Category Archives: Exercise

What are the risk factors for a 79 year-old female?  Creatinine level is 1.9.  

The main risk factors for kidney disease are high blood pressure, diabetes, obesity, smoking, heart disease, age over 65, use of non-steroidal anti-inflammatory drugs (NSAID’s) over a long course of time, and physical inactivity.  A family history of kidney disease … Continue reading

Posted in Ask the Doctor, Diabetes, Diet/Nutrition, Exercise, Hypertension/High Blood Pressure, Kidney-Related Health Questions, Risk factors

I’m a 74 year-old woman who was diagnosed with CKD 2 1/2 years ago. During that time my GFR decreased from 61 to 50. I have no significant protein in my urine. I have no symptoms. An ultrasound showed that my kidneys are normal. However, I have paroxysmal atrial fibrillation, which is almost 100% controlled by taking 150mg of slow release Flecainide a day (I have no more than 3 episodes of less than 1/2 hour’s duration p.a.) and I am not on anti-coagulants. I also take anti-hypertensive drugs and my BP is around 130/80. I read that Afibbers are more likely to progress to end-stage kidney disease. However, is this even the case since my Afib is under control? And are there any drugs or indeed a diet which can slow down the progression?

Heart disease and chronic kidney disease (CKD) often co-exist in the same patient.  It is true that chronic atrial fibrillation is a risk factor for progression to end-stage kidney disease.  The most important thing to do is to carefully control … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Diet/Nutrition, Exercise, Kidney-Related Health Questions, Nephrologist, Risk factors

I was on Furosemide for a year, but losing weight, proper exercise and diet. I’ve now been off it a year and in good health. My sister may need a kidney in a couple of years (she was just diagnosed with multiple myeloma and receiving chemotherapy for the first 6 weeks, and they hope to broaden it to stem cells transplant). If necessary, I want to make sure I will be able to donate one of mine to her. Is there a preparation I can do to optimize my match to her, and will a doctor be willing to take my kidney if she needs a donor?

There is no specific activity that you could do that would make you a better kidney donor.  Leading a healthy lifestyle, such as not smoking, increasing your extra physical activity by 150 minute per week, eating a healthy diet, and … Continue reading

Posted in Ask the Doctor, Diet/Nutrition, Exercise, Kidney-Related Health Questions, Living Donation, Transplantation

I am an overweight 31 years old male, although am going to gym regularly, with hard work sometimes and prolonged swimming, but am drinking less water than required (1 L per day) lately.  I checked my RFT and creatinine was 1.07 and CK (300).  After 3 months, I ruptured my tendon Achilles.  Creatinine level was 1.20 with CK (400) after good hydration, now ranging between 0.8-0.9.  Is that normal?  

The testing that you describe suggests normal kidney function.  I am unable to suggest any other specific diagnosis.  I also suggest that you have urine testing for blood, protein and infection to look for chronic kidney disease (CKD).  

Posted in Ask the Doctor, Chronic Kidney Disease, Exercise, GFR

Dear Dr Spry, I am a Dental surgeon living in Nairobi, Kenya. I am currently suffering from stage 3 b (serum creatinine 1.92 mg/dl as per a few months ago) kidney disease. I had a right radical nephrectomy in 2010. I am 5 foot 9 and 57 kg. I am currently on a kidney friendly diet, and am following recipes on the Davita site, as we do not have any renal dietitians in Kenya. I am planning to take part in a sprint triathlon in December, and am currently training for that. My question is, can I take any electrolytes during training for the triathlon itself, to make up for electrolytes lost by sweating? considering most electrolytes are high in sodium and potassium. My nephrologist in Kenya is not too sure. I humbly request for any direction on the matter. Regards.

