How Do Chronic Kidney Disease (CKD) Patients Exercise To Maintain Skeletal Muscle Health

CKD Treatment Poor muscle mass, physical weakness, and physical inactivity are common symptoms of chronic kidney disease (CKD). With the progression of kidney disease, skeletal muscle atrophy can lead to a variety of side effects like an increased risk of cardiovascular diseases, imbalances in glucose homeostasis, decreased strength, reduced body function and balance capacity. In addition, reduced skeletal muscle mass is also closely related to the progression of CKD. Therefore, active monitoring of skeletal muscle function and timely intervention are of great significance for the prevention of CKD progression. Studies have shown that resistance training is effective in improving skeletal muscle injury in CKD. So how do you do resistance training correctly to maintain skeletal muscle health?

How does resistance training affect CKD patients?

Aerobic exercise and/or resistance training are both beneficial for the health and body function of CKD patients. Specifically, regular exercise improves physical fitness, walking ability, cardiovascular outcomes, and nutritional and health-related quality of life (HRQoL). According to systematic review and meta-analysis, progressive resistance training (PRE) can significantly increase skeletal muscle, muscle strength and HRQoL of lower limbs. The same results were obtained in patients with end-stage renal disease (ESRD). Data on the effect of resistance exercise on non-dialysis CKD patients are currently limited. Existing evidences show that PRE can increase muscle and enhance muscle strength in patients with CKD, and also does not aggravate inflammation.

How do CKD patients take resistance training?

The American college of sports medicine (ACSM) recommends resistance training to improve overall or muscle health. 1-4 groups are for each time and repeat 8-12 times. Exercise intensity is 60%-80% 1-RM. Resistance training for CKD patients is recommended for 8-10 multi-joint exercises each time, twice a week. Exercise intensity is 60-70% 1-RM or 5-RM, and at least one group repeats 10-15 times. It can be increased to 2-4 groups and short interval of each exercise is at least 48 hours.

How to make plan for resistance training?

Basic principles for resistance training include specificity, progressive overload, variability, reversibility, and individualization. Specificity refers to the similarity between training stimulus and physiological adaptation, including muscle movement, muscle contraction speed, range of motion, muscle group and training load. Progressive overload refers to the gradual increase in training stimulation to continuously improve health. Variability refers that a training variable can be reduced or removed during a training process. Reversibility refers that the relevant adaptive phenomenon disappears when exercise is finished. Individualization refers to make individualized plan for exercise stimuli.

Moderate exercise is good for kidney patients. Choose the proper exercise for yourself. If you have any question, you can leave a message below or consult our online doctor directly.


***Please seek professional medical advise for the diagnosis or treatment of any ailment, disease or medical condition. This article is not intended to be a substitute for the advice of a licensed medical professional.***

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