Chronic kidney disease — ESENeph MCQ
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Correct answer: B — Build toward 150 minutes of moderate activity weekly
The best answer is “Build toward 150 minutes of moderate activity weekly”. KDIGO encourages moderate-intensity activity for at least 150 minutes weekly or a level compatible with tolerance. Anaemia, cardiovascular disease, frailty, bone health, access protection and transplant anatomy may require adaptation rather than inactivity. “Avoid aerobic activity because eGFR is below 45 mL/min/1.73m²” is less appropriate because stable CKD is not a contraindication to graded physical activity “Begin maximal lifting without assessing cardiovascular or bone risk” is less appropriate because activity should be individualised to tolerance, comorbidity and conditioning “Use deliberate dehydration during exercise to limit oedema” is less appropriate because dehydration can precipitate acute kidney injury and hypotension “Restrict movement to bed-based exercise because CKD is progressive” is less appropriate because this promotes deconditioning without a kidney-protective rationale
Reference: KDIGO 2024 CKD guideline: https://kdigo.org/wp-content/uploads/2024/03/KDIGO-2024-CKD-Guideline.pdf