Global Policy Barriers and Enablers to Exercise and Physical Activity in Kidney Care
| Autor: | Stig Molsted, Myriam Isnard, Jamie McDonald, Kristen Parker, Gabriela Leal Escobar, Nancy Verdin, Baback Roshanravan, Deb Zimmerman, Iwona Gabrys, Manisha Jhamb, Jing Zheng, Clara Bohm, João L. Viana, Alice C. Smith, Eva Seguri-Orti, Fabio Manfredini, Stephanie Thompson, Kevin J Fowler, Mara McAdams-DeMarco, Jun Chul Kim, Courtney J Lightfoot, Giorgos K. Sakkas, Stefan Mustata, Paul Bennett, Geovana Martin Aleamañy, Keith G. Avin, Thomas J. Wilkinson, Jennifer M. MacRae, Jill Goth, Stephan J. L. Bakker, Masahiro Kohzuki, Kenneth R. Wilund, Amaryllis H. Van Craenenbroeck, John Wing Li, Kirsten Anding, Anthony Meade |
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| Přispěvatelé: | Groningen Institute for Organ Transplantation (GIOT), Groningen Kidney Center (GKC), Bennett, Paul N, Kohzuki, Masahiro, Bohm, Clara, Roshanravan, Baback, Thompson, Stephanie |
| Rok vydání: | 2020 |
| Předmět: |
Nephrology
Gerontology medicine.medical_specialty Canada medicine.medical_treatment media_common.quotation_subject MEDLINE Medicine (miscellaneous) Legislation Kidney Quality of life (healthcare) Promotion (rank) Internal medicine medicine Humans Global Renal Exercise Network (GREX) Exercise media_common Nutrition and Dietetics Rehabilitation business.industry Behavior change medicine.disease Policy Quality of Life business Kidney disease |
| Zdroj: | Journal of Renal Nutrition, 32(4), 441-449 |
| ISSN: | 1532-8503 1051-2276 |
| Popis: | OBJECTIVE: Impairment in physical function and physical performance leads to decreased independence and health-related quality of life in people living with chronic kidney disease and end-stage kidney disease. Physical activity and exercise in kidney care are not priorities in policy development. We aimed to identify global policy-related enablers, barriers, and strategies to increase exercise participation and physical activity behavior for people living with kidney disease. DESIGN AND METHODS: Guided by the Behavior Change Wheel theoretical framework, 50 global renal exercise experts developed policy barriers and enablers to exercise program implementation and physical activity promotion in kidney care. The consensus process consisted of developing themes from renal experts from North America, South America, Continental Europe, United Kingdom, Asia, and Oceania. Strategies to address enablers and barriers were identified by the group, and consensus was achieved. RESULTS: We found that policies addressing funding, service provision, legislation, regulations, guidelines, the environment, communication, and marketing are required to support people with kidney disease to be physically active, participate in exercise, and improve health-related quality of life. We provide a global perspective and highlight Japanese, Canadian, and other regional examples where policies have been developed to increase renal physical activity and rehabilitation. We present recommendations targeting multiple stakeholders including nephrologists, nurses, allied health clinicians, organizations providing renal care and education, and renal program funders. CONCLUSIONS: We strongly recommend the nephrology community and people living with kidney disease take action to change policy now, rather than idly waiting for indisputable clinical trial evidence that increasing physical activity, strength, fitness, and function improves the lives of people living with kidney disease. ispartof: JOURNAL OF RENAL NUTRITION vol:32 issue:4 pages:441-449 ispartof: location:United States status: published |
| Databáze: | OpenAIRE |
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