Resumen de Fulfilling of exercise training program scheduled: a secondary analysis of influencing factors in a clinical study on chronic kidney patients.
Sergio Calonge Pascual, Raquel Pedrero Chamizo, Ana María de Alba Peñaranda, Solmar Rodríguez de Galvis, Margarita Pérez Ruiz, Eduardo Cervelló Gimeno, Marcela González Gross
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.
