{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T10:28:24Z","timestamp":1792578504608,"version":"4.5.0"},"reference-count":101,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","funder":[{"DOI":"10.13039\/100006108","name":"National Center for Advancing Translational Sciences","doi-asserted-by":"crossref","award":["K12TR004415"],"award-info":[{"award-number":["K12TR004415"]}],"id":[{"id":"10.13039\/100006108","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":["CJASN"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:p>\n                    People with CKD have a high cardiovascular (CV) disease burden. Physical activity and exercise can improve CV risk, but adaptations are specific to the activity performed. Therefore, changes in individual CV risk factors may be influenced by variables such as the volume and type of exercise. This narrative review will outline the evidence for the effects of physical activity and exercise type on cardiometabolic risk factors in adults and provide insights for patients and clinicians. Current evidence suggests that changes in risk factors such as cardiorespiratory fitness and body composition demonstrate specificity to exercise type across the CKD spectrum. However, limited data for each exercise type within some subgroups (\n                    <jats:italic toggle=\"yes\">e.g<\/jats:italic>\n                    ., disease stage), trial heterogeneity, and other barriers limit the ability to draw definitive conclusions regarding optimal exercise type for some outcomes. Despite these gaps, evidence supports physical activity and exercise's role in improving CV health in people with CKD. A greater emphasis on activity counseling, multifactorial interventions, and implementation strategies may help to maximize the effects of physical activity and exercise on CV health in people with CKD.\n                  <\/jats:p>","DOI":"10.2215\/cjn.0000000784","type":"journal-article","created":{"date-parts":[[2025,6,12]],"date-time":"2025-06-12T12:01:15Z","timestamp":1749729675000},"page":"144-153","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":6,"title":["Physical Activity and Exercise for Cardiometabolic Health and Fitness in CKD"],"prefix":"10.2215","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1930-703X","authenticated-orcid":false,"given":"Brandon M.","family":"Kistler","sequence":"first","affiliation":[{"name":"Department of Nutrition Science, Purdue University, West Lafayette, Indiana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1648-0662","authenticated-orcid":false,"given":"Danielle L.","family":"Kirkman","sequence":"additional","affiliation":[{"name":"Department of Kinesiology and Health Sciences, Virginia Commonwealth University, Richmond, Virginia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dave","family":"Kusni","sequence":"additional","affiliation":[{"name":"Department of Nutrition Science, Purdue University, West Lafayette, Indiana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3583-6126","authenticated-orcid":false,"given":"Geovana","family":"Martin Alema\u00f1y","sequence":"additional","affiliation":[{"name":"School of Nutritional Sciences and Wellness, University of Arizona, Tucson, Arizona"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4019-4490","authenticated-orcid":false,"given":"Heitor S.","family":"Ribeiro","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, University of Brasilia, Bras\u00edlia, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3807-8298","authenticated-orcid":false,"given":"Brett","family":"Tarca","sequence":"additional","affiliation":[{"name":"Alliance for Research in Exercise, Nutrition and Activity, Allied Health and Human Performance, University of South Australia, Adelaide, South Australia, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3109-6837","authenticated-orcid":false,"given":"Stephanie","family":"Thompson","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of Alberta, Edmonton, Alberta, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9147-7781","authenticated-orcid":false,"given":"Jo\u00e3o L.","family":"Viana","sequence":"additional","affiliation":[{"name":"Research Center in Sports Sciences, Health Sciences and Human Development, CIDESD, University of Maia, Maia, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7855-7752","authenticated-orcid":false,"given":"Thomas J.","family":"Wilkinson","sequence":"additional","affiliation":[{"name":"NIHR Leicester Biomedical Research Centre, Leicester Diabetes Centre, University of Leicester, Leicester, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3285-1777","authenticated-orcid":false,"given":"Kenneth R.","family":"Wilund","sequence":"additional","affiliation":[{"name":"School of Nutritional Sciences and Wellness, University of Arizona, Tucson, 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