ken wilund

@RenalNutrition @GREXercise @Hendriks_FK I agree this is the best strategy. The earlier the better. But I believe we can see robust improvements even in dialysis with more comprehensive interventions. Have to move toward this! @grexercise

Excellent presentation @Hendriks_FK Definitely need exercise interventions earlier in CKD journey to prevent muscle wasting later. Smaller improvements in physical function in dialysis might be too late. @GREXercise #ICRNM22

@tomwilks444 @GREXercise @drjamesburton @McAdamsDeMarco @kamkalantar #GREX representing on these lists! Lol. Nice work

Wow my name in a figure! Top 10 authors in renal rehabilitation research....good company also @drjamesburton @McAdamsDeMarco @kamkalantar @GREXercise frontiersin.org/articles/10.33…

@Super70sSports jamarcus russell

When I say “Shitty quarterback” who’s the first guy you thought of?

@DavidCornDC is this any worse than the orange guy saying there was no insurrection? whats the difference?

What is the strategic intent of such lies? For domestic consumption only? Showing the West he defies rationality? Why bother getting on the phone if this is what you're going to say?

@alunieczka @NephJC Would go one step farther - some patients will enjoy gamification… others may not. We really neee to focus on giving patients the autonomy to choose whatever activity they want. During dialysis or out of clinic. Games. Or standard exercise. #NephJC

@NephJC @kwilund I think gamification might be a great idea #NephJC

One of biggest challenges is that exercise on dialysis is boring. Our challenge is to remind our patients how exercise can be enjoyable #NephJC

@anniebelch @nephondemand @GREXercise Yes- this is what we use. The monark 881 rehab trainer. They are not cheap but are very sturdy

@nephondemand Maybe the @GREXercise community can help. We used this one for IHOPE kidney-international.org/article/S0085-…

Hi #NephTwitter. I want to implement an intradialytic exercise program for my patients. I need to know the names/pics of the cycle machines that you are using so that I can refer to them during our upcoming budget meeting. Can you help my patients & I? Thanks. #askrenal

@GREXercise @KIReports @sharleneuk @Pkoufaki @SportSciMac @drjamesburton @idasgupta7 Congrats to the PEDAL team for completing this very difficult study. These results highlight the challenges of exercising dialysis patients and reiterate the need to keep exploring novel approaches that may provide robust benefits. Our work continues! #GREX

🚨Published in @KIReports: The results from the multicenter PEDAL randomized controlled trial evaluating the clinical benefit & cost effectiveness of a 6-month #IntradialyticExercise program. ➡️ bit.ly/3fBP9uk

@realDonaldTrump GO AWAY

The threshold identification of Ballots is turning out to be even bigger than originally anticipated. A very large number of Ballots are impacted. Stay tuned!

@NDTsocial @GREXercise @KidneyPatients @EIMnews This study in CKD and the recent paper by Gamboa in ESKD once again show how hard it is to INCREASE muscle in CKD and renal failure. Maintenance of muscle is good, but have to keep working to IMPROVE the data. COMPREHENSIVE interventions are needed!

🏋️‍♀️Muscle mass and plasma myostatin after exercise training: a substudy of Renal Exercise (RENEXC)—a randomized controlled #trial 👉bit.ly/3o6RpvN🔓👈 #exercise #PhysicalActivity #myostatin #sarcopenia #CKD @KidneyPatients @EIMnews

i rarely retweet anything related to politics. but this is pure gold...and couldn't pass it by

@PrimaryCarePAC @GREXercise Great question. there are no evidence based recommendations. Note that there are rare dialysis patients who do HEAVY resistance training with no complications. But typical advice is to limit weight lifted to an arbitrarily low amount (e.g. 25 pounds). But no evidence for this

@GREXercise and friends. Are there any exercise limitations in intensity, max effort, etc in someone with a mature working forearm AV fistula for HD access? I understand recs to avoid activity in that arm after dialysis for hemostasis. Thanks.

Interesting study! Getting CKD patients to move more, by any means necessary, has benefits! But the study reiterates findings from MANY others: sustained counseling is needed, and that will require sustained funding for exercise professionals! Individualized Rxs are needed!

Healthy Groceries for Kidney Patients gofundme.com/f/stockmypantr…

@SpelaBogataj @GREXercise @BBurrows007 @CourtneyJLight @gratefull080504 Spela, fantastic study. congratulations. need to go. keep up the great work. #grexjc

What about implementing #exercise into clinical practice? Provide the proof + demand better quality of life #dialysis patients #grexjc

@GREXercise we need training programs to be developed... GREX is working on it #grexjc. not ultimate answer, but could help

But is all of this feasible? How can we apply this intervention effectively to dialysis units where resources are poor and there are no exercise professionals available? #GREXJC

@SpelaBogataj @BBurrows007 @CourtneyJLight @gratefull080504 thats greaT! i was also concerned that it would be hard to get them to exercise BEFORE... THEN during! you must be good motivator! #grexjc

@heitorribeiros @HsinYuFang1 STS - time to do 5 #grexjc

@HsinYuFang1 What kind of trouble? The STS-60 seconds is also being very used, even harder than the 10 one. #GREXJC

Another thing this study surprised me was that STS-10 was used. From our experience, our patients might even have trouble with 5x STS. #GREXJC

@HsinYuFang1 same thought. most could not do this in our clinic. #grexjc

@SpelaBogataj @HsinYuFang1 how many patients roughly? what is pretty small? #grexjc

More questions :) 2) Both the adherence to IDC and functional training seemed to drop during phase 2. What could be the causes for this? 3) How did you encourage your participants to overcome the barriers to exercise which were listed in the discussion session? #GREXJC