high morbidity and mortality [1]. The risk of premature death in HD patients is 20 times higher than in the general population due to cardiovascular disease in more than 50% of dialysis patients [4]. Evidence showed that being physically active is vital for maintaining health and preventing the exacerbation of diseases in all populations [7], including patients with ESRD treated by hemodialysis [8]. Even light physical activity has been inversely associated with the risk of death among patients with renal disease [9]. Regular physical activity is beneficial across all stages of renal disease, improving physical fitness, muscular strength, and health-related quality of life [10]
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