文章基本信息

标题：Renal Rehabilitation: Exercise Intervention and Nutritional Support in Dialysis Patients
本地全文：下载
作者：Junichi Hoshino
期刊名称：Nutrients
电子版ISSN：2072-6643
出版年度：2021
卷号：13
期号：5
页码：1444
DOI：10.3390/nu13051444
出版社：MDPI Publishing
摘要：With the growing number of dialysis patients with frailty, the concept of renal rehabilitation, including exercise intervention and nutrition programs for patients with chronic kidney disease (CKD), has become popular recently. Renal rehabilitation is a comprehensive multidisciplinary program for CKD patients that is led by doctors, rehabilitation therapists, diet nutritionists, nursing specialists, social workers, pharmacists, and therapists. Many observational studies have observed better outcomes in CKD patients with more physical activity. Furthermore, recent systematic reviews have shown the beneficial effects of exercise intervention on exercise tolerance, physical ability, and quality of life in dialysis patients, though the beneficial effect on overall mortality remains unclear. Nutritional support is also fundamental to renal rehabilitation. There are various causes of skeletal muscle loss in CKD patients. To prevent muscle protein catabolism, in addition to exercise, a sufficient supply of energy, including carbohydrates, protein, iron, and vitamins, is needed. Because of decreased digestive function and energy loss due to dialysis treatment, dialysis patients are recommended to ingest 1.2-fold more protein than the regular population. Motivating patients to join in activities is also an important part of renal rehabilitation. It is essential for us to recognize the importance of renal rehabilitation to maximize patient satisfaction.
关键词：renal rehabilitation; exercise; sarcopenia and frailty; nutritional support; protein synthesis; muscle physiology; dialysis; physical activity; exercise tolerance; quality of life renal rehabilitation ; exercise ; sarcopenia and frailty ; nutritional support ; protein synthesis ; muscle physiology ; dialysis ; physical activity ; exercise tolerance ; quality of life