Why Strength Matters
- Muscle wasting is common in CKD, especially in later stages
- Strength training combats fatigue, improves insulin sensitivity, and boosts metabolism
- Helps prevent falls and injuries
Safe Guidelines
- Start light: 1–2 sets of 10–15 reps using resistance bands or dumbbells (2–5 lbs)
- Rest adequately between sets (at least 1–2 minutes)
- Avoid breath-holding (Valsalva maneuver), which raises BP
- Focus on major muscle groups: legs, back, core, arms
Best Exercises for CKD Patients
Lower Body
- • Seated leg extensions
- • Wall sits
- • Chair squats
Upper Body
- • Resistance band rows
- • Dumbbell bicep curls
- • Overhead press (light weights)
Recommended Frequency
2–3x per week with a rest day between sessions. Start with shorter sessions (15-20 minutes) and gradually increase duration as your strength improves.
Getting Started Safely
1
Consult Your Doctor
Get clearance from your nephrologist before starting any strength training program.
2
Start with Body Weight
Begin with exercises that use your own body weight before adding resistance.
3
Listen to Your Body
Stop if you experience chest pain, dizziness, or unusual fatigue.
References
National Kidney Foundation Exercise Guide
Koufaki et al. (2010) Nephrology Dialysis Transplantation