Evidence map›Paper›PMID 34393071›Full record

ArticleJournal of renal nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation2022

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

Paul N Bennett, Masahiro Kohzuki, Clara Bohm, Baback Roshanravan, Stephan J L Bakker, João L Viana, Jennifer M MacRae, Thomas J Wilkinson, Kenneth R Wilund, Amaryllis H Van Craenenbroeck and 27 more

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In one paragraph

Article in Journal of renal nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 4 pooled it
6.4field-weighted citation impact, top 2% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 4 syntheses or guidelines pooled it, 61 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

37 authors at 20 institutions in 17 countries.

Paul N BennettMedical and Clinical Affairs, Satellite Healthcare, San Jose, California; Clinical and Health Sciences, University of South Australia, Adelaide, South Australia, Australia. Electronic address: paul.bennett@unisa.edu.au.
Masahiro KohzukiDepartment of Internal Medicine and Rehabilitation Science, Tohoku University Graduate School of Medicine, Sendai City, Japan.
Clara BohmUniversity of Manitoba, Winnipeg, Canada.
Baback RoshanravanUniversity of California Davis, Davis, California.
Stephan J L BakkerDepartment of Internal Medicine, University Medical Center MC Groningen, University of Groningen, Groningen, the Netherlands.
João L VianaResearch Center in Sports Sciences, Health Sciences and Human Development, University Institute of Maia, Maia, Portugal.
Jennifer M MacRaeCumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.
Thomas J WilkinsonDepartment of Health Sciences, University of Leicester, Leicester, UK.
Kenneth R WilundDepartment of Kinesiology and Community Health, University of Illinois at Urbana-Champaign, Champaign, Illinois.
Amaryllis H Van CraenenbroeckDepartment of Nephrology, University Hospitals Leuven, Leuven, Belgium.
Giorgos K SakkasCardiff Metropolitan University, Cardiff, UK and University of Thessaly, Volos, Greece.
Stefan MustataFaculty of Medicine, University of Calgary, Calgary, Canada.
Kevin FowlerThe Voice of the Patient, Elmhurst, Illinois.
Jamie McDonaldSchool of Sport, Health and Exercise Sciences, Bangor University, Bangor, UK.
Geovana Martin AleamañyHospital General de México "Dr. Eduardo Liceaga", Mexico City, Mexico.
Kirsten AndingNephrology, KfH Nierenzentrum Bischofswerda, Bischofswerda, Germany.
Keith G AvinIndiana University Department of Physical Therapy, Indianapolis, Indiana.
Gabriela Leal EscobarDepartment of Nephrology Instituto Nacional de Cardiologia Ignacio Chávez, Mexico City, Mexico.
Iwona GabrysUniversity of Alberta Hospital, Edmonton, Alberta, Canada.
Jill GothPrograms & Public Policy, The Kidney Foundation of Canada, Montreal, Quebec, Canada.
Myriam IsnardMédipôle, Avignon, France.
Manisha JhambUniversity of Pittsburgh, Pittsburgh, Pennsylvania.
Jun Chul KimDivision of Nephrology, Department of Internal Medicine, CHA Gumi Medical Center, CHA University, Gumi, Republic of Korea.
John Wing LiRenal Medicine, Nepean Hospital, Katoomba, New South Wales, Australia.
Courtney J LightfootDepartment of Health Sciences, University of Leicester, Leicester, UK.
Mara McAdams-DeMarcoJohns Hopkins University, Baltimore, Maryland.
Fabio ManfrediniDepartment of Biomedical Sciences and Surgical specialties, University of Ferrara, Ferrara, Italy.
Anthony MeadeRoyal Adelaide Hospital, Adelaide, Australia.
Stig MolstedNordsjaellands Hospital, Hillerød, Denmark.
Kristen ParkerAlberta Kidney Care - South, Calgary, Alberta, Canada.
Eva Seguri-OrtiDepartment of Physiotherapy, Universidad Cardenal Herrera-CEU, Alfara del Patriarca, Valencia, Spain.
Alice C SmithDepartment of Health Sciences, University of Leicester, Leicester, UK.
Nancy VerdinUniversity of Alberta, Red Deer, Canada.
Jing ZhengSchool of Nursing, Guangdong Pharmaceutical University, Guangzhou, P.R. China.
Deb ZimmermanOttawa Hospital, Ottawa, Ontario, Canada.
Stephanie ThompsonDepartment of Medicine, University of Alberta, Edmonton, Canada.
Global Renal Exercise Network (GREX)
University of Leicester · GBUniversity of Alberta · CAUniversity of Calgary · CAAlberta Hospital Edmonton · CAAlberta Kidney Disease Network · CABangor University · GBCHA University · KRGuangdong Pharmaceutical University · CNHospital General de México · MXIndiana University – Purdue University Indianapolis · USInstituto Nacional de Cardiología · MXInstituto Superior da Maia · PTJohns Hopkins University · USKidney Foundation of Canada · CAKU Leuven · BEMédipole Garonne · FRNepean Hospital · AUNierenzentrum Heidelberg · DENordsjællands Hospital · DKOttawa Hospital · CA

Funding

Hemodialysis-based interventions to preserve cognitive functionR01DK114074 · NIDDK · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI MCADAMS DEMARCO, MARA A. · 2018 to 2022
$3.9M
Skeletal muscle dysfunction in persons with chronic kidney diseaseK23DK099442 · NIDDK · UNIVERSITY OF WASHINGTON · PI ROSHANRAVAN, BABACK · 2013 to 2017
$777k
Mechanisms of Interventions to Ameliorate Sarcopenia in Chronic Kidney DiseaseK08DK110429 · NIDDK · INDIANA UNIVERSITY INDIANAPOLIS · PI AVIN, KEITH G · 2016 to 2021
$718k
Enhancing Fatty Acid Oxidation Will Improve Skeletal Muscle & Enable Exercise Adaptation in CKDR03DK125665 · NIDDK · INDIANA UNIVERSITY INDIANAPOLIS · PI AVIN, KEITH G · 2020 to 2021
$238k
Mitochondrial bioenergetics in persons with chronic kidney diseaseR03DK114502 · NIDDK · UNIVERSITY OF WASHINGTON · PI ROSHANRAVAN, BABACK · 2018 to 2019
$155k
NIDDK NIH HHS K08 DK110429NIDDK NIH HHS K23 DK099442NIDDK NIH HHS R01 DK114074NIDDK NIH HHS R03 DK114502NIDDK NIH HHS R03 DK125665
6 · The paper itself

Abstract

objectiveImpairment 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

methodsGuided 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.

resultsWe 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.

conclusionsWe 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.

Indexed as

ExerciseQuality of LifeCanadaHumansKidneyPolicy

Identifiers

PMID34393071
PMCPMC10505947
OpenAlexW3189765281

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.