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Physical activity and living well with kidney disease

Regular physical activity can help people to live well with kidney disease, yet the promotion, funding, level of interest, and general support of physical activity remains poor. Novel high-quality approaches to increase physical activity must be considered, and practical means of scaling up effective interventions at the population level are required.

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  1. Fraser, S. & Taal, M. Helping people to live well with chronic kidney disease. Br. J. Hosp. Med. (Lond.) (2020).

    Article  Google Scholar 

  2. Pratt, M., Ramirez Varela, A., Salvo, D., Kohl Iii, H. W. & Ding, D. Attacking the pandemic of physical inactivity: what is holding us back? Br. J. Sports Med. 54, 760–762 (2020).

    Article  Google Scholar 

  3. Wilkinson, T. J. et al. Prevalence and correlates of physical activity across kidney disease stages: an observational multicentre study. Nephrol. Dial. Transplant. 14, gfz235 (2019).

    Article  Google Scholar 

  4. MacKinnon, H. J. et al. The association of physical function and physical activity with all-cause mortality and adverse clinical outcomes in nondialysis chronic kidney disease: a systematic review. Ther. Adv. Chronic Dis. 9, 209–226 (2018).

    Article  Google Scholar 

  5. Heiwe, S. & Jacobson, S. H. Exercise training in adults with CKD: a systematic review and meta-analysis. Am. J. Kidney Dis. 64, 383–393 (2014).

    Article  Google Scholar 

  6. Chung, Y. C., Yeh, M. L. & Liu, Y. M. Effects of intradialytic exercise on the physical function, depression and quality of life for haemodialysis patients: a systematic review and meta-analysis of randomised controlled trials. J. Clin. Nurs. 26, 1801–1813 (2017).

    Article  Google Scholar 

  7. Wilkinson, T. J., McAdams-DeMarco, M., Bennett, P. N. & Wilund, K. Advances in exercise therapy in predialysis chronic kidney disease, hemodialysis, peritoneal dialysis, and kidney transplantation. Curr. Opin. Nephrol. Hypertens. 29, 471–479 (2020).

    Article  Google Scholar 

  8. Reis, R. S. et al. Scaling up physical activity interventions worldwide: stepping up to larger and smarter approaches to get people moving. Lancet 388, 1337–48 (2016).

    Article  Google Scholar 

  9. Taryana, A. A. et al. Physical activity for people with chronic kidney disease: an international survey of nephrologist practice patterns and research priorities. BMJ Open 9, e032322 (2019).

    Article  Google Scholar 

  10. Robinson-Cohen, C. et al. Assessment of physical activity in chronic kidney disease. J. Ren. Nutr. 23, 123–131 (2013).

    Article  Google Scholar 

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Correspondence to Alice C. Smith.

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Wilkinson, T.J., Smith, A.C. Physical activity and living well with kidney disease. Nat Rev Nephrol 17, 145–146 (2021).

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