

Volume 4, Issue 3 (Suppl)
Health Care: Current Reviews
ISSN: 2375-4273 HCCR, an open access journal
Page 28
Notes:
Primary Care Congress 2016
September 19-20, 2016
conferenceseries
.com
September 19-20, 2016 Phoenix, USA
2
nd
Annual Congress and Medicare Expo on
Primary Care & General Pediatrics
Barriers and facilitators of physical activity and unhealthy eating for children diagnosed with kidney
disease or diabetes
Lori Sanderson
Loma Linda University, USA
O
ver 89% of children diagnosed with type 2 diabetes are considered as obese or overweight. Childhood obesity is associated
with an increased risk of kidney disease and the progression to and mortality of kidney disease. Most hospitals consider patient
education as sufficient to helping this population to increase their physical activity and healthy eating. Without identifying the
barriers to successful weight loss or successful increase in physical activity and healthy eating, this population will remain stagnant
in their efforts to change. The purpose of this article is to identify the barriers of physical activity and healthy eating for patients with
kidney disease or diabetes. A systemic literature review was conducted to identify the barriers of weight management for children
and adolescents who have been diagnosed with kidney disease or diabetes. Upon identifying the barriers, the facilitators, which aim
to improve health, can be established. Studies were found using PubMed, academic search premier, and the global internet. Search
criteria included obesity rates for children, obesity rates for children with kidney disease, obesity rates for children with diabetes,
physical inactivity rates for children, physical activity rates for children with kidney disease, physical activity rates for children with
diabetes, unhealthy eating rates for children, unhealthy eating rates for children with kidney disease, unhealthy eating rates for
children with diabetes, risk factors for children to acquire diabetes, risk factors for children to acquire kidney disease, barriers to
healthy eating for children with kidney disease, barriers to healthy eating for children with diabetes, barriers to healthy eating, barriers
to exercise, barriers to exercise for children with kidney disease, and barriers to exercise for children with diabetes. Although not all
of the barriers were from research studies of patients with kidney disease or diabetes, there were multiple barriers which occurred in
more than one study. These comprised lack of time, physical or personal appearance, lack of social support, lack of motivation, lack of
money, weather, fatigue, and lack of access to exercise facilities for physical activity. Lack of time and cost of healthy food were both
identified in at least two articles. Patient education alone is not sufficient to help this population to increase their physical activity
and healthy eating. Investigators must first understand what prevents the population from increasing their physical activity and
healthy eating, so that they can develop and test potential solutions (facilitators) to the problem. More research is needed to identify
barriers among specific populations such as children with diabetes or kidney disease. More research is also needed to identify and
test facilitators to healthy eating and physical activity. Without identification of barriers and the facilitators to change, morbidity and
mortality statistics of children with diabetes or kidney disease will continue to increase.
Biography
Lori Sanderson completed her Doctoral degree in Public Health Education and Promotion. She completed her Master’s degree of Social Work and currently she
is a licensed Clinical Social Worker. She has worked as a Medical Social Worker for over 10 years. She has developed several programs to help the children with
whom she works with. She is currently working to develop a non-profit organization in eating disorders.
prtilman@yahoo.comLori Sanderson, Health Care: Current Reviews 2016, 4:3(Suppl)
http://dx.doi.org/10.4172/2375-4273.C1.023