MOTIVATIONS AND BARRIERS TO ADHERENCE TO HABITUAL PHYSICAL ACTIVITY AND INTRADIALYTIC PHYSICAL EXERCISE

Abstract

Chronic Kidney Disease (CKD) is defined by the structural or functional abnormality of the kidneys that, when in advanced stage, the patient is guided as to the need to start treatment through dialysis. The dialysis routine, although essential, can bring losses such as the reduction of lean and autonomous mass. There are indications that physical activity helps in metabolic control and body composition in this public, although there are barriers to adherence to the practice. The objective of this study was to analyze the main limiting and motivating parameters for the practice of global and intradialytic physical activity in patients with CKD. This is a systematic review referring to the limiting and motivating parameters of the practice of global and intradialytic physical activity. The SPIDER strategy was used to guide the selection of papers. Studies with adults on hemodialysis over 18 years old were considered. As a result, 221 were obtained, remaining nine for complete analysis, which presented a publication interval between the years 2007 and 2021. There are similarities in the limiting factors of global physical activity and intradialytic physical exercise in relation to medical complications, fatigue and low motivation, while the convergence of motivating factors were possible benefits and social support. Fear of falling or getting hurt, as well as the possibility of the catheter being a limiting factor, were reported only in the overall physical activity group. The planning of specific programs within the treatment in the dialysis environment indicates an important strategy for increasing the level of physical activity. However, there is acceptance by patients of bothering health professionals with the practice of intradialytic exercise. Finally, it is believed that the strategies must be integrated in a specific way for the environments inside and outside dialysis.