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): 159-72 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): 159-72 PMID28410650show ga
Frailty is a distinct phenotype that is highly prevalent in chronic kidney disease (CKD) and appears to be more prevalent with declining GFR. Exercise training or intervention to increase physical activity may ameliorate poor physical functioning and frailty, and may even 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 pre-dialysis CKD do not. Rehabilitation at earlier stages of CKD (or ?prehabilitation? before dialysis) might be more beneficial than not addressing the declining physical functioning and low physical activity until patients are receiving dialysis. This review summarizes available literature on frailty in the CKD and ESRD population, including exercise interventions and the limited evidence for ?prehabilitation? as a strategy.