I am also a strong advocate for the DASH diet in patients with Stage 3 chronic kidney disease (CKD). You can learn more about the DASH diet at: Training for a long distance run and triathlon can be challenging … Continue reading

Posted in Ask the Doctor, Diet/Nutrition, Exercise, Kidney-Related Health Questions, Nephrectomy / One kidney

I was diagnosed with polycystic kidney disease two years ago. I changed a recommended kidney health diet and light excercise. Lately I have been having pain in my kidneys and adrenal glands along with low energy levels. I have not had a check up since I was diagnosed. What should I do?

Patients with polycystic kidney disease (PCKD) may often experience pain and discomfort from time to time related to cyst growth and cyst hemorrhage. You should avoid wearing tight fitting clothing. You should avoid all forms of caffeine. Light exercise and … Continue reading

Posted in Ask the Doctor, Diet/Nutrition, Exercise, Kidney-Related Health Questions, Polycystic Kidney Disease

I am a 60 year old Caucasian male, 180 lbs, who walks and attends gym regularly, non smoker, no alcohol but HIV+ virus non-detectable – on medication (triumeq tab for HIV+), atenolol (25mg) and Lipitor (10mg) all one per day. My eGFR has gone from 53 in May of 2015 with ups and downs to 42 in September of this year. Creatinine in the same period increased from 1.36 to 1.65. Kidney specialist has completed a battery of blood tests and urine analysis (including 24 hr.) No abnormal results arose from all of the tests and protein in urine is less than 6 mg/dl. Ultrasound shows one simple cyst but no other abnormalities. I have no physical symptoms. And no swollen lymph-nodes or swollen ankles etc., Kidney specialist says that kidney biopsy is the only option to give more information. Are there any other alternative tests that could be done? Many thanks!

A kidney biopsy would seem reasonable in your case. Most cases of kidney disease associated with HIV (+) status are associated with protein in the urine. You mention that your urinary protein is normal. It might be possible that your … Continue reading

Posted in Ask the Doctor, Blood/Urine Testing For Kidney Disease, Exercise, GFR, Kidney Biopsy, Kidney-Related Health Questions, Medication and Kidney Disease

I have type 2 diabetes and ckd. How can I manage my fatigue? I sleep over 12 hours a day and have no energy even to walk to my mailbox. It’s frustrating because I would like to exercise to loose weight since I am also obese. Thank you in advance for any advice you can give me.

First of all, I would recommend a complete history and physical examination by your primary care physician (PCP) to make sure your overall health will permit exercise. There are a number of medical illnesses other than chronic kidney disease (CKD) … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Exercise, Kidney-Related Health Questions

I have kidney disease stage 3 getting to 4. I was advised for exercise not to ride a bike because movement might damage the kidney. What is true about it and what kind of exercise I can do since I want to loose some weight? Many thanks.

I cannot imagine a kidney disease that would not allow you to ride a bicycle or not allow movement. This does not make any sense to me. I would encourage you to be as active as you can be. If … Continue reading

Posted in Ask the Doctor, Chronic Kidney Disease, Exercise, Kidney-Related Health Questions

I read an article about muscle wasting in hemodialysis patients and was wondering what can be done to prevent it from happening. The article states, “Endurance (aerobic) and resistance (anaerobic or strength training) exercise have been reported to reduce muscle wasting in HD patients.” It also states, “In a typical endurance exercise program, at least 30 minutes per day of moderate intensity exercise must be performed 5 days per week…[and a] resistance exercise program should be performed gradually and at least twice a week and should include training for all the major muscle groups.” I would like to know what type of exercises are they talking about, pushups, body weight squats, etc.? I was told by my nephrologist that patients on hemodialysis can’t do these types of exercises due to the fistula in their arms? I would also like to know if the type of muscle stimulators that are used by Bruce Lee on his muscles can be used by a patient on hemodialysis. What is the correct answer?

Exercises recommended for dialysis patients include walking, bicycling, swimming and jogging.  Dialysis patients may also use light weight lifting as a repetitive exercise.  It is true that these exercises are recommended to be done for approximately 150 minutes per week. … Continue reading

Posted in Ask the Doctor, Dialysis, Exercise, Kidney-Related Health Questions