University of Leicester
exercise_as_a_therapeutic_intervention_in_chronic.99.pdf (196.07 kB)

Exercise as a therapeutic intervention in chronic kidney disease: are we nearly there yet?

Download (196.07 kB)
journal contribution
posted on 2023-09-13, 14:42 authored by Ellen Castle, Roseanne Billany, Courtney Lightfoot, Coby Annema, Stefan De Smet, Matthew Graham-Brown, Sharlene Greenwood

Purpose of review 

The opportunity to review the more recent evidence for prescribing exercise-based physical rehabilitation for people living with chronic kidney disease (CKD) is timely. There has been a recent global focus evaluating how physical activity interventions might improve health-related quality of life and outcomes for people living with chronic health conditions in a post-COVID era. There is finally a long overdue commitment from the kidney research and clinical community to deliver pragmatic interventions to help people living with CKD to be able to live well with their condition.

Recent findings 

This article reviews recent research, and discusses the challenges and potential solutions, for providing exercise-based therapeutic options for people living with CKD; including predialysis self-management interventions, options for both prehabilitation and posttransplant rehabilitation, pragmatic considerations for delivery of exercise therapy for people receiving haemodialysis treatment and the role of virtual kidney-specific rehabilitation.


Whilst there remains a need for further research in this area of patient care, there is now a body of evidence and kidney-specific guidelines that firmly support a rollout of pragmatic and scalable exercise-based interventions for people living with CKD. We are indeed nearly there now.


Author affiliation

Department of Cardiovascular Sciences, University of Leicester


  • VoR (Version of Record)

Published in

Current Opinion in Nephrology and Hypertension


Lippincott, Williams & Wilkins



Copyright date


Available date




Usage metrics

    University of Leicester Publications