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An International Survey of Peritoneal Dialysis Exercise Practices and Perceptions
Paul N Bennett1,2, Clara Bohm3,4, Angela Yee-Moon Wang5
1School of Nursing and Midwifery, Menzies Health Institute Queensland, Griffith University, Queensland, Australia.
Kidney International Reports
|July 13, 2023
Summary
Peritoneal dialysis (PD) clinicians worldwide recognize the importance of physical activity for patients. Integrating exercise counseling and structured plans into standard PD care can help patients maintain independence and improve outcomes.
Area of Science:
- Nephrology
- Exercise Physiology
- Public Health
Background:
- Low physical activity and function in peritoneal dialysis (PD) patients correlate with technique failure and mortality.
- Maintaining physical function is crucial for patient independence on home-based PD therapy.
Purpose of the Study:
- To investigate global perceptions and practices of PD clinicians regarding exercise for patients on PD.
- To identify barriers and facilitators for exercise promotion in PD patients.
Main Methods:
- A cross-sectional survey was conducted among PD clinicians globally.
- The survey explored perceptions and practices related to swimming, post-catheter insertion activity, lifting, and falls prevention.
- Data were collected from English-, Thai-, Spanish-, and Portuguese-speaking PD-prevalent countries.
Main Results:
- 94% of surveyed clinicians agreed that structured exercise programs benefit PD patients.
- 81% believed PD patients could increase their physical activity levels.
- Clinicians from lower-middle-income countries were more likely to promote physical activity compared to those in high-income countries.
Conclusions:
- PD clinicians acknowledge the significance of physical activity for their patients.
- Incorporating exercise counseling and structured exercise plans into routine PD care is recommended.
- Such interventions can support patient independence and potentially improve PD outcomes.
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