Table 2.

Renal Exercise and Physical Activity Policy Recommendations for Nephrology Stakeholders

Stakeholder	Recommendations
Nephrologists and renal clinicians	• Include physical function and physical activity as part of the medical history • Discuss exercise and physical activity as interventions for risk factor modification • Support exercise and physical activity studies by encouraging participation • Determine medical clearance when indicated only before initiating vigorous exercise
Renal care provider organizations	• Include physical activity assessment and strategies in clinical pathways • Develop local, regional, and national renal physical activity key performance indicators • Advocate for exercise professionals with the capacity to individualize exercise and physical activity assessment and counseling • Disseminate free online toolkits already available for exercise programs • Seek opportunities and partnerships with universities specializing in exercise professional training for clinical placements • Design gymnasiums, equipment, and activity centers in future clinic design
Funders	• Include exercise professionals in future funding models • Include physical activity credits to offset medication or insurance costs • Promote fitness membership in insurance packages • Include physical activity metrics in funding models • Provide incentives for clinics that promote physical activity
Education providers	• Develop short course, online, and postgraduate education options in renal rehabilitation • Develop nephrology exercise certification programs • Increase and incentivize exercise and physical activity education in nephrology medicine and nursing programs • Increase the amount of renal education in exercise professional courses • Seek opportunities with renal providers for student placement in renal programs