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Identifying Barriers and Facilitators to Physical Activity Participation Among Adolescents With CKD: A Qualitative
Amy J Kogon1,2, Anyun Chatterjee3, Katherine Kellom3
1Department of Pediatrics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
Kidney Medicine
|April 20, 2026
Summary
Adolescents with chronic kidney disease (CKD) face barriers like fatigue and schoolwork to physical activity. Social engagement facilitates activity, and digital tools like trackers with rewards could help promote physical activity in this population.
Area of Science:
- Pediatric Nephrology
- Exercise Science
- Digital Health Interventions
Background:
- Adolescents with chronic kidney disease (CKD) have low rates of physical activity.
- Identifying barriers and facilitators is crucial for developing effective interventions.
- Digital tools show promise for increasing physical activity in chronic disease populations.
Purpose of the Study:
- To identify barriers and facilitators to physical activity in adolescents with CKD.
- To explore the potential of digital tools in promoting physical activity for this group.
Main Methods:
- Qualitative study utilizing semi-structured interviews.
- Participants included 12 adolescents with CKD (stages 2-5) and 8 caregivers.
- Thematic analysis was used to evaluate transcribed interview data.
Main Results:
- Social relationships were key facilitators for physical activity.
- Fatigue and school obligations were primary barriers.
- Concerns about physical activity impacting kidney health were noted; digital trackers and incentives were suggested as helpful.
Conclusions:
- Social engagement is a primary facilitator, while fatigue and schoolwork are key barriers.
- Findings can guide the development of tailored digital interventions for adolescents with CKD.
- Promoting physical activity can improve health-related outcomes in this population.
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