Effects of a Walking Intervention in Older Patients With Chronic Kidney Disease: Feasibility Study

Inclusion Criteria: * Male and female patients over the age of 60 years * Diagnosed with moderate to severe CKD (stage 2-4) * Ambulatory (with or without use of an assistive device such as a cane or walker) * Living in the community, cognitively able to provide consent and understand directions for the tests * Cognitive ability to understand and carry out an independent home walking program * Access and ability to communicate with study staff on a weekly basis and available for follow-up testing. Exclusion Criteria: * Inability to carry out a program of walking independently at home * Unavailable for follow-up testing, estimated GFR \>60 ml/minx1.73m2 and \< 15 ml/minx1.73 m2 * Recent cardiac event (within the past 6 months) * Uncontrolled hypertension * Uncontrolled diabetes * Pulmonary disease that may limit the ability to progress with walking * Progressive neuromuscular disease * Any orthopedic or neuromuscular condition that may be exacerbated by increased walking activity * diabetic foot ulcer.