Physical Activity Perceptions and Practices of People Receiving Peritoneal Dialysis: An International Cross-Sectional Survey
Bibliographic record
Abstract
Background: Life participation is a core patient-reported outcome for people receiving peritoneal dialysis (PD) that is dependent on physical activity engagement and adequate physical function. Little is known about exercise practice patterns or perceptions of people receiving PD. The aim was to describe the physical activity and exercise practices and perceptions of people receiving PD to inform patient education, future areas of research, and clinical recommendations. Methods: A cross-sectional, descriptive, web-based 25 item survey (16 perception and practice questions, 9 demographic questions) was co-developed and pilot tested by persons living with kidney disease, PD clinicians and exercise specialists. Adults who currently or previously received PD were invited to participate in the survey. Recruitment was completed through national and international kidney organization websites and social media platforms. All variables were reported descriptively, and free text responses were collated and summarized. Results: There were 114 respondents, 6 excluded due to duplication or incompletion, the majority were from Canada (68%), United Kingdom (25%) and 7% other. Women represented 55% of respondents, with most 50-64 years old (43.5%). Forty-one percent received PD for 1-3 years and 72.9% had post secondary education. Physical activity was felt to be beneficial by 91.8% of respondents and 40% reported they had good physical function (could walk an unlimited distance without stopping). Variable medical advice regarding swimming and weightlifting emerged: 44% were told they could or could not swim, and respondents were told to limit weight lifting from 2 to 45 kg. A minority of respondents reported receiving instructions on draining PD fluid prior to physical activity (28% yes, 53% no, 19% unsure). Conclusions: Survey respondents were knowledgeable regarding benefits of exercise and physical activity on physical and mental health for people receiving PD. Knowledge gaps emerged including maximum weightlifting, whether exercise was safe with or without intrabdominal PD fluid in situ, and whether swimming is allowed. Education for both health care providers and patients is needed regarding the practice of exercise for people receiving PD.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.002 | 0.003 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.000 | 0.001 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.001 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".