Friday, 31 January 2014

Renal disease

End Stage Renal Disease (Esrd)

         Renal disease affects the kidney’s ability to filter out harmful components of metabolism, such as urea and other waste products.  This may happen because of long-standing diabetes mellitus or acute injury to the kidney itself.  Treatment options include dialysis of the blood, or transplantation.  There are, however, no medical reasons why renal patients cannot exercise, and research has demonstrated an improvement in the clearance of urea from tissues with fitness conditioning program.
       A major problem with almost all renal patients is their lowered tolerance for exercise, due to lower levels of hemoglobin (the molecule that carries oxygen into the cells) and a loss of some skeletal muscle function.  Most of the recent research studies have used low-level exercise testing and training programs for renal patients.

       Dialysis patients who choose a strength-training program should exercise at lower intensity, as their ability to tolerate exercise at high levels is also poor.  It is possible for renal patients to increase their fitness levels, although it is a slow process since renal patients’ peak heart rate is usually lower than age predicted values (according to ACSM).

       A prescription of strength-training program should incorporate preferably shortness of breath as an indicator of the patients progress during an exercise session.  Personal trainers should insure that members take in water throughout the exercise session.  It is also recommended that blood pressure be taken before, during and after exercise session.

       Contraindications for Exercise

         Training is not advised within a day of dialysis treatment or if there are any known electrolyte abnormalities. Also, if blood pressure is above 150/95-100 mm Hg, or if they anemic.  It must be remembered that patients suffering from diseases such as this will often by “worn down” from coping with the disease.  Common sense dictates that training program intensities be kept low.

       A sample training program might include the following exercises:



         The personal trainer should always assume full responsibility for controlling training intensity and keeping work output within reasonable norms.

Suggested By:
NEERAJ MEHTA, (Fitness Professional, Nutritionist and Inventor of BMXStrength ® Technique of exercise, Director of GFFI Fitness Academy)
Tel: +91-9811309667

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