Breaking Down Barriers to Physical Activity in Patients with Nonalcoholic Fatty Liver Disease
- PDF / 916,563 Bytes
- 8 Pages / 595.276 x 790.866 pts Page_size
- 5 Downloads / 239 Views
ORIGINAL ARTICLE
Breaking Down Barriers to Physical Activity in Patients with Nonalcoholic Fatty Liver Disease Jonathan G. Stine1,2,3,4,8 · Christopher Soriano5 · Ian Schreibman1,3 · Gloriany Rivas1 · Breianna Hummer1 · Esther Yoo5 · Kathryn Schmitz2,4,6,7 · Christopher Sciamanna2,4,5 Received: 20 July 2020 / Accepted: 10 October 2020 © Springer Science+Business Media, LLC, part of Springer Nature 2020
Abstract Background Lifestyle changes, including physical activity, are the cornerstones of the treatment of nonalcoholic fatty liver disease (NAFLD). For unclear reasons, most NAFLD patients do not achieve the recommended amount of weekly activity. Aims Our aim was to measure perceived barriers to physical activity and enablers to exercise intervention. Methods Consecutive subjects aged 18–70 with NAFLD were prospectively enrolled. An exercise motivation questionnaire was administered to assess current behaviors and perceived barriers. Results Eighty-seven subjects (60% female) were enrolled with mean age 52 years and mean body mass index (BMI) 34.5 kg/ m2. Metabolic comorbidities were common: 49% had hyperlipidemia, 42% hypertension, and 40% diabetes. The majority (75%) did not achieve ≥ 150 min/week of physical activity. Ninety-one percent agreed that activity was important in improving NAFLD; 88% desired to be more active. Lack of exercise resources and education from treating provider (47%), physical discomfort during exercise (44%), and time constraints (32%) were the most common barriers. Rates of fitness tracker (34%), gym (33%), exercise program (33%), and personal trainer (17%) use were low. Conclusions While nearly all subjects with NAFLD identify physical activity to be important and desire to be more active, only a few meet activity recommendations. This discordance is due to a perceived lack of resources and education, physical discomfort, and time constraints. Better understanding of these barriers and behaviors are important to improve morbidity and mortality in NAFLD. Future behavioral research removing the identified barriers is of great importance to global public health and should be prioritized. Keywords Steatosis · Steatohepatitis · Exercise · Lifestyle · Cirrhosis Abbreviations AASLD American Association for the Study of Liver Diseases ACSM American College of Sports Medicine EBBS Exercise barriers/benefits survey NAFLD Nonalcoholic fatty liver disease
NASH Nonalcoholic steatohepatitis RPE Rating of perceived exertion
* Jonathan G. Stine [email protected]
4
Cancer Institute, The Pennsylvania State University- Milton S. Hershey Medical Center, Hershey, PA, USA
5
Department of Medicine, The Pennsylvania State University- Milton S. Hershey Medical Center, Hershey, PA, USA
6
Department of Public Health Sciences, The Pennsylvania State University- Milton S. Hershey Medical Center, Hershey, PA, USA
Department of Kinesiology, The Pennsylvania State University- College of Medicine, Hershey, PA, USA
7
Liver Center, The Pennsylvania State University- Mi
Data Loading...
