How do you counsel patients on peritoneal dialysis regarding the safety of engaging in aerobic and resistance exercises, considering the risk of developing abdominal wall complications?

How do you counsel patients on peritoneal dialysis about the safety of engaging in aerobic and resistance exercises, considering the risk of developing abdominal wall complications?

• Advise patients to avoid weight-lifting or strenuous exercises with fluid in the abdomen; recommend draining before such activities
• Recommend patients exercise early in the morning before filling or in the late afternoon after a drain to minimize abdominal wall complications
• Encourage simple walking or jogging with fluid in the abdomen as it appears to be safe
• Caution patients about activities that significantly increase intraabdominal pressure, such as coughing, and consider using cough suppressants as needed
• Other