Smith Alice C, Burton James O
Department of Infection, Immunity and Inflammation, University of Leicester, UK.
J Ren Care. 2012 Feb;38 Suppl 1:52-8. doi: 10.1111/j.1755-6686.2012.00279.x.
Physical inactivity is well recognised as a major health issue in today's society. Regular exercise is important in maintaining health and preventing chronic disease, it is increasingly accepted as a valuable therapeutic intervention in many long-term conditions. Unfortunately the role of physical activity in renal disease has been largely overlooked and provision of exercise advice and rehabilitation programmes for kidney patients lags well behind that of cardiology and pulmonary services. Research indicates that exercise can impact positively upon many of the health issues associated with declining renal function and renal replacement therapy, as concluded by a recent Cochrane review on the topic. As exercise should be integral to the management of diabetes, the issue is particularly relevant for patients with diabetic kidney disease. This paper summarises what is known about the main effects of exercise training in chronic kidney disease and diabetic kidney disease, and suggests how adaptations in the attitudes and approaches of the multidisciplinary renal and diabetes healthcare teams can help patients to enjoy the diverse benefits of an appropriately active lifestyle.
在当今社会，身体缺乏活动被公认为一个主要的健康问题。定期锻炼对于维持健康和预防慢性病很重要，在许多长期疾病中，它越来越被视为一种有价值的治疗干预措施。不幸的是，身体活动在肾脏疾病中的作用在很大程度上被忽视了，为肾病患者提供运动建议和康复计划远远落后于心脏病学和肺部疾病服务。研究表明，运动可以对与肾功能下降和肾脏替代治疗相关的许多健康问题产生积极影响，正如最近一篇关于该主题的Cochrane综述所总结的那样。由于运动应该是糖尿病管理不可或缺的一部分，这个问题对于糖尿病肾病患者尤为相关。本文总结了关于运动训练对慢性肾病和糖尿病肾病的主要影响的已知情况，并提出多学科肾脏和糖尿病医疗团队在态度和方法上的调整如何能够帮助患者享受适当积极生活方式带来的各种益处。
