European Journal of Human Movement (Dec 2022)
Fulfilling of exercise training program scheduled: a secondary analysis of influencing factors in a clinical study on chronic kidney patients
Abstract
Chronic Kidney Patients (CKP) present a negative clinical status, with structural and functional changes in the musculoskeletal system and mental health partly due to a sedentary lifestyle. An effective physical stimulus for CKP is as important as to be able to follow it in the long-term. This study aimed to analyze the association between some of the most influencing exercise adherence factors in CKP performing an exercise prescription programme. 67 subjects (23.9% women) participated in 14-week exercise programme in 3 dialysis centers in Madrid (Spain). Social-economic, educational, demographics, physical fitness, psychological and quality of life-related factors, were analyzed by a binary logistic regression model. Exercise adherence was established according to the number of training sessions attended per total sessions scheduled (cut-off point >75%). According to our binary logistic regression model performed with CKP, actual side effects symptoms/problems (OR:0.925: 95% CI [0.871, 0.983]) and depression status (OR:0.882: 95% CI [0.788, 0.987]), showed significant negative associations (B= -0.078; B= -0.126, respectively) and State-Trait Anxiety level (OR: 1.122: 95% CI [1.007, 1.250]) and emotional well-being dimension (OR:1.046: 95% CI [1.001, 1.094]), showed significant positive associations (B=0.115; B=0.045, respectively). These were the most influencing factors related to the fulfilling >75% sessions of the exercise training program scheduled, explaining 33.20% in our model. From the total of variables analyzed in our model, psychological issues such as anxiety and depression, besides the health-related quality of life factors such as actual side effects (symptoms/problems) and emotional well-being were the most influencing factors related to the exercise prescription adherence in CKP.
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