Children, adolescents, and young adults undergoing pediatric hemodialysis often experience functional limitations in daily life. Their level of physical activity is generally lower than that of healthy peers of the same age, due to the lack of sports programs adapted both to their medical conditions and to the constraints of dialysis (notably, having to remain in bed for several hours, several times a week). These limitations affect not only their cardiovascular function but also their quality of life.

Through the implementation of an Adapted Physical Activity (APA) program for dialysis patients, we aim to assess the potential benefits of this approach on muscle strength, functional abilities, cardiovascular health, and quality of life

Inclusion Criteria:

• Patient requiring hemodialysis sessions for end-stage renal disease
• Patient aged between 5 and 20 years
• Patient followed in the pediatric nephrology department at hospital Lyon (HFME : Hôpital Femme Mère Enfant)
• Adult patient or parents/legal guardians informed about the study and having provided written consent for participation
• Patient covered by a social security

Exclusion Criteria:

Medical or surgical contraindications to adapted physical activity.

• Persons deprived of liberty by judicial or administrative decision.
• Persons undergoing psychiatric care.
• Persons admitted to a healthcare or social facility for reasons other than research participation.
• Adults under legal protection measures (curators)
• Persons not affiliated with a social security scheme or beneficiaries of a similar system
• Pregnant women.