Segura-Orti Eva, Johansen Kirsten L
Department of Physical Therapy, Universidad CEU-Cardenal Herrera, Valencia, Spain.
Semin Dial. 2010 Jul-Aug;23(4):422-30. doi: 10.1111/j.1525-139X.2010.00766.x.
This article will outline the clinical reasoning for exercise counseling in end-stage renal disease (ESRD) patients and give healthcare providers detailed information on the different programs that can be implemented in this population according to patients' specific needs. End-stage renal disease patients often have other health problems that can be improved by participation in regular exercise programs. Research accumulated during the last 30 years on exercise for the ESRD population supports its numerous beneficial effects including those on cardiovascular capacity, sarcopenia, and health-related quality of life. We describe the different types of exercise, aerobic and resistance programs (including their frequency, intensity and progression) that are recommended for the ESRD population, as well as the potential goals of each program. Groups with special needs among the ESRD population are considered, as well as safety, potential adverse events, and adherence to exercise programs. Finally, recommendations for future researches are highlighted.
本文将概述终末期肾病（ESRD）患者运动咨询的临床推理，并为医疗保健提供者提供详细信息，介绍根据患者具体需求可在此人群中实施的不同项目。终末期肾病患者通常还有其他健康问题，通过参与常规运动项目可以得到改善。过去30年积累的关于ESRD人群运动的研究支持了其诸多有益效果，包括对心血管能力、肌肉减少症和健康相关生活质量的影响。我们描述了推荐给ESRD人群的不同类型运动、有氧运动和抗阻运动项目（包括其频率、强度和进展），以及每个项目的潜在目标。还考虑了ESRD人群中有特殊需求的群体，以及安全性、潜在不良事件和对运动项目的依从性。最后，强调了对未来研究的建议。
