The paper tells that chronic diseases like chronic kidney disease (CKD) have reached alarming proportions, thereby becoming a public health concern. In the USA, the study conducted by the National Health and Nutrition Survey has shown that between the period of 1994 and 2004 there has been a 16% increase in CKD. In spite of evidence that physical exercise is beneficial to patients with CKD, barriers to its use still persist. The barriers to the use of physical exercise in CKD needs to assessed through studies, but in the meantime patients should be encouraged to undertake moderate physical exercise. From a global perspective non-communicable diseases have outstripped communicable diseases as the reason for premature mortality and morbidity. CKD has turned out to be the key determinant for poor health outcomes in the majority of non-communicable diseases. Prevention of CKD thus assumes importance for public health. The rise in the incidence of chronic diseases like CKD can be seen as a parallel outcome of the increased availability of food and reduced physical activity in the modern world. Hence, there is a mismatch in energy intake and energy expenditure. Physical activity is known to contribute to substantial increase in energy expenditure and through that improve metabolic factors in an individual. Habitual physical activity has been known to reduce the risk for reduced kidney functioning through the physiological and metabolic effects of physical activity
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