| [ Summary ] |
Patients with end-stage renal disease receiving ongoing hemodialysis have poor exercise tolerance, as well as abnormalities in glucose, lipid, and protein metabolism, which induce some complications and disturb patient quality of life. Exercise training is evidenced to increase the low exercise capacity of these patients and improve their metabolic abnormalities, mental status, and quality of life. Furthermore, it is expected to improve their long-term survival. In practice, at first, patients with contraindications for exercise should be ruled out, according to their physical and cardiovascular examinations. The prescription for exercise training is recommended to achieve an intensity level of 60 to 80% of maximal oxygen consumption, with a duration of 20 to 45 minutes, 3 times per week. Recently, the number of elderly patients or patients with many complications, such as osteoarthropathy or cardiovascular disease has increased and these patients should receive a greater number of special exercise training program. |