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Regular physical activity lowers the risk of developing CKD, slows progression in people who have it, and improves quality of life in dialysis patients. No special equipment needed — walking counts.
Observational cohorts show physically active adults have a 15-20% lower risk of developing CKD. In CKD patients, physical activity is associated with slower eGFR decline.
Mechanisms: better blood pressure, glucose, and cholesterol control; reduced inflammation; weight management — all the modifiable drivers of progression.
In dialysis, structured exercise (during sessions or between) improves fitness, depression scores, and functional independence. It does not worsen the kidney disease.
KDIGO recommends regular exercise for all CKD patients — 30 minutes, 5 days a week, adapted to capability. Start slow with medical clearance in advanced CKD.
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This content is a general reference, not medical advice, a diagnosis, or a treatment plan. Do not change your diet, fluids, medicines, or dialysis plan without your nephrologist or renal dietitian. Individual recommendations depend on your labs, medications, conditions, and care plan.