Perceptions of physical activity and technology enabled exercise interventions among people with advanced chronic kidney disease: a qualitative study

BMC Nephrology

Shuchi Anand¹  Susan Ziolkowski¹  Mary Beth Weber²  Ahad Bootwala³  Felipe Lobelo³  Alan Bienvenida³ 

[1] Division of Nephrology, Stanford University School of Medicine, Stanford, USA;Hubert Department of Global Health, Rollins School of Public Health, Emory University, 1518 Clifton Road, NE, MS 1518-002-7BB, Atlanta, GA, USA;Hubert Department of Global Health, Rollins School of Public Health, Emory University, 1518 Clifton Road, NE, MS 1518-002-7BB, Atlanta, GA, USA;Exercise is Medicine Global Research and Collaboration Center, Rollins School of Public Health, Emory University, Atlanta, GA, USA;

关键词: CKD;    Exercise;    Type 2 Diabetes;    Pre-dialysis;    Physical activity;   

DOI  :  10.1186/s12882-021-02591-9

来源: Springer

【 摘 要 】

BackgroundExercise improves health outcomes and quality of life in persons with chronic kidney disease (CKD). The numbers of persons with advanced CKD meeting physical activity guidelines however is low. We undertook a qualitative study of men and women aged 36–74 from various race/ethnic populations with advanced CKD not requiring dialysis to describe their experiences and opinions around prior physical activity, motivating factors for and barriers to exercise, and perceptions of exercise-promoting technology and group-based programming designed to improve physical activity levels.MethodsNineteen persons with advanced CKD not requiring dialysis were interviewed at two high volume nephrology clinics enriched with racial/ethnic minority patients (Emory University and Santa Clara Valley Medical Center). We used thematic analysis to identify dominant themes (n = 4) and subthemes (n = 19) around exercise experience, barriers, motivators, views, and preferences.ResultsFour dominant themes and 19 subthemes were identified. The most common motivators to exercise included physical and mental health benefits, appearance, improvement in energy levels, and potential social interaction in group-based programs. Common barriers included health concerns, particularly complications related to other co-morbidities, as well as time and transportation constraints. Participants were skeptical of exercise programs solely reliant on technology.ConclusionsThe use of group-based exercise programs may motivate persons with CKD to increase exercise levels, while programs entirely based on technology may be less effective.

【 授权许可】

CC BY