ReviewJournal of nephrology2017
Barriers to exercise for patients with renal disease: an integrative review.
Review in Journal of nephrology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers, 9 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
49 citing papers in PubMed, 9 syntheses or guidelines pooled it, 87 citations in OpenAlex.
- Comparative efficacy of non-pharmacological interventions on fatigue in people undergoing hemodialysis: a systematic review and network meta-analysis.Frontiers in medicine · 2026Pooled it
- Prescribing Physical Activity and Exercise for People with CKD: A Practical Guide by the Global Renal Exercise Network.Clinical journal of the American Society of Nephrology : CJASN · 2025Guideline
- Systematic review of the best evidence for resistance exercise in maintenance hemodialysis patients.PloS one · 2024Pooled it
- Interventions to increase physical activity level in patients with whole spectrum chronic kidney disease: a systematic review and meta-analysis.Renal failure · 2023Pooled it
- Comparative efficacy of exercise modalities for cardiopulmonary function in hemodialysis patients: A systematic review and network meta-analysis.Frontiers in public health · 2022Pooled it
- The optimal exercise modality and intensity for hemodialysis patients incorporating Bayesian network meta-analysis and systematic review.Frontiers in physiology · 2022Pooled it
- Intradialytic training in patients with end-stage renal disease: a systematic review and meta-analysis of randomized clinical trials assessing the effects of five different training interventions.Journal of nephrology · 2020Pooled it
- Exercise training in kidney transplant recipients: a systematic review.Journal of nephrology · 2019Pooled it
- Effectiveness and Feasibility of Virtual Reality-Based Interventions in Improving Physical Function in Patients Undergoing Hemodialysis: A Meta-Analysis.Seminars in dialysisPooled it
- Addition of Neuromuscular Electrical Stimulation, Based on the Level of Excitability, to an Intradialytic Twice-Weekly Cycling Protocol: A Randomized Trial.Physiotherapy research international : the journal for researchers and clinicians in physical therapy · 2026Trial
- Effects of Intradialytic Exercise on Dialytic Parameters, Health-Related Quality of Life, and Depression Status in Hemodialysis Patients: A Randomized Controlled Trial.International journal of environmental research and public health · 2021Trial
- Systematic Review of Exercise Interventions and HRQOL in Predialysis CKD.Kidney international reports · 2026Article
- Factors influencing the development and implementation of a prehabilitation program for kidney transplant candidates: A mixed-methods contextual analysis.International journal of nursing studies advances · 2026Article
- Awareness of exercise importance, information sources, and adherence in predialysis chronic kidney disease in Japan: a web-based cross-sectional study.BMC nephrology · 2026Article
- Differences in Physical Activity Assessed by Accelerometry across Hemodialysis Days and Shifts.Clinical journal of the American Society of Nephrology : CJASN · 2026Article
- Exercise and Kidney Function in Care of Older Adults.Journal of the American Society of Nephrology : JASN · 2025Article
- Lower-limb neuromuscular electrical stimulation (NMES) for people with chronic kidney disease undergoing dialysis.The Cochrane database of systematic reviews · 2025Article
- Weight Management Experiences Among People With CKD: A Qualitative Study.Canadian journal of kidney health and disease · 2025Article
- Investigation of Exercise Status and Related Influencing Factors Among Maintenance Hemodialysis Patients in Nantong Region: A Cross-Sectional Study in China (2024-2025).Risk management and healthcare policy · 2025Article
- SupervisedWorld journal of transplantation · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors at 1 institution in 1 country.
Funding
Abstract
Renal disease is a common health condition that leads to loss of physical function, frailty, and premature loss of independence in addition to other severe comorbidities and increased mortality. Increased levels of physical activity and initiation of exercise training is recommended in the current guidelines for all patients with renal disease, but participation and adherence rates are low. The barriers to exercise and physical activity in patients with renal disease are not well defined and currently based on patient provider perception and opinion. There have been no published reviews that have synthesized published findings on patient reported barriers to exercise. This integrative literature review therefore aimed to identify the current understanding of patient reported barriers to regular exercise. This integrative review found that patient perceived barriers to exercise are not consistent with the barriers that have been identified by renal disease specialists and healthcare providers, which were disinterest, lack of motivation, and being incapable of exercise. The patient reported barriers identified through this review were complex and diverse, and the most frequently reported patient perceived barrier to exercise was low energy levels and fatigue. It is clear that additional research to identify patient perceived barriers to exercise is needed and that patient directed interventions to address these barriers should be developed. This integrative review provides information to the interdisciplinary nephrology team that can be used to tailor their assessment of barriers to exercise and provide exercise education for patients with renal disease.
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Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.