Enrico Fiaccadori1, Alice Sabatino1, Franco Schito2, Francesca Angella3, Martina Malagoli3, Marco Tucci3, Adamasco Cupisti4, Alessandro Capitanini5, Giuseppe Regolisti1
1Renal Pathophysiology Unit, Clinical and Experimental Medicine Department, University of Parma
2Nephrology and Dialysis Unit, ASL Parma
3Faculty of Health and Sport Sciences, Parma University, Parma
4Department of Clinical and Experimental Medicine, University of Pisa, Pisa
5Nephrology and Dialysis Unit, ASL Pistoia, Italy
Tóm tắt
<b><i>Background/Aims: </i></b>In patients on chronic dialysis a sedentary lifestyle is a strong, yet potentially modifiable, predictor of mortality. The present single-center pilot study evaluated social, psychological and clinical barriers that may hinder physical activity in this population. <b><i>Methods: </i></b>We explored the association between barriers to physical activity and sedentarism in adult patients at a chronic dialysis facility in Parma, Italy. We used different questionnaries exploring participation in physical activity, physical functioning, patient attitudes and preferences, and barriers to physical activity perceived by either patients or dialysis doctors and nurses. <b><i>Results: </i></b>We enrolled 104 patients, (67 males, 65%), mean age 69 years (79% of patients older than 60 years); median dialysis vintage 60 months (range 8-440); mean Charlson score 5.55, ADL (Activities of Daily Living) score 5.5. Ninety-two participants (88.5%) reported at least one barrier to physical activity. At multivariable analysis, after adjusting for age and sex, feeling to have too many medical problems (OR 2.99, 95% CI 1.27 to 7.07; P=0.012), chest pain (OR 10.78, 95% CI 1.28 to 90.28; P=0.029) and sadness (OR 2.59, 95% CI 1.10 to 6.09; P=0.030) were independently associated with physical inactivity. Lack of time for exercise counseling and the firm belief about low compliance/interest by the patients toward exercise were the most frequent barriers reported by doctors and nurses. <b><i>Conclusion: </i></b>We identified a number of patient-related and health personnel-related barriers to physical activity in patients on chronic dialysis. Solutions for these barriers should be addressed in future studies aimed at increasing the level of physical activity in this population.
