Exercise and Monitoring With Post-Hospitalization Muscle Atrophy to Sustain Intrinsic Capacity and Strength

This study tests whether a structured exercise and monitoring program can prevent muscle loss and preserve strength and overall physical function in older adults with chronic kidney disease (CKD) after they are discharged from hospital. Hospital stays often lead to significant muscle wasting, and this program aims to help patients recover better. **You may be eligible if...** - You are over 55 years old - You have been diagnosed with stage 3–4 chronic kidney disease OR your kidney filtration rate (eGFR) is below 45 mL/min/1.73m² **You may NOT be eligible if...** - You have poorly controlled high blood pressure (above 160/100) - You had a heart attack or similar cardiac event in the past 6 months - You have severe heart failure (class III or IV) or chest pain at rest or during exercise - You lost consciousness in the past year without a known resolved cause - You require home oxygen for a lung condition - You have a bleeding history in the brain or eyes, or active diabetic eye disease - You have severe spinal problems or dementia Talk to your doctor to see if this trial is right for you.