Self-management and biomedical outcomes of a cooking, and exercise program for patients with chronic kidney disease.
BACKGROUND
Limited research has been done on integrating cooking and exercise classes into the routine care of chronic kidney disease (CKD) patients. The main purpose of the research was to determine whether the addition of these services would slow the progression of certain CKD parameters.


METHODS
The study evaluated 5 endpoints, at baseline, 6 months, and 12 months: urinary protein, blood pressure, urinary sodium, glomerular filtration rate, and total cholesterol between 2 groups (control group receiving CKD standard care and experimental group receiving standard care plus cooking and exercise classes). Eighty percent of the experimental group was hypothesized to improve in 4 out of the 5 endpoints versus ≤50% in the control group with a P-value of 0.05. An overall difference of 30% was anticipated between the 2 groups. The research also compared self-efficacy and health status outcomes using a self-management questionnaire.


RESULTS
Forty randomly assigned patients participated in the study (17 controls and 23 experimental). In the control group, 2 of 17 people improved in at least 4 of the 5 endpoints. In the experimental group, 14 of 23 people improved in at least 4 of the 5 endpoints.


CONCLUSIONS
Sixty-one percent of experimental subjects showed improvements in 4 of 5 endpoints, showing a significant difference overall when compared with the control group (12% improved in 4 out of 5 endpoints). In looking at the trend in qualitative measures from the comparison of the self-management questionnaire, the overall trend showed more improved answers with the experimental group versus the control group.
Flesher
Mary
M
Richmond Health Services, Vancouver Coastal Health, Vancouver, BC, Canada. mary.flesher@vch.ca
Woo
Paula
P
Chiu
Anthony
A
Charlebois
Ashley
A
Warburton
Darren E R
DE
Leslie
Barbara
B
D000368:Aged; D001794:Blood Pressure; D002784:Cholesterol / Q000097:blood; D003296:Cooking; D019468:Disease Management; D018450:Disease Progression; D005081:Exercise Therapy; D005260:Female; D005919:Glomerular Filtration Rate; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D044623:Nutrition Therapy; D011507:Proteinuria / Q000652:urine; D012648:Self Care; D012964:Sodium / Q000652:urine; D016896:Treatment Outcome
D002784:Cholesterol; D012964:Sodium