Physical Activity is a Necessary Part of Care in Patients with Chronic Kidney Disease - Short Historical Overview
Abstract
Regular physical activity is an irreplaceable part of an active lifestyle not only in healthy but also in chronically ill patients. In those cases, exercise training of a certain volume and intensity becomes a tool for influencing the quality of life (QL) and could be a supporting non-pharmacological component of complex therapy.
Especially, patients with chronic kidney disease (CKD) and long-term dialysed patients suffer from decreased physical efficiency (sometimes on 50 % of population standard specification), further from functional disturbances of moving system and their quality of life (QL) is getting worse together with the disease's progression. By one of sequels of reduced physical efficacy are sedentary lifestyle preferences.
Owing to inactivity these patients lose their physical fitness, which in turn results in loss of self-sufficiency and gradually, they develop dependence on other persons' assistance. The aim of this article is to present a brief overview of the methods, which are described and used in the area of different stages of CKD (pre-dialysis, dialysis and preparing for the transplantation), especially in the form of exercise rehabilitation.
Research is done on this topic worldwide at the scientific and theoretical level, but there is still a lack of clear and validated implications for common use.