There are three major gas pedals contributing to the ongoing progression of chronic kidney disease, one of which is the recurrence or persistent accompaniment of chronic infections or inflammatory factors. Therefore, how to improve the physical fitness of patients with chronic kidney disease is a key component in the successful treatment of kidney disease. At present, the best way to improve the physical fitness of kidney patients is to encourage them to join the exercise team. The vast majority of my frequent follow-up kidney patients have accepted my concept, and they generally benefit a lot, some of them have successfully stopped taking their medication, some of them have given birth to their second child after having a baby, and some of them not only have stopped taking their medication, but also have succeeded in becoming a yoga instructor through their own exercise. Of course, different types of diseases and different degrees of illnesses are not the same as each other, but these are enough to show how important it is to increase the physical fitness through exercise to promote the recovery of kidney disease. I have also encountered more patients who are very confused and want to join the exercise team, but are afraid that exercise will increase proteinuria and hematuria, or cause aggravation of the burden on the kidneys. As a result, their physical condition deteriorates, and a single cold can lead to a relapse of kidney disease or a sharp rise in blood creatinine. In fact, the vast majority of patients with kidney disease can participate in appropriate exercise after their condition is initially controlled. Studies have shown that even light exercise can help reduce the risk of death in patients with chronic kidney disease and significantly reduce traditional cardiovascular risk factors in both dialysis-dependent and non-dialysis chronic kidney disease patients. In addition, exercise improves muscle strength, cardiorespiratory adaptations, physical functioning, and quality of life in patients with all stages of chronic kidney disease. Exercise interventions, such as aerobic exercise and/or resistance training, may improve function and health-related quality of life in patients with kidney disease, especially those on dialysis. Exercise in patients with chronic kidney disease should pay attention to the following issues: 1. Start with low frequency and progress gradually Exercise in patients with CKD should start with low frequency initially and gradually increase to 3-5 times/week. Exercise intensity should be formulated according to patients’ exercise tolerance and gradually increased. Exercise duration should be developed according to the patient’s health and physical condition, and gradually extended. Equipped with monitoring equipment It is recommended to equip with heart rate belt and sports watch to monitor the heart rate and walking steps during exercise at any time, so as to grasp the amount of exercise at the right time. 3, grasp the exercise intensity Usually, the increase in heart rate and blood pressure after exercise and recovery status are used as indicators to judge the intensity of exercise. Patients with normal renal function and blood pressure should take a period of time when their heart rate rises by 75%-100%. Under normal circumstances, the pulse rate should not exceed 120 beats per minute; if it reaches 130-140 beats per minute, it means that it has been overdosed and the amount of exercise should be reduced. If there is a decrease in the number of pulses or pulse rhythm irregularities, you should immediately stop exercising, and promptly seek medical attention. Blood pressure can fluctuate during exercise, but it is appropriate for blood pressure to return to pre-exercise condition within half an hour after exercise. Secondly, you can judge by the diet, if your appetite drops after exercise, you need to consider whether the exercise program and the amount of exercise is appropriate, and make appropriate adjustments. The most three can look at the sleep situation, the right amount of exercise will generally improve sleep, if the phenomenon of insomnia aggravated by exercise and back pain, you should consider whether the exercise is too much, timely adjustment. This I, you can also judge from the degree of fatigue. Usually after the start of exercise there will be varying degrees of fatigue, and with the regularization of exercise, adaptability enhancement, fatigue will gradually disappear. If after a period of exercise after exercise not only can not get a sense of ease, but feel sleepy more and more heavy, and even produce a sense of boredom, which indicates that the amount of exercise is too large, should be adjusted appropriately. 4, long-term persistence