• Research Associate Professor, Physical Therapy & Athletic Training

Research Statement

Through my studies and those of others it is clear that the severe physical limitations and many symptoms of fatigue and weakness experienced by patients with kidney disease can be improved with exercise training. The mechanisms of limitations have not been fully identified, but sarcopenia and resulting muscle dysfunction contribute, as well as abnormal cardiac responses to exercise may contribute.  I am interested in the physiologic limitations to exercise in patients with kidney disease, but am also interested in how to best incorporate counselling and encouragement for increased physical activity within the health care setting of dialysis and after transplant.

Research Keywords

  • implementation of research into practice
  • Physical activity interventions
  • Frailty interventions
  • Exercise training
  • Clinical exercise physiology
  • Cardiac responses to exercise


  • Exercise: what type? National Kidney Foundation Clinical Meetings April 2014. Invited Talk/Keynote, Accepted, 10/05/2013.
  • Exercise in Kidney Disease British Renal Society; May 1, 2014 Glascow, Scotland. Invited Talk/Keynote, Accepted, 09/15/2013.
  • Fitness and Sport after Transplantation World Transplant Games Federation: Medical Symposium St. Michelle, France . Invited Talk/Keynote, Other, 01/18/2010.
  • Hong Kong Renal Authority, Hong Kong Society of Nephrology, Hong Kong Kidney Foundation: Renal Rehabilitation in Hong Kong. Invited Talk/Keynote, Other, 11/29/2009.
  • American Academy of Specialty Physicians/NIDDK workshop on Nephrology and Gerontoly (Washington DC). Invited Talk/Keynote, Other, 05/2009.
  • American College of Sports Medicine National Meeting: President’s Lecture, New Orleans, LA. Invited Talk/Keynote, Other, 05/31/2007.
  • European Society of Transplantation (Transplant Athlete Symposium) Geneva, Switzerland. Invited Talk/Keynote, Other, 10/20/2005.


  • English, fluent.


  • "Physical Function and Physical Activity Assessment and Promotion in the Hemodialysis Clinic: A Qualitative Study" American Journal of Kidney Diseases. Accepted, 01/28/2014.
  • Gait Speed and Physical Function in CKD Nephrology Nursing Journal. Submitted, 12/2013.
  • The association of physical activity and physical function with clinical outcomes in adults with chronic kidney disease Curr Opin Nephrol Hypertens 2013, 22:615–623. Published, 11/10/2013.
  • The Association of Physical Activity and Physical Function with Clinical Outcomes in Adults with Chronic Kidney Disease Current Opinion in Nephrology and Hypertension. In press, 09/2013.
  • Painter, P., & Marcus, R. L. (2012). Assessing Physical Function and Physical Activity in CKD Patients: In-Depth Review. Clincal Journal of the American Socieity of Nephrology( Dec 6. [Epub ahead of print]). Released, 12/06/2012.
  • Painter, P, Krasnoff, JB, Kuskowski M, Frassetto L, Johansen KL. Effects of Modality Change and Transplant on Peak Oxygen Uptake in Patients with Kidney Failure. Am J Kidney Disease 57(1): 113-122, 2011. Other, 07/2011.
  • American College of Sports Medicine (Section Editor): Exercise Management of Persons with Chronic Disease and Disabilities (3rd edition. Human Kinetics, Champaign, IL, (2009). Other, 07/2009.
  • Krasnoff JB, Vintro AQ, Ascher NL, Bass NM, Paul SM, Dodd MJ, Painter PL. A randomized trial of exercise and dietary counseling after liver transplantation. Am J Transplant. 2006 Aug;6(8):1896-905. Other, 08/2006.
  • Painter PL, Hector L, Ray K, Lynes L, Paul SM, Dodd M, Tomlanovich SL, Ascher NL. Effects of exercise training on coronary heart disease risk factors in renal transplant recipients. Am J Kidney Dis. 2003 Aug;42(2):362-9. Other, 08/2003.
  • Painter PL, Topp KS, Krasnoff JB, Adey D, Strasner A, Tomlanovich S, Stock P. Health-related fitness and quality of life following steroid withdrawal in renal transplant recipients. Kidney Int. 2003 Jun;63(6):2309-16. Other, 06/2003.