Profile of Professionals Working in Intradialytic Exercise Programs in Brazil: a National Survey

Overview

Journal J Bras Nefrol

Specialty Nephrology

Date 2022 Mar 8

PMID 35258074

Authors

Fabricio Sciammarella Barros

Bruno Valle Pinheiro

Heitor Siqueira Ribeiro

Francini Porcher Andrade

Camila Rodrigues de Souza

Amanda Cruz do Nascimento Amorim

Leda Marilia Fonseca Lucinda

Maycon Moura Reboredo

Affiliations

Soon will be listed here.

Abstract

Objective: This survey was designed to assess the profile of professionals working in intradialytic exercise programs (IEPs) in Brazil and reveal the motivators and barriers they face.

Methods: The survey was sent to physiotherapists and exercise physiologists working in IEPs in Brazil. Phone interviews and electronic forms were used to collect the answers to the survey questionnaire.

Results: Forty-one of the 261 included dialysis centers had IEPs; 44 professionals answered the questionnaire over the phone and 26 used the electronic form to do it. A total of 70 professionals (mean age 33.4±7.4 years; 84.3% physiotherapists) answered the questionnaire. Resistance training was the preferred mode of therapy. Most of the IEPs were connected to research and were paid for by private health insurance. The desire to work in a different field (30.0%) and lack of resources (31.4%) were the most prevalent motivator and barrier cited by IEP professionals working in dialysis centers, respectively.

Conclusion: The majority of the few professionals that work in IEPs in Brazil are physiotherapists. Lack of resources was the most commonly reported barrier faced by survey respondents.

References

Viana J, Martins P, Parker K, Madero M, Perez Grovas H, Anding K . Sustained exercise programs for hemodialysis patients: The characteristics of successful approaches in Portugal, Canada, Mexico, and Germany. Semin Dial. 2019; 32(4):320-330. DOI: 10.1111/sdi.12814. View

Pu J, Jiang Z, Wu W, Li L, Zhang L, Li Y . Efficacy and safety of intradialytic exercise in haemodialysis patients: a systematic review and meta-analysis. BMJ Open. 2019; 9(1):e020633. PMC: 6347951. DOI: 10.1136/bmjopen-2017-020633. View

Parker K, Bennett P, Tayler C, Lee C, MacRae J . Reasons for Nonparticipation in a Sustained Hemodialysis Intradialytic Exercise Program. J Ren Nutr. 2021; 31(4):421-426. DOI: 10.1053/j.jrn.2020.11.010. View

Bennett P, Kohzuki M, Bohm C, Roshanravan B, Bakker S, Viana J . Global Policy Barriers and Enablers to Exercise and Physical Activity in Kidney Care. J Ren Nutr. 2021; 32(4):441-449. PMC: 10505947. DOI: 10.1053/j.jrn.2021.06.007. View

Barros F, Pinheiro B, Lucinda L, Rezende G, Segura-Orti E, Reboredo M . Exercise training during hemodialysis in Brazil: A national survey. Artif Organs. 2021; 45(11):1368-1376. DOI: 10.1111/aor.14018. View

Andrade F, Borba G, da Silva K, de Souza Ferreira T, de Oliveira S, Antunes V . Intradialytic periodized exercise improves cardiopulmonary fitness and respiratory function: A randomized controlled trial. Semin Dial. 2021; 35(2):181-189. DOI: 10.1111/sdi.13020. View

Reboredo M, Henrique D, Faria R, Chaoubah A, Bastos M, Paula R . Exercise training during hemodialysis reduces blood pressure and increases physical functioning and quality of life. Artif Organs. 2010; 34(7):586-93. DOI: 10.1111/j.1525-1594.2009.00929.x. View

Ferreira T, Ribeiro H, Ribeiro A, Bonini-Rocha A, Lucena J, de Oliveira P . Exercise interventions improve depression and anxiety in chronic kidney disease patients: a systematic review and meta-analysis. Int Urol Nephrol. 2020; 53(5):925-933. DOI: 10.1007/s11255-020-02612-w. View

Bowen J, Campbell K, Sutherland S, Bartlett A, Brooks D, Qureshi R . Pulmonary Rehabilitation in Ontario: A Cross-Sectional Survey. Ont Health Technol Assess Ser. 2015; 15(8):1-67. PMC: 4561768. View

10.

de Menezes Neves P, Sesso R, Thome F, Lugon J, Nascimento M . Brazilian dialysis survey 2019. J Bras Nefrol. 2021; 43(2):217-227. PMC: 8257289. DOI: 10.1590/2175-8239-JBN-2020-0161. View

11.

Reboredo M, Neder J, Pinheiro B, Henrique D, Lovisi J, Paula R . Intra-dialytic training accelerates oxygen uptake kinetics in hemodialysis patients. Eur J Prev Cardiol. 2014; 22(7):912-9. DOI: 10.1177/2047487314543079. View

12.

Ferreira G, Bohlke M, Correa C, Dias E, Orcy R . Does Intradialytic Exercise Improve Removal of Solutes by Hemodialysis? A Systematic Review and Meta-analysis. Arch Phys Med Rehabil. 2019; 100(12):2371-2380. DOI: 10.1016/j.apmr.2019.02.009. View

13.

Ma S, Lui J, Brooks D, Parsons T . The availability of exercise rehabilitation programs in hemodialysis centres in Ontario. CANNT J. 2013; 22(4):26-32. View

14.

Bundchen D, Sousa H, Afreixo V, Frontini R, Ribeiro O, Figueiredo D . Intradialytic exercise in end-stage renal disease: An umbrella review of systematic reviews and/or meta-analytical studies. Clin Rehabil. 2021; 35(6):812-828. DOI: 10.1177/0269215520986784. View