Clinical Research Directory

Inclusion Criteria: * Adults aged 18 and over, undergoing chronic hemodialysis at CHI André Grégoire for more than 3 months. * Consent to participate in physical activity during dialysis sessions. * Written informed consent. * Affiliation with a social security system Exclusion Criteria: * Lower limb amputation without a prosthesis. * Non-healed foot wounds. * Hemoglobin \< 8 g/dl. * Patient refusal to participate. * Severe respiratory (oxygen dependence) or cardiac disease (NYHA class 3 or 4, LVEF \< 30%). * Advanced dementia or psychiatric illness impeding cooperation, or refusal to consent. * Non-French speaking patients unable to understand the study. * Patients under guardianship. * Advanced osteoarthritis, recent hip or knee prosthesis (\< 3 months). * Hypotension (BP \< 90/40 mmHg) or hypertension (BP \> 180/110 mmHg). * Fever (temperature \>= 38°C). * Hypoglycemia (fingerstick glucose \< 0.8 g/l) in diabetic patients. * Dyspnea or desaturation in ambient air \< 95%. * COVID-19 symptoms within the last 21 days, positive PCR test, unable to pedal. * Chest pain or unstable angina. * Muscle or joint contraindications to the pedal exerciser as assessed by a physiotherapist