The purpose of this study was to examine; the effect of factors of continued exercise on an elderly patient undergoing hemodialysis, applying the factors of success in continuing exercise at a fitness club by to the ‘Exercise Participation Model’ .
    Semi-structured interviews were conducted, and we extracted the factors and distinctive remarks about continued exercise, summarized them, and applied them to the ‘Exercise Participation Model’ .
    Ms. A was compelled to discontinue exercise when she started hemodialysis, but after a month she started exercise again. She had barriers such as illness and pain, and it was shown that the following factors were related to her continued exercise.
1) Acceptance of her physical condition, including illness and pain.
2) Social support from those around her.
3) Choice of exercise programs adjusted to suit her physical condition.
    These results suggested taking into consideration not only general health promotion and barriers to exercise practice, but also the acceptance of illness in the particular case of such a patient undergoing hemodialysis.