Does an exercise program during hemodialysis improve dialysis efficacy, blood pressure and quality of life in end-stage renal disease (ESRD) patients?
Exercise during hemodialysis improves dialysate urea removal but does not significantly affect serum urea clearance, suggesting timing and modality adjustments may be needed.
Exercise during dialysis enhanced dialysate urea removal but not serum urea clearance. Alterations in the modality and the timing of exercise during dialysis may be required to elicit increases in serum urea clearance. It is also recommended that exercise during dialysis be performed during the first 2 hours of dialysis.
Parsons et al. (2004) studied this question.