Peritoneal Dialysis and the Role of Exercise Training Interventions

Abstract

People receiving peritoneal dialysis (PrPD) tend to be physically inactive, with consequent adverse outcomes including increased mortality, reduced technique, and hospitalization free survival. Exercise is a form of planned physical activity which has the potential to improve these outcomes. Feasibility studies suggest that exercise interventions are safe in PrPD. However, the uptake of exercise is low. In this review, we explore the benefits of exercise in this population, noting the limitations in the existing evidence. We highlight the challenges and uncertainties associated with exercise, including the perceptions of patients and clinicians. Finally, the opportunities for increasing exercise uptake are discussed, alongside future research priorities.

The Importance of Lifestyle Interventions in the Prevention and Treatment of Chronic Kidney Disease

“…Recent international guidelines for physical activity for people receiving Peritoneal dialysis (PD) have been published [13]. Despite the guidelines, and feasibility studies suggesting exercise can be safe in people receiving PD, there is low uptake [25]. The review by Lyasere et al [25] further explores exercise for people living with PD by reviewing the benefits and limitations of the current evidence, providing clinician and patient insights, and potential steps for future research.…”