Revista Mexicana de Ciencias de la Cultura Física · Nov 3, 2026
Muscle in motion: Benefits of exercise during hemodialysis for slowing muscle loss
By Báez RDCG
End-stage chronic kidney disease (ERCT) and hemodialysis treatment are associated with a progressive loss of muscle mass (sarcopenia), which impairs the patient's physical function and quality of life. The objective of this article is to analyze the physiological benefits and feasibility of intradialytic physical exercise as a strategy to mitigate muscle loss. Integrating aerobic training and adapted resistance exercise during the first hours of the hemodialysis session stimulates protein synthesis, optimizes toxin removal, and improves functional capacity. Key safety guidelines, such as hemodynamic monitoring and physical exertion during exercise, are also addressed. It is concluded that intradialytic exercise is a safe and effective nonpharmacological intervention, emphasizing the importance of integrating professionals in the field of physical culture into the renal care team.