Abstract

Currently in Chile there are not rehabilitation programs based on exercise in end stage renal disease patients (ERSD) as in the case of cardiorespiratory diseases. The lack of evidence and knowledge seem to be the main causes. AIM: To provide updated evidence that shows the effects generated intradialytic exercise on various aspects deteriorated in this type of patients. METHODS: 7 of 14 studies found in four scientific data base were included. Selection criteria: published since 2005, distributed participants in a group exercise (aerobic, strength or combined) and a control group and random assignment of patients. Methodological quality was measured according to Van Tulder criteria. RESULTS: There is high quality evidence that shows intradialytic exercise improves muscle strength of lower extremities, functional capacity and decrease in serum CRP levels. There is moderate quality evidence that shows a drop in serum leptin levels, potassium and phosphate, and an improvement in sleep quality questionnaire PSQI. There is low quality evidence that shows an improvement in quality of life questionnaires, Kt/ V and serum creatinine. CONCLUSION: The intradialytic exercise is a therapeutic tool that generates multiple health benefits for ESRD patients. The rehabilitation of the ESRD patient is a new area that should be studied in order to implement these programs in dialysis centers in Chile.