What is the safety of an exercise program, as an intervention, during hemodialysis for the patient with chronic kidney disease?
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Exercise therapy – renal dialysis – safety.

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Sarmiento Becerra OM, Puentes Salazar AM, Hernández AE. What is the safety of an exercise program, as an intervention, during hemodialysis for the patient with chronic kidney disease?. Rev. Colomb. Nefrol. [Internet]. 2019 Mar. 1 [cited 2023 Mar. 24];6(1):35-47. Available from: https://www.revistanefrologia.org/index.php/rcn/article/view/328


Chronic kidney disease is a high-cost pathology; it has a negative impact on the quality of life, especially in those who underwent hemodialysis. Consequently, it is important to develop strategies to decrease the clinical and economic impact. Intradialytic exercise is a complementary intervention that has shown a decrease in mortality and improvement in the quality of life in these patients. This paper aimed to review the available literature and determine the security of intradialytic exercise, look for population characteristics, training characteristics and the occurrence of adverse effects and their severity. This document is a topic review with a systematic search on Pubmed, OVID, VHL, Clinical Key and LILACS. 8 articles appeared after a keyword search with 15 additional papers discovered by manual research by the authors, the population included adults between 19 and 88 years of age with only 1 paper including a younger population from 9 to 24 years of age. Sex distribution was similar between male and female. Endurance training with a pedal system was the most frequent intervention. The frequency of intervention was 2 to 3 times per week at least for 2 months, and the intensity was low to mild. Some trials mentioned no adverse effect. Those with adverse effects reported cardiovascular alterations (hypotensive/hypertensive episodes), muscular injuries, but none of the adverse effects were considered severe or frequent. With the available information, the authors conclude that intradialytic exercise will be a secure intervention.

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