Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\28410650
.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Semin+Nephrol
2017 ; 37
(2
): 159-172
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Prehabilitation for the Frail Patient Approaching ESRD
#MMPMID28410650
Sheshadri A
; Johansen KL
Semin Nephrol
2017[Mar]; 37
(2
): 159-172
PMID28410650
show ga
Frailty is a distinct phenotype that is highly prevalent in chronic kidney
disease (CKD) and appears to be more prevalent with decreasing glomerular
filtration rate. Exercise training or intervention to increase physical activity
may ameliorate poor physical functioning and frailty, and even may improve
survival in patients with CKD. Although exercise interventions improve outcomes
across the spectrum of CKD, including patients treated with dialysis, patients
treated with dialysis face barriers to exercise that patients with predialysis
CKD do not. Rehabilitation at earlier stages of CKD (or prehabilitation before
dialysis) might be more beneficial than not addressing the decreasing physical
functioning and low physical activity until patients are receiving dialysis. This
review summarizes available literature on frailty in the CKD and end-stage renal
disease population, including exercise interventions and the limited evidence for
prehabilitation as a strategy.