Evid Based Nurs doi:10.1136/ebnurs-2011-100470
  • Adult nursing
  • Systematic review

Cochrane review: in adults with chronic kidney disease regular exercise improves physical fitness, walking capacity, heart rate and blood pressure and some nutritional parameters

  1. Ulf G Bronas
  1. School of Nursing, University of Minnesota, Minneapolis, Minnesota, USA
  1. Correspondence to Ulf G Bronas
    School of Nursing, University of Minnesota, 5-140 WDH, 308 Harvard St SE, Minneapolis, MN 55455, USA; brona001{at}

Commentary on:

Implications for practice and research

  • There is robust evidence for significant benefits of regular exercise training on physical fitness and function in patients receiving renal replacement therapy (RRT).

  • Data support the use of regular exercise to improve cardiovascular health in patients undergoing renal replacement therapy albeit robust data from large scale randomised controlled trials (RCTs) designed to investigate cardiovascular health outcomes are lacking.

  • Clinicians should counsel patients with chronic kidney disease (CKD) to increase physical activity levels and inform them that there is scientific evidence that regular exercise benefits health. Potential referral to clinical exercise programs should be considered.

  • Future studies should stratify participants based on CKD aetiology and stage, include sufficient sample size, and employ a rigorous RCT design using exercise as an adjunctive …

Articles citing this article

Free Sample

This recent issue is free to all users to allow everyone the opportunity to see the full scope and typical content of EBN.
View free sample issue >>

EBN Journal Chat

The EBN Journal Chat offers readers the opportunity to participate in discussion about research articles and commentaries from Evidence Based Nursing (EBN).

How to participate >>

Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.

Navigate This Article