(EUropean Survey on Renal Exercise)

Exercise training and physical rehabilitation in patients with chronic kidney disease in Europe – what is the problem? – A European survey study



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


Participating countries

Belgium: Amaryllis van Craenenbroeck
Estonia: Mai Ots-Rosenberg
Germany: Clemens Grupp
Greece: Evangelia Kouidi
Italy: Adamasco Cupisti, Carmine Zoccali, Francesca Mallamaci, Giovanni Tripepi,
Sweden: Naomi Clyne

A virtual multimodal platform for exercise training, nutritional counselling and psychological and cognitive support in patients on hemodialysis – an EU ERASMUS+ supported project.



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


Cochrane review Protocol

Exercise training for adult kidney transplant recipients