How can exercise help people living with chronic kidney disease (CKD)? In this episode, we unpack the ESSA position statement on exercise and CKD, highlighting how aerobic and resistance training can improve cardiorespiratory fitness, muscle strength, blood pressure, quality of life, and more. We also explore practical considerations for prescribing exercise, including safety during haemodialysis, appropriate intensity, and key contraindications like electrolyte imbalances or unstable blood pressure. Whether you’re a health professional, researcher, or CKD patient, this episode offers an evidence-based overview of why and how exercise should be integrated into CKD management—and what still needs to be learned through research.