4.6 Editorial Material

Exercise and Kidney Disease Prevention: Walk This Way

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Summary: This ancillary analysis of a randomized clinical trial showed that a physical activity and exercise intervention can slow down the decline in estimated glomerular filtration rate (eGFR (CysC)) among sedentary older adults. This suggests that targeted recommendation of physical activity and moderate-intensity exercise should be considered as a treatment to slow decline in eGFR (CysC) in older adults.

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Summary: A scientific workshop sponsored by the National Kidney Foundation and the US Food and Drug Administration (FDA) was held to discuss the value of treating early chronic kidney disease (CKD) and the challenges in conducting trials for early CKD. The attendees reached a consensus on the importance of preventing and treating early CKD progression, using surrogate end points to establish efficacy, and conducting comprehensive cost analyses and safety data collection.

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Summary: This study aimed to assess the willingness and comfort of chronic kidney disease patients with taking preventative medications during earlier stages of the disease. The results showed that patients were willing to assume some risk in order to prevent the progression of their condition, and their willingness to take on risk and treatment burdens increased as the disease advanced. Clinician recommendations and their willingness to address side effects were important factors influencing patients' willingness to initiate and continue with a new medication.

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Summary: The study found that increasing vegetable and potassium intake, increasing physical activity levels, moderate alcohol consumption, reducing salt intake, and quitting smoking, as modifiable lifestyle factors, are associated with preventing the onset of chronic kidney disease.

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