Exercise Perception and Behaviors in Individuals Living with Primary Immunodeficiency Disease

J Clin Immunol. 2018 Feb;38(2):174-184. doi: 10.1007/s10875-017-0472-9. Epub 2018 Jan 6.

Abstract

Background: Routine exercise has been established as an effective way to improve overall health. The value of exercise has been established in many diseases, however, there are no studies investigating the impact of exercise for individuals with primary immunodeficiency disease (PID). The purpose of this study was to investigate exercise perceptions and behaviors in individuals diagnosed with PID.

Methods: An online survey was distributed over a four-week period.

Results: Of the 264 responses collected, most were females, 45-54 years old. Respondents reported a measurable loss of function impairing their daily activities due to loss of mobility/physical activity (41.32%), or loss of lung/pulmonary function (40.08%,). They felt exercise decreased stress level and improved their mental well-being (46.25%). Some indicated they participate in exercise (33.20%), while 36.84% had not participated in exercise for at least 1 year. Exercise was limited primarily due to fatigue (86.97%).

Conclusion: Exercise is important for those with chronic medical conditions. Most individuals living with PID can participate in low/moderate physical activity, but struggle with vigorous physical activity, since fatigue is the greatest barrier. Respondents view exercise as beneficial, and would like to increase participation in an exercise program.

Keywords: Exercise behaviors; Exercise perception; Fatigue; Immune dysfunction; Physical activity; Primary immunodeficiency disease; Quality of life.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Exercise*
  • Female
  • Health Behavior*
  • Health Status
  • Humans
  • Immunologic Deficiency Syndromes / diagnosis
  • Immunologic Deficiency Syndromes / epidemiology*
  • Immunologic Deficiency Syndromes / psychology*
  • Male
  • Middle Aged
  • Perception*
  • Public Health Surveillance
  • Quality of Life
  • Young Adult