肾脏疾病的体育活动:证据和实施

IF 39.8 1区 医学 Q1 UROLOGY & NEPHROLOGY
Hannah M. L. Young, Roseanne E. Billany, Matthew P. M. Graham-Brown, Courtney J. Lightfoot, Daniel S. March, Alice C. Smith
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引用次数: 0

摘要

尽管30多年来的研究和指南都在促进慢性肾脏疾病(CKD)患者的身体活动,但在世界范围内,在常规护理中广泛实施身体活动的情况仍然很低。因此,CKD患者在疾病的所有阶段都保持高度不活跃。CKD患者、透析患者和肾移植患者的随机对照试验一致表明,有组织的锻炼是安全的,可以改善身体功能、心肺健康、肌肉力量和生活质量。然而,这些试验的质量参差不齐,在某些组中样本量适中,需要进行更大规模的、以实施为重点的研究。慢性肾病的证据生成通常与服务开发脱节,限制了劳动力技能、资源和提供途径。为了实现有意义的改变,研究必须在设计时考虑到实施,使用考虑环境、可持续性和利益相关者参与的框架。针对24小时运动行为的数字解决方案和方法可能会扩大身体活动干预的范围,但必须解决卫生专业培训、患者能力和系统级优先排序等障碍。将体育活动纳入临床护理为改善CKD患者的预后和生活质量提供了明显的机会。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Physical activity in kidney disease: evidence and implementation

Physical activity in kidney disease: evidence and implementation

Despite over 30 years of research and guidelines promoting physical activity for people living with chronic kidney disease (CKD), widespread implementation of physical activity in routine care remains low worldwide. Consequently, the population with CKD remains highly inactive across all stages of the disease. Randomized controlled trials in people with CKD, people on dialysis and kidney transplant recipients consistently show that structured exercise is safe and can improve physical function, cardiorespiratory fitness, muscle strength and aspects of quality of life. However, these trials are of variable quality with modest sample sizes in some groups, and a need exists for larger, implementation-focused studies. Evidence generation in CKD has often been disconnected from service development, limiting workforce skills, resources and pathways for delivery. To achieve meaningful change, research must be designed with implementation in mind, using frameworks that consider context, sustainability and stakeholder involvement. Digital solutions and approaches targeting 24-h movement behaviours may extend the reach of physical-activity interventions, but barriers such as health-professional training, patient capability and system-level prioritization must be addressed. Embedding physical activity in clinical care offers a clear opportunity to improve outcomes and quality of life for people living with CKD.

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来源期刊
Nature Reviews Nephrology
Nature Reviews Nephrology 医学-泌尿学与肾脏学
CiteScore
39.00
自引率
1.20%
发文量
127
审稿时长
6-12 weeks
期刊介绍: Nature Reviews Nephrology aims to be the premier source of reviews and commentaries for the scientific communities it serves. It strives to publish authoritative, accessible articles. Articles are enhanced with clearly understandable figures, tables, and other display items. Nature Reviews Nephrology publishes Research Highlights, News & Views, Comments, Reviews, Perspectives, and Consensus Statements. The content is relevant to nephrologists and basic science researchers. The broad scope of the journal ensures that the work reaches the widest possible audience.
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