Exercising while on dialysis

Regular exercise can help you maintain your physical and mental health while on dialysis by:

• Increasing your energy level
• Helping you control your weight
• Improving your digestion
• Improving the quality of your sleep
• Reducing stress and anxiety
• Decreasing your risk of heart disease
• Helping you control your blood sugar and blood pressure
• Helping you fight depression and remain positive
• Lowering your cholesterol levels
• Giving you opportunities for social interaction
• Strengthening your muscles

Choosing activities that you enjoy can go a long way in helping you stick to your exercise plan throughout your treatment journey. Talk to your clinician about what types of exercise will be comfortable and suitable for you. Also consider looking for opportunities to be active with friends or family in order to make the experience more fun.

Outdoor exercises you can do while on dialysis include:

• Brisk walking
• Leisurely walking
• Jogging
• Cycling

Indoor exercises you can do while on dialysis include:

• Walking or jogging on a treadmill
• Dancing
• Indoor cycling
• Swimming (depending on your treatment choice)
• Using exercise equipment

Anyone on dialysis can exercise. However, it is important that the type of activity you do is appropriate for your age, level of ability and physical condition. Before you start any specific exercise, it is important you discuss this with your clinician. Making an exercise plan may be a good way to keep track of how much or how little you are moving and keep you accountable for sticking to your health goals.

Rules for exercising on dialysis differ from person to person, but there are a few general guidelines you should keep in mind when planning your activities.

If you are on peritoneal dialysis (PD), you should avoid exercising when your peritoneal cavity is full of dialysis fluid. You may find being active with a full abdomen very uncomfortable. If you have diabetes, be sure to pay attention to your blood sugar levels. They can fall when you exercise, and you may have to adjust your medications accordingly.

Exercising even once or twice a week may be beneficial for your health. But it is ideal that you exercise at least 3 to 4 times per week, if possible. This said, do not exercise to the point of exhaustion. If you experience any pain or other physical difficulties, stop exercising and contact your clinician for advice.