TY - JOUR
T1 - Physical activity and exercise in peritoneal dialysis
T2 - International Society for Peritoneal Dialysis and the Global Renal Exercise Network practice recommendations
AU - Bennett, Paul N.
AU - Bohm, Clara
AU - Harasemiw, Oksana
AU - Brown, Leanne
AU - Gabrys, Iwona
AU - Jegatheesan, Dev
AU - Johnson, David W.
AU - Lambert, Kelly
AU - Lightfoot, Courtney J.
AU - MacRae, Jennifer
AU - Meade, Anthony
AU - Parker, Kristen
AU - Scholes-Robertson, Nicole
AU - Stewart, Krista
AU - Tarca, Brett
AU - Verdin, Nancy
AU - Wang, Angela Yee-Moon
AU - Warren, Madeleine
AU - West, Mike
AU - Zimmerman, Deborah
AU - Li, Philip Kam-Tao
AU - Thompson, Stephanie
PY - 2022/1
Y1 - 2022/1
N2 - Life participation requiring physical activity and physical function is a key patient-reported outcome for people receiving peritoneal dialysis (PD). Clinician guidance is required from multidisciplinary sources regarding exercise and activity advice to address the specific needs of this group. From August 2020 through to June 2021, the Global Renal Exercise Network and the International Society for Peritoneal Dialysis reviewed the published literature and international clinical experience to develop a set of clinical practice points. A set of questions relevant to physical activity and exercise were developed from the perspective of a person receiving PD and were the basis for the practice point development. The GRADE framework was used to evaluate the quality of evidence and to guide clinical practice points. The review of the literature found sparse quality evidence, and thus the clinical practice points are generally based on the expert consensus of people receiving PD, PD exercise expert clinicians and experienced PD exercise researchers. Clinical practice points address timing of exercise and activity (post-catheter insertion, peritoneal space empty or full), the uptake of specific activities (work, sex, swimming, core exercise), potential adverse outcomes related to activity and exercise (exit site care, perspiration, cardiovascular compromise, fatigue, intra-abdominal pressure), the effect of exercise and activity on conditions of interest (mental health, obesity, frailty, low fitness) and exercise nutrition. (Figure presented.).
AB - Life participation requiring physical activity and physical function is a key patient-reported outcome for people receiving peritoneal dialysis (PD). Clinician guidance is required from multidisciplinary sources regarding exercise and activity advice to address the specific needs of this group. From August 2020 through to June 2021, the Global Renal Exercise Network and the International Society for Peritoneal Dialysis reviewed the published literature and international clinical experience to develop a set of clinical practice points. A set of questions relevant to physical activity and exercise were developed from the perspective of a person receiving PD and were the basis for the practice point development. The GRADE framework was used to evaluate the quality of evidence and to guide clinical practice points. The review of the literature found sparse quality evidence, and thus the clinical practice points are generally based on the expert consensus of people receiving PD, PD exercise expert clinicians and experienced PD exercise researchers. Clinical practice points address timing of exercise and activity (post-catheter insertion, peritoneal space empty or full), the uptake of specific activities (work, sex, swimming, core exercise), potential adverse outcomes related to activity and exercise (exit site care, perspiration, cardiovascular compromise, fatigue, intra-abdominal pressure), the effect of exercise and activity on conditions of interest (mental health, obesity, frailty, low fitness) and exercise nutrition. (Figure presented.).
KW - Dialysate
KW - dialysis
KW - exercise
KW - exit site
KW - frailty
KW - peritoneal dialysis
KW - physical activity
KW - symptoms
UR - http://www.scopus.com/inward/record.url?scp=85118936648&partnerID=8YFLogxK
U2 - 10.1177/08968608211055290
DO - 10.1177/08968608211055290
M3 - Article
C2 - 34743628
AN - SCOPUS:85118936648
VL - 42
SP - 8
EP - 24
JO - PERITONEAL DIALYSIS INTERNATIONAL
JF - PERITONEAL DIALYSIS INTERNATIONAL
SN - 0896-8608
IS - 1
ER -