Muscle Wasting in Kidney Disease: Let's Get Physical

[摘要] For maintenance dialysis patients, physical performance matters. The extension of Medicare coverage to ESRD services in 1972 indeed was predicated on the assumption that the dialysis population would be fully rehabilitated and active in the workforce. In addition, considerable data exist that as a group, maintenance dialysis patients have low levels of physical function and that survival and hospitalization rates are directly proportional to physical performance (1). Despite the obvious importance of physical performance capacity, there are disturbing data to suggest that dialysis patients as a group have markedly lower levels of daily physical activity than healthy control subjects, to the extent that a 30-yr-old hemodialysis patient is likely to have less daily physical activity than a 70-yr-old healthy sedentary individual. The majority of maintenance dialysis patients in the United States seem to participate in little or no physical activity beyond basic activities of daily living.

[学科分类] 泌尿医学

[关键词] Bone marrow necrosis;Sickle cell disease;Hyperhemolysis syndrome