Exercício Físico na Diálise Peritoneal: uma área a explorar

Abstract

Chronic kidney disease (CKD) patients' health-related quality of life (HRQoL) is heavily impaired by their frailty, disability and decreased physical capacity. Especially amongst older patients, a high prevalence of low-physical activity levels and reduced functional performance has been reported. Physical exercise training has been shown to have a beneficial impact counter-acting these same hazardous consequences of inactivity and sedentarism both on CKD and end-stage kidney disease (ESKD) patients under haemodialysis treatment. However, the evidence-based knowledge on physical exercise effect on ESKD patients under Peritoneal Dialysis (PD) treatment is still scarce, even though this is a constant growing population that shares the same risk factors and desired clinical outcomes as the previously mentioned groups of patients. Further investigation will be necessary in order to clarify whether this exercise-based approach may be suitable to be applied in the PD population. This paper's purpose is to review the available literature, including randomized control trials, other reviews and meta-analyses results that assessed the impact of physical exercise on patients under PD treatment concerning their HRQoL, physical functioning and cardiovascular parameters. Furthermore, it aims to evaluate the current major perceived barriers and limitations by the PD population towards physical exercise practice and how nephrologists should address them.