Combined Aerobic and Resistance Exercise in Peritoneal Dialysis Patients

The goal of this randomized controlled trial was to learn whether a combined aerobic and resistance exercise program could improve physical function and muscle health in people receiving peritoneal dialysis. Researchers compared an exercise group with a control group to evaluate the effects of regular exercise. The main questions the study aimed to answer were: * Can regular exercise improve physical performance and muscle strength in people receiving peritoneal dialysis? * Can regular exercise improve body composition and blood markers related to muscle health? Before the exercise program, participants completed a one-month training period to learn the exercises and practice them safely. Participants in the exercise group: * Performed combined aerobic and resistance exercises for 8 weeks * Completed assessments before and after the exercise program Participants in the control group: * Continued their usual care * Completed assessments before and after the study period

Inclusion Criteria: * Adults aged 18 years or older * Receiving peritoneal dialysis for at least 6 months * Ability to sit and stand independently Exclusion Criteria: * Myocardial infarction within the previous 6 months * History of cardiac surgery * Uncontrolled hypertension * Pericardial or pleural effusion * Aortic stenosis * Active lower extremity amputation, prosthesis, or fracture * History of osteoporotic fractures * Regular participation in sports or structured exercise * Advanced cognitive impairment