Exercise and Dialysis Treatment

At Shifa Dialysis in Chicago, IL, we understand that managing kidney health is a holistic process that encompasses medical treatment and physical well-being. As leaders in providing unparalleled kidney care and dialysis services, we aim to empower our patients through innovative treatment options and active lifestyles.

Let’s delve into the relationship between exercise and dialysis treatment, highlighting the importance of physical activity, especially for patients undergoing dialysis.

Understanding Dialysis and Home Dialysis

Dialysis is a medical treatment that performs the function of healthy kidneys when they are no longer able to do so. It removes waste, salts, and excess fluid from the blood, which helps to maintain a proper chemical balance in the body. The two primary types of dialysis are hemodialysis and peritoneal dialysis.

• Hemodialysis is typically performed in a dialysis clinic or center. Blood is filtered through a machine. This process usually occurs three times a week for three to five hours per session.
• Home Peritoneal Dialysis is performed at home, where a special fluid is introduced into the abdominal cavity to absorb waste products. This method allows for greater flexibility and can be performed while patients go about their daily routines.

Exercise and Its Importance

While dialysis is essential for managing kidney disease, it is important to understand that the treatment may come with restrictions that can impact a patient’s ability to exercise. Many patients experience fatigue, muscle weakness and overall reduced energy levels during and after dialysis treatments. These physical limitations can make it challenging for individuals to engage in regular physical activity.

Despite these challenges, exercise is crucial for dialysis patients. It offers numerous benefits that can enhance overall health and improve the quality of life.

An August 22, 2023, article published in NEJM Evidence revealed that intradialytic exercise in patients with kidney failure significantly improved the STS60 compared with usual care, and even reduced median days spent in the hospital.

Some of these benefits include:

• Improved Muscle Strength and Endurance: Regular exercise helps to build stronger muscles and improve stamina, counteracting the weakness often associated with prolonged illness.
• Enhanced Cardiovascular Health: Aerobic exercises, such as walking, cycling or swimming, can significantly improve heart health, which is particularly important for individuals with kidney disease.
• Weight Management: Exercise can help prevent weight gain, which is necessary as patients need to manage their overall health carefully, including fluid and diet restrictions.
• Mood Enhancement: Physical activity can reduce symptoms of depression and anxiety, which are common among patients undergoing chronic dialysis treatment.
• Increased Energy Levels: Regular exercise can combat fatigue, enabling patients to feel more energetic and better equipped to handle daily activities.

Overcoming Exercise Barriers

Is exercise even possible for dialysis patients? Yes! According to an article in the July 2024 Clinical Kidney Journal, “The exercise modalities that can be applied in dialysis patients range from aerobic activities like cycling during hemodialysis or walking at home to resistance exercises such as weightlifting or using resistance bands—either at the dialysis facility or at home—or a combination of aerobic and resistance training. Cycling is the most common aerobic exercise within in-center programs.”

At Shifa Dialysis, we recognize the importance of exercise and provide support for our patients to maintain an active lifestyle. However, patients should consult their healthcare team before beginning any exercise program to ensure it aligns with their specific health conditions and treatment regimens.

Here are some strategies to help overcome exercise barriers:

1. Start Slow: Patients should gradually increase exercise levels, beginning with short durations and low intensity, and building up over time.
2. Set Realistic Goals: Setting achievable fitness goals can help motivate patients while ensuring they remain within their physical limits.
3. Incorporate Physical Activity into Daily Routines: Simple changes, like taking the stairs or walking short distances, can significantly increase daily activity levels.
4. Find Activities That Are Enjoyable: Engaging in enjoyable activities can make exercise feel less like a chore and more like a fun part of the day.

Frequently Asked Questions (FAQs)

How much exercise should I aim for each week?

It is generally recommended that dialysis patients aim for at least 150 minutes of moderate-intensity aerobic activity each week, alongside strength training exercises at least two days per week. However, it is vital to tailor these recommendations to individual health conditions.

Can I exercise on dialysis days?

Yes, many patients can exercise on dialysis days, but it is crucial to listen to your body and consult with your healthcare provider for personalized advice.

What types of exercise are best for dialysis patients?

Low-impact activities such as walking, swimming or cycling are generally recommended. Strength training exercises with light weights can also be beneficial, as long as they are performed safely.

Should I be concerned about dehydration while exercising?

Yes, hydration is crucial. Patients should monitor their fluid intake and follow their healthcare team’s recommendations to avoid dehydration during and after exercise.

How can I stay motivated to exercise?

Setting specific, achievable goals, finding exercise partners and tracking progress can help maintain motivation. Consider joining a support group or seeking guidance from a physical therapist or exercise specialist.

Shifa Dialysis: Supporting Your Physical Needs

At Shifa Dialysis, we truly believe that quality kidney care includes supporting our patients’ overall health and well-being. By promoting exercise, even in small increments, along with guiding you in the proper nutrition, we strive to enhance our patients’ quality of life and empower them to take charge of their health. If you’re interested in learning more about exercise options or our home dialysis services, please reach out to us—we’re here to support you every step of the way.