Purpose:

To identify potential barriers for integrating exercise training into regular therapy for patients with chronic kidney disease in different European countries.
To use this knowledge of the importance of different barriers to promote the use of exercise training as therapy and to target the respective levels.If there are obvious differences at the level of the health care system, positive examples from one country could be used as a lever in another country.

 

Specific aims:

•To investigate availability of physical activity/exercise training
.To investigate resources for physical activity/exercise training therapy
•To investigate prescription patterns of physical activity/exercise training
•To investigate implementation patterns of physical activity/exercise training
•To analyse possible barriers for physical activity/exercise training within Europe at the following levels:
•Health care system
•Renal unit
•Physician
•Nurse
•Patient

 

Participating countries

Germany: Clemens Grupp
Greece: Evangelia Kouidi
Italy: Adamasco Cupisti, Carmine Zoccali, Francesca Mallamaci, Giovanni Tripepi,
Sweden: Naomi Clyne
Spain: Eva Segura-Orti

 

Research status

First report published:
Lack of physiotherapy resources restricts exercise prescription for patients with chronic kidney disease—the EUropean SUrvey on REnal EXercise (EUSUREX)

Open Access
Naomi Clyne, Adamasco Cupisti, Clemens Grupp, Evangelia Kouidi, Eva Segura-Ortí, Pasquale Fabio Provenzano, Vicent Esteve-Simó, Giovanni Tripepi, Carmine Zoccali, the EUSUREX Working Group
Clinical Kidney Journal, Volume 18, Issue 11, November 2025, sfaf291, https://doi.org/10.1093/ckj/sfaf291

Analysis of SF-36 patient data ongoing.

Purpose:

GoodRENal’s purpose is to create a multimodal virtual reality (VR) platform to facilitate exercise training during hemodialysis, adequate nutrition and psychological well-being and cognitive ability.

Specific aims:

Firstly to identify barriers and facilitators as perceived by patients, their informal caregivers and their healthcare personell.Secondly to create a virtual reality platform with computer ”games” to further exercise training nutritional competence and better wellbeing.Thirdly, to promote this VR platform through peer led educational activities in patient groups and healtcare staff groupsFinally to test all aspects of the VR platform in a multi-centre randomised control trial in patioents on hemodialsysi in Spain, Greece, Belgium and Sweden.

Participating Centres:

Aristotelio Panepistimio Thessalonikis, Greece	Evangelia Kouidi
Hospital de Manises, Spain	Alicia García-Testal
Skåne University Hospital, Skåne Läns Landsting,, Sweden	Naomi Clyne
Universitat De Valencia, Spain Universitat Politécnica de Valencia, Spain Karolinska Institutet, Sweden Universidad CEU Cardenal Herrera, Spain KU Leuven, University Hospitals Leuven, Belgium	Patricia Mesa-Gresa Jose Antonio Lozano-Quilis Carla Avesani Eva Segura-Ortí Amaryllis Van Craenenbroeck

GoodRenal