Evidence map›Paper›PMID 39269600›Full record

ArticleJournal of nephrology2024

Physical activity and exercise in chronic kidney disease: consensus statements from the Physical Exercise Working Group of the Italian Society of Nephrology.

Yuri Battaglia, Federica Baciga, Francesca Bulighin, Maria Amicone, Giovanni Mosconi, Alda Storari, Rachele Brugnano, Marco Pozzato, Daria Motta, Claudia D'alessandro and 6 more

Registry-linked trialAbstract readConsensus Statement
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of nephrology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07483697 (Multimodal Intervention and Its Association With Reduced Dysbiosis and Inflammation in Early Chronic Kidney Disease in Young People), which is not on this map. Cited by 64 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
64citing papers in PubMed, 9 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07483697 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Multimodal Intervention and Its Association With Reduced Dysbiosis and Inflammation in Early Chronic Kidney Disease in Young People: a Prospective Study

TypeinterventionalSponsorCentenario Hospital Miguel HidalgoRan2026 to 2026Enrolled200ConditionsExercise, Diet Interventions, Symbiotic, CKD Stage 1Armssymbiotic, Placebo
3 · Its place in the literature

Who cites it

64 citing papers in PubMed, 9 syntheses or guidelines pooled it.

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  6. Properties of Measurements of Patient-Reported Outcome Measures Physical Activity Assessment in Chronic Kidney Disease: A Systematic Review.Physiotherapy research international : the journal for researchers and clinicians in physical therapy · 2025
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  7. Guideline
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  20. Blood Flow Restriction Training in Hemodialysis Patients: Clinical Benefits, Challenges, and Future Perspectives.Hemodialysis international. International Symposium on Home Hemodialysis · 2026
    Review

4 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Yuri BattagliaDepartment of Medicine, University of Verona, Verona, Italy. yuri.battaglia@univr.it.ORCID 0000-0003-3947-1814
Federica BacigaDepartment of Medicine, University of Verona, Verona, Italy.
Francesca BulighinDepartment of Medicine, University of Verona, Verona, Italy.
Maria AmiconeDepartment of Public Health, Chair of Nephrology, University of Naples Federico II, Naples, Italy.
Giovanni MosconiNephrology and Dialysis Unit, Morgagni-Pierantoni Hospital, Forlì, Italy.
Alda StorariNephrology and Dialysis Unit, University of Ferrara, Ferrara, Italy.
Rachele BrugnanoNephrology and Dialysis Unit, S. Maria Della Misericordia Hospital, Perugia, Italy.
Marco PozzatoNephrology and Dialysis Unit, S. Giovanni Bosco Hospital, University of Turin, Turin, Italy.
Daria MottaNephrology and Dialysis Unit, Martini Hospital, ASL Città Di Torino, Turin, Italy.
Claudia D'alessandroDepartment of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.
Claudia TorinoInstitute of Clinical Physiology, National Research Council, Reggio Calabria, Italy.
Francesca MallamaciNephrology and Dialysis Unit, Bianchi-Melacrino-Morelli Hospital, Reggio Calabria, Italy.
Adamasco CupistiDepartment of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.
Filippo AucellaNephrology and Dialysis Unit, Casa Solievo Della Sofferenza, San Giovanni Rotondo Foggia, Italy.
Alessandro CapitaniniNephrology and Dialysis Unit, San Jacopo Hospital, Pistoia, Italy.
Working Group of Physical Exercise of Italian Society of Nephrology

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The Italian Society of Nephrology has tasked its Working Group on Physical Exercise with developing a consensus statement document on physical activity and exercise in patients with chronic kidney disease (CKD). This paper consists of 16 points that were discussed, and approved using the mini-Delphi method by 15 members of the working group. Each statement is based on a comprehensive review of the literature, clinical experience, and expert opinions. Overall, the statements affirm that regular physical activity and exercise training offer numerous benefits to CKD patients, including improved physical function, enhanced cardiometabolic and neuromuscular function, cognitive benefits, and an overall improvement in quality of life. Furthermore, exercise may provide nephroprotection and reduce mortality. These advantages are observed across all CKD stages, whether on conservative therapy or kidney replacement therapy (hemodialysis or peritoneal dialysis), and in kidney transplant recipients. Moreover, when physical activity and exercise training are implemented with appropriate precautions, they are safe in CKD patients. Gradual physical activity and customized exercise programs should be tailored to the patient's exercise tolerance, potentially enhancing compliance. Clinicians are encouraged to use a series of questionnaires and tests to assess the patient's level of physical activity and performance. However, exercise and physical activity are poorly implemented in clinical practice due to many barriers related to patients and healthcare staff. Overcoming these barriers requires the proactive role of the nephrologists, who should actively incorporate exercise training and promote physical activity within routine care plans. Adopting a multidisciplinary team approach, which includes nephrologists, nurses, exercise professionals, and dietitians, is crucial for providing comprehensive rehabilitation for CKD patients. Integrating new technologies and remote check ups could further enhance the effectiveness of these interventions.

Indexed as

ExerciseExercise TherapyNephrologyRenal Insufficiency, ChronicHumansItalyQuality of LifeReview Literature as TopicBarriersExerciseGuidelinesRenal rehabilitationSarcopenia

Identifiers

PMID39269600
PMCPMC11519309

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.