A new manual “recipe” physical exercise for people with chronic kidney disease against sedentary lifestyle by Covid


The Association for the Fight Against Kidney Diseases of the province of Castellón, ALCER Castalia, and the CEU Cardenal Herrera University (CEU UCH) have collaborated in the edition of the Basic Manual of Physical Activity in Chronic Kidney Disease (CKD), which “prescribes “Physical exercise for these patients versus sedentary lifestyle due to Covid.

The table of exercises with their recommendations, included in this Manual, have been designed by the professor of the Degree in Physiotherapy at CEU UCH Eva Segura, a pioneer in the implementation in Spain of physical exercise during hemodialysis sessions and who is currently leading the project GoodRenal, funded by the European Erasmus + program, coordinating Spanish entities such as the Manises Hospital, the University of Valencia and the Polytechnic University of Valencia, and international entities such as the Skanee University Hospital and the Karolinska Institute of Sweden, the Catholic University of Leuven, in Belgium, and the Aristotle University of Thessaloniki-Sports Medicine, Greece.

According to the president of ALCER Castalia, Juan Doménech, “in people who undergo hemodialysis treatment, the feeling of fatigue occurs in up to 97% of cases, deeply affecting vitality and personal relationships. the progressive loss of muscle mass and a sensation of pain between 2 and 3 times higher than the average.

“Also the prevalence of depression and anxiety is detected between 22 and 42% of people with chronic kidney disease. Adequate physical exercise, with the authorization of the specialist who attends the patient, can improve these situations, favoring mobility and quality of life and reducing the sensation of pain, “he adds.

Therefore, the Basic Manual of Physical Activity in CKD reviews the benefits that exercise brings, not only * from the physical point of view, but also its positive effects on mood and physiological, such as reducing blood pressure or glucose levels. The exercises it contains are designed specifically for people with chronic kidney disease, but they can be useful for anyone with low fitness who wants to start physical exercise.


The table in this Manual, designed by the CEU UCH Physiotherapy professor Eva Segura, includes exercises for the extension of the seated knees and the flexion of the standing knees, to strengthen the hamstrings; soft squats, for the quadriceps; hip extension and separation, to strengthen glutes; stand on tiptoe, to work the calves; or balance exercises, among others, to improve overall muscle mass and mobility in general. A minute of fast walking is interspersed between each exercise and with three minutes of easy walking at the beginning and end of the complete table.

According to Eva Segura, it is advisable to perform this exercise table at least three times a week, in sessions of 45 minutes. The manual also includes a link to the series of videos that we edit, available on the CEU UCH YouTube channel, which allow you to follow the table from home, with recommendations on the correct posture and the correct rhythm. It also contains a diary to record the exercises done in each session, the repetitions performed and the perceived effort.

“Sharing these data with the health professional who cares for the patient will allow the intensity to increase as the physical condition improves,” he says.

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