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Sedentary lifestyle in progression of CKD

A Sedentary Lifestyle has many bad effects on one’s health and increases all the causes of mortality. It’s common knowledge that physical inactivity is bad for your well-being. As an infant, your body requires physical activity to ensure proper growth and development. As an adult, the body requires daily physical activity to preserve good health and avoid degenerative diseases. Physical inactivity leads to health conditions such as poor cardiovascular health, poor respiratory health, diabetes, muscle and bone loss, and obesity, just to name a few. A sedentary lifestyle contributes to the development of the cardiovascular disease, hypertension, diabetes, and cancer in the general population; this cluster of diseases can be characterized by the lack of physical inactivity. Also in CKD/ESRD patients, physical activity is remarkably poor. As a result of increasing evidence suggesting cardiovascular gain in the CKD population with exercise, the National Kidney Foundation recommended therapy by nephrologists to increase patients’ levels of physical activity in their guideline on the treatment of cardiovascular disease.

Chronic kidney disease (CKD) is an important risk factor for cardiovascular disease (CVD) and mortality. The increase in CKD in recent decades has paralleled rises in obesity, diabetes, and metabolic syndrome. Physical inactivity is a modifiable risk factor that can influence the development and course of CKD. It is well known that exercise training improves a variety of metabolic factors, including blood pressure and insulin resistance, which can be expected to maintain renal function as well as lower CVD risk. Ironically, the increase of chronic metabolic diseases such as obesity, diabetes, hypertension, and CKD have paralleled the growth of labor-saving technology, the ever-increasing availability of food, and the general prosperity of the developed world throughout the 20th century. However, prolonged, regular, and sometimes arduous physical exercise has been the norm over the vast span of human existence. Therefore, it may not be surprising that a discrepancy between the existing criteria for energy consumption and the genetic blueprint for physical activity, which has remained largely unchanged over centuries, would present adverse physiological and health consequences. 

It is important to inculcate some physical activity of high intensity such as cardio, running, brisk walking, vacuuming, or mowing the lawn, while vigorous activity includes jogging, carrying heavy loads, digging or exercise, and light-intensity activity like walking, cooking, or washing dishes. 

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