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Exercise Recommendation CKD KDIGO — ESENeph MCQ

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EasyChronic Kidney DiseaseExercise Recommendation CKD KDIGOESENeph

A 60-year-old man with CKD G4 asks about the role of exercise in managing his CKD. According to KDIGO 2024, what is recommended?

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Correct answer: AKDIGO 2024 recommends regular moderate-intensity physical activity (at least 150 minutes/week) – exercise improves cardiovascular fitness, reduces mortality, improves quality of life, and may slow CKD progression

KDIGO 2024 recommends regular physical activity as part of comprehensive CKD management. Evidence shows exercise in CKD improves cardiovascular fitness, blood pressure, insulin sensitivity, quality of life, mental health, and may slow eGFR decline. There are no CKD-specific contraindications to moderate exercise beyond standard cardiovascular screening. The recommendation is ≥150 minutes/week of moderate-intensity activity or ≥75 minutes of vigorous activity, adapted to individual capacity. Supervised exercise programmes have shown particular benefit in CKD and dialysis populations.

Reference: KDIGO 2024 – CKD Guideline (Lifestyle Section); Howden et al 2012 – Exercise in CKD