Global Policy Barriers and Enablers to Exercise and Physical Activity in Kidney Care

dc.contributor.authorBennett, Paul N.
dc.contributor.authorKohzuki, Masahiro
dc.contributor.authorBohm, Clara
dc.contributor.authorRoshanravan, Baback
dc.contributor.authorBakker, Stephan J. L.
dc.contributor.authorViana, Joao L.
dc.contributor.authorMacRae, Jennifer M.
dc.contributor.authorWilkinson, Thomas J.
dc.contributor.authorWilund, Kenneth R.
dc.contributor.authorVan Craenenbroeck, Amaryllis H.
dc.contributor.authorSakkas, Giorgos K.
dc.contributor.authorMustata, Stefan
dc.contributor.authorFowler, Kevin
dc.contributor.authorMcDonald, Jamie
dc.contributor.authorAleamany, Geovana Martin
dc.contributor.authorAnding, Kirsten
dc.contributor.authorAvin, Keith G.
dc.contributor.authorEscobar, Gabriela Leal
dc.contributor.authorGabrys, Iwona
dc.contributor.authorGoth, Jill
dc.contributor.authorIsnard, Myriam
dc.contributor.authorJhamb, Manisha
dc.contributor.authorKim, Jun Chul
dc.contributor.authorLi, John Wing
dc.contributor.authorLightfoot, Courtney J.
dc.contributor.authorMcAdams-DeMarco, Mara
dc.contributor.authorManfredini, Fabio
dc.contributor.authorMeade, Anthony
dc.contributor.authorMolsted, Stig
dc.contributor.authorParker, Kristen
dc.contributor.authorSeguri-Orti, Eva
dc.contributor.authorSmith, Alice C.
dc.contributor.authorVerdin, Nancy
dc.contributor.authorZheng, Jing
dc.contributor.authorZimmerman, Deb
dc.contributor.authorThompson, Stephanie
dc.contributor.authorGlobal Renal Exercise Network (GREX)
dc.contributor.departmentMedicine, School of Medicineen_US
dc.date.accessioned2023-05-15T17:57:31Z
dc.date.available2023-05-15T17:57:31Z
dc.date.issued2022-07
dc.description.abstractObjective 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.en_US
dc.eprint.versionAuthor's manuscripten_US
dc.identifier.citationBennett, P. N., Kohzuki, M., Bohm, C., Roshanravan, B., Bakker, S. J. L., Viana, J. L., MacRae, J. M., Wilkinson, T. J., Wilund, K. R., Van Craenenbroeck, A. H., Sakkas, G. K., Mustata, S., Fowler, K., McDonald, J., Aleamañy, G. M., Anding, K., Avin, K. G., Escobar, G. L., Gabrys, I., … Thompson, S. (2022). Global Policy Barriers and Enablers to Exercise and Physical Activity in Kidney Care. Journal of Renal Nutrition, 32(4), 441–449. https://doi.org/10.1053/j.jrn.2021.06.007en_US
dc.identifier.issn1051-2276en_US
dc.identifier.urihttps://hdl.handle.net/1805/32988
dc.language.isoen_USen_US
dc.publisherElsevieren_US
dc.relation.isversionof10.1053/j.jrn.2021.06.007en_US
dc.relation.journalJournal of Renal Nutritionen_US
dc.rightsPublisher Policyen_US
dc.sourceAuthoren_US
dc.subjectKidney Careen_US
dc.subjectchronic kidney diseaseen_US
dc.subjectglobal policy-related enablersen_US
dc.titleGlobal Policy Barriers and Enablers to Exercise and Physical Activity in Kidney Careen_US
dc.typeArticleen_US
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