Addressing myths about exercise in hemodialysis patients

Kenneth R. Wilund, Jin Hee Jeong, Sharlene A. Greenwood

Research output: Contribution to journalArticle

Abstract

Despite decades of research, there are few published guidelines related to the safety and efficacy of exercise training in hemodialysis patients. This has led to disparate recommendations regarding the type, intensity, and timing for exercise, especially for patients with multiple comorbidities. Many common recommendations are not supported by research data, so their justification is uncertain. These recommendations include exercising in the first hour of dialysis; not exercising if hypertensive, cramping, or volume overloaded; avoiding heavy weights on vascular access limb; clinicians managing an exercise program; intradialytic exercise or interdialytic exercise is better; and strength training during dialysis is impractical. The purpose of this review is to describe the evidence that supports or refutes these beliefs. In summary, these beliefs or myths have generally led to an overly conservative approach to exercise that serves as a barrier to increasing physical activity levels in an overly sedentary population that could benefit from moving more.

Original languageEnglish (US)
Pages (from-to)297-302
Number of pages6
JournalSeminars in Dialysis
Volume32
Issue number4
DOIs
StatePublished - Jul 1 2019

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Renal Dialysis
Exercise
Dialysis
Resistance Training
Research
Blood Vessels
Comorbidity
Extremities
Guidelines
Safety
Weights and Measures
Population

ASJC Scopus subject areas

  • Nephrology

Cite this

Addressing myths about exercise in hemodialysis patients. / Wilund, Kenneth R.; Jeong, Jin Hee; Greenwood, Sharlene A.

In: Seminars in Dialysis, Vol. 32, No. 4, 01.07.2019, p. 297-302.

Research output: Contribution to journalArticle

Wilund, Kenneth R. ; Jeong, Jin Hee ; Greenwood, Sharlene A. / Addressing myths about exercise in hemodialysis patients. In: Seminars in Dialysis. 2019 ; Vol. 32, No. 4. pp. 297-302.
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