Chonnam Med J.  2011 Aug;47(2):61-65. 10.4068/cmj.2011.47.2.61.

Intradialytic Exercise Programs for Hemodialysis Patients

  • 1Department of Rehabilitation Medicine, Kyungpook National University Hospital, Daegu, Korea.
  • 2Division of Nephrology, Department of Internal Medicine, Kyungpook National University Hospital, Daegu, Korea.


Although it is widely accepted that exercise is beneficial in patients with end-stage renal disease as in the general population, it is not easy to incorporate exercise programs into routine clinical practice. This review aimed to investigate the beneficial effects of exercise during hemodialysis and also to introduce various intradialytic exercise programs and their advantages as a first step in combining exercise programs into clinical practice. Aerobic and resistance exercise are beneficial not only in improving physical functioning, including maximal oxygen uptake and muscle strength, but also in improving anthropometrics, nutritional status, hematological indexes, inflammatory cytokines, depression, and health-related quality of life. However, it is not clear whether the beneficial effects of exercise are limited to only relatively healthy dialysis patients. Therefore, the effects of individualized exercise programs for elderly patients or patients with comorbid conditions need to be studied further.


End-stage renal disease; Dialysis; Exercise
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