When to Exercise
🏆 Best Option
Non-dialysis days
Your body has more energy and fluid balance is better. This is the ideal time for more intensive exercise.
⚡ Alternative Option
During dialysis session
Legs/pedals only - Use stationary cycling or leg exercises while receiving treatment.
Best Types of Exercise
🚴 Stationary Cycling During Treatment
How it works:
- Use a stationary bike or pedal exerciser
- Place it near your dialysis chair
- Pedal at a comfortable pace
- Monitor your energy levels
Benefits:
Improves circulation, reduces cramping, and helps pass time during treatment
🏋️ Stretch Bands for Arms/Legs
Safe exercises:
- Leg extensions and flexions
- Arm circles (avoid fistula arm)
- Gentle resistance band pulls
- Ankle and wrist rotations
Benefits:
Maintains muscle tone, improves flexibility, and prevents stiffness
🧘 Gentle Yoga After Dialysis
Recommended poses:
- Seated forward fold
- Gentle twists
- Deep breathing exercises
- Meditation and relaxation
Benefits:
Reduces stress, improves flexibility, and promotes relaxation
Important Precautions
⚠️ Critical Safety Guidelines
- Avoid exercising fistula/graft arm - Never use resistance bands or weights on your access arm
- Monitor fatigue and cramps - Stop immediately if you feel unusual tiredness or muscle cramps
- Stay hydrated appropriately - Follow your fluid restriction guidelines
- Check with your dialysis team - Get approval before starting any exercise program
Recommended Exercise Schedule
📅 Weekly Exercise Plan
Non-Dialysis Days (2-3x per week)
- • 20-30 minutes of light to moderate exercise
- • Walking, gentle cycling, or swimming
- • Light strength training with bands
- • Stretching and flexibility work
During Dialysis (if approved)
- • 15 minutes of light leg exercises
- • Stationary cycling or pedaling
- • Gentle arm movements (avoid access arm)
- • Deep breathing and relaxation
Getting Started Safely
1
Get Medical Clearance
Speak with your nephrologist and dialysis team before starting any exercise program.
2
Start Slowly
Begin with 5-10 minutes of light activity and gradually increase duration.
3
Track Your Progress
Keep a log of your exercises and how you feel during and after each session.
References
Kouidi et al. (2004) American Journal of Kidney Diseases
National Kidney Foundation on dialysis & exercise