Exercise 150 Minutes CKD KDIGO Recommendation — ESENeph MCQ

Instant feedback + full explanation. One question, done properly.

EasyChronic Kidney DiseaseExercise 150 Minutes CKD KDIGO RecommendationESENeph

A 45-year-old woman with CKD G3a (eGFR 50 mL/min/1.73m2) asks about exercise. She is sedentary and has gained 15 kg over the past 3 years. What exercise recommendation does KDIGO 2024 endorse for CKD patients?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: A — At least 150 minutes per week of moderate-intensity physical activity

KDIGO 2024 CKD guideline recommends that patients with CKD undertake at least 150 minutes per week of moderate-intensity aerobic physical activity, consistent with general population guidelines (WHO, NICE). Exercise in CKD improves cardiovascular fitness, blood pressure control, insulin sensitivity, mental health, and may slow CKD progression. There is no evidence that moderate exercise is harmful in CKD. Both aerobic and resistance training are beneficial. Exercise programmes should be tailored to individual capability and gradually progressed. Supervised exercise rehabilitation programmes are available but are not mandatory — unsupervised home exercise is also effective. The key message is that physical inactivity is a modifiable risk factor in CKD.

Reference: KDIGO 2024 – CKD Guideline; Heiwe & Jacobson 2011 – Exercise in CKD Cochrane Review