| Autor: |
Giuseppe Regolisti, Umberto Maggiore, Alice Sabatino, Ilaria Gandolfini, Sarah Pioli, Claudia Torino, Filippo Aucella, Adamasco Cupisti, Valentina Pistolesi, Alessandro Capitanini, Giorgia Caloro, Mariacristina Gregorini, Yuri Battaglia, Marcora Mandreoli, Lucia Dani, Giovanni Mosconi, Vincenzo Bellizzi, Biagio Raffaele Di Iorio, Paolo Conti, Enrico Fiaccadori, Gruppo di Studio “Esercizio fisico nel paziente con insufficienza renale cronica” of the Società Italiana di Nefrologia |
| Jazyk: |
angličtina |
| Rok vydání: |
2018 |
| Předmět: |
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| Zdroj: |
PLoS ONE, Vol 13, Iss 4, p e0196313 (2018) |
| Druh dokumentu: |
article |
| ISSN: |
1932-6203 |
| DOI: |
10.1371/journal.pone.0196313 |
| Popis: |
In hemodialysis patients, sedentarism is a potentially modifiable mortality risk factor. We explored whether healthcare staff's attitude towards exercise interacts with patient-perceived barriers in modifying the level of physical activity in this population.In this prospective, cross-sectional, multicenter study we recruited 608 adult patients and 330 members of the healthcare staff in 16 hemodialysis units in Italy. We assessed patient-perceived barriers to, and healthcare staff's attitude towards, exercise by specific questionnaires. We fitted multilevel linear models to analyze the relationships of either barriers or staff's attitude, and their interaction, with a measure of patient self-reported physical activity (the Human Activity Profile-Adjusted Activity Score [HAP-AAS]), adjusting for multiple confounders. We also employed latent class analysis to dichotomize patients into those endorsing or not endorsing barriers.Most barriers were negatively associated with the HAP-AAS (adjusted change attributable to a given barrier ranging between -5.1 ["Feeling too old", 95% Confidence Interval: -9.4 to -0.8] and -15.6 ["Ulcers on legs and feet", 95%CI: -24.8 to -6.5]. We found a significant interaction between staff's attitude and barriers (adjusted P values ranging between 0.03 ["I do not believe that it is physician's or nurse's role providing advice on exercise to patients on dialysis"] and 0.001 ["I do not often ask patients about exercise"]). A beneficial effect of a proactive staff's attitude was evident only in patients not endorsing barriers.Barriers and non-proactive staff's attitude reduce physical activity in hemodialysis patients. Patients not endorsing barriers benefit the most from a proactive staff's attitude. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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