Adherence
Regular physical exercise (defined as exercising at least once per week) is associated with significantly lower all-cause mortality and improved health-related quality of life in maintenance hemodialysis patients.
For hemodialysis patients, aiming to exercise at least once a week is associated with a significantly lower risk of death and better quality of life. This does not require intense gym workouts; self-reported leisure-time physical activity counts. Patients should consult their care team to find safe, manageable forms of activity, as even modest exercise can yield substantial survival benefits.
Regular exercise was also correlated with more positive patient affect and fewer depressive symptoms... mortality risk was lower among regular exercisers (hazard ratio = 0.73 [0.69–0.78]; P < 0.0001)
Why this rating
Large-scale observational study (DOPPS) with 20,920 participants, extensive adjustments for confounders, and instrumental variable analysis, though not a randomized controlled trial.
Source
Physical exercise among participants in the Dialysis Outcomes and Practice Patterns Study (DOPPS): correlates and associated outcomes
Francesca Tentori et al. · Nephrology Dialysis Transplantation · 2010
DOI 10.1093/ndt/gfq138
Related findings · Adherence
- Regular physical activity (at least 150 minutes/week of moderate-intensity) reduces all-cause and cardiovascular mortality by 20-30% and lowers the risk of type 2 diabetes by 25-35%.Strong
- Increasing physical activity from a sedentary lifestyle to an active one in middle adulthood significantly reduces the risk of coronary events compared to remaining sedentary.Strong
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