PHYSICAL REHABILITATION IN NEPHROLOGY PRACTICE FROM THE EVIDENCE-BASED MEDICINE POSITION

Exercise is any form of human physical activity that promotes the maintenance of general health and well-being. Chronic kidney disease (CKD) is a major global health problem. Today, approximately 850 million patients worldwide (10% of the world's population) suffer from CKD and require renal replacement therapy - hemodialysis. The World Health Organization (WHO) estimates that CKD will become the 5th leading cause of death worldwide by 2040. Physical inactivity is common among patients with CKD undergoing hemodialysis or peritoneal dialysis. There is a lot of evidence in the medical literature about the positive effect of various physical exercises on the general health of patients with CKD. At the same time, the effectiveness of certain types of physical exercises or their complexes for patients undergoing hemodialysis still requires confirmation from the position of evidence-based medicine. The article analyzes professional literary sources from the position of evidence-based medicine, according to the data of scientific-metric search and generalization of foreign and domestic recommendations concerning rehabilitation aid in nephrology practice, and presents methods of use of physical exercise complexes for patients with CKD at the hospital level. The research is carried out within the framework of scientific study of the Department of Pediatrics, Neonatology and Perinatal Medicine of Bukovinian State Medical University on the topic "Chronobiological and adaptive aspects and peculiarities of vegetative regulation in pathological conditions in children of different age groups". The state registration № 0122U002245, the term: 01.01.2022 - 31.12.2026.