Fulfilling of exercise training program scheduled: a secondary analysis of influencing factors in a clinical study on chronic kidney patients

Abstract

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 analyzethe 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 centersin Madrid (Spain). Social-economic, educational, demographics, physical fitness, psychological and quality of life-related factors, were analyzedby 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 depressionstatus (OR:0.882: 95% CI [0.788, 0.987]),showed significant negative associations(B= -0.078; B= -0.126, respectively)andState-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). Thesewerethe most influencing factors related tothefulfilling >75% sessions of the exercise training program scheduled, explaining33.20% in our model.From the total of variables analyzedin our model, psychological issues such asanxiety and depression, besides thehealth-related quality of life factors such as actual side effects (symptoms/problems) and emotional well-beingwere the most influencing factors related to the exercise prescription adherence in CKP.