Table 1.

Goals and interventions to implement physical activity and exercise in CKD

GoalsInterventionsBasalFollow-upReferences
  • Identify and overcome patients’ barriers to physical activity

  • Adopt a proactive attitude towards patients (ask, empower, counsel) to help them increase their levels of physical activity

[9]
  • Assess absolute and relative contraindications to exercise training

  • Evaluate comorbidities and pharmacologic treatments

  • Perform stress test in high-risk patients

[17, 18]
  • Assess individual physical function and exercise tolerance

  • Use screening methods (i.e. gait speed, 6MWD, STS or TUG test, SPPB)

  • Measure peak O2 uptake at cardiopulmonary stress testing

[19]
  • Develop a specific exercise programme for each patient according to CKD stage and comorbid condition

  • Set-up training prescriptions according to individual physical fitness, exercise tolerance and comorbidities

[17–19]
GoalsInterventionsBasalFollow-upReferences
  • Identify and overcome patients’ barriers to physical activity

  • Adopt a proactive attitude towards patients (ask, empower, counsel) to help them increase their levels of physical activity

[9]
  • Assess absolute and relative contraindications to exercise training

  • Evaluate comorbidities and pharmacologic treatments

  • Perform stress test in high-risk patients

[17, 18]
  • Assess individual physical function and exercise tolerance

  • Use screening methods (i.e. gait speed, 6MWD, STS or TUG test, SPPB)

  • Measure peak O2 uptake at cardiopulmonary stress testing

[19]
  • Develop a specific exercise programme for each patient according to CKD stage and comorbid condition

  • Set-up training prescriptions according to individual physical fitness, exercise tolerance and comorbidities

[17–19]

6MWD, 6-minute walking distance; STS, sit-to-stand; TUG, timed-up-and-go; SPPB, short physical performance battery.

Table 1.

Goals and interventions to implement physical activity and exercise in CKD

GoalsInterventionsBasalFollow-upReferences
  • Identify and overcome patients’ barriers to physical activity

  • Adopt a proactive attitude towards patients (ask, empower, counsel) to help them increase their levels of physical activity

[9]
  • Assess absolute and relative contraindications to exercise training

  • Evaluate comorbidities and pharmacologic treatments

  • Perform stress test in high-risk patients

[17, 18]
  • Assess individual physical function and exercise tolerance

  • Use screening methods (i.e. gait speed, 6MWD, STS or TUG test, SPPB)

  • Measure peak O2 uptake at cardiopulmonary stress testing

[19]
  • Develop a specific exercise programme for each patient according to CKD stage and comorbid condition

  • Set-up training prescriptions according to individual physical fitness, exercise tolerance and comorbidities

[17–19]
GoalsInterventionsBasalFollow-upReferences
  • Identify and overcome patients’ barriers to physical activity

  • Adopt a proactive attitude towards patients (ask, empower, counsel) to help them increase their levels of physical activity

[9]
  • Assess absolute and relative contraindications to exercise training

  • Evaluate comorbidities and pharmacologic treatments

  • Perform stress test in high-risk patients

[17, 18]
  • Assess individual physical function and exercise tolerance

  • Use screening methods (i.e. gait speed, 6MWD, STS or TUG test, SPPB)

  • Measure peak O2 uptake at cardiopulmonary stress testing

[19]
  • Develop a specific exercise programme for each patient according to CKD stage and comorbid condition

  • Set-up training prescriptions according to individual physical fitness, exercise tolerance and comorbidities

[17–19]

6MWD, 6-minute walking distance; STS, sit-to-stand; TUG, timed-up-and-go; SPPB, short physical performance battery.

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