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Over 89% of children with type 2 diabetes were considered obese or overweight. Childhood obesity is associated with an increased
risk of kidney disease and mortality of kidney disease. Patient education is not sufficient to motivate 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. 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 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, physical inactivity rates, unhealthy eating, risk factors for children to acquire
diabetes or kidney disease, barriers to healthy eating, barriers to healthy eating and exercise. 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,
which will be discussed later. Patient education alone isn�t sufficient to increase physical activity and healthy eating. Investigators
need to understand what prevents the population from increasing their physical activity and healthy eating, so that they can develop
and test potential solutions (facilitators). More research is needed to identify barriers among specific populations such as children
with diabetes or kidney disease, and to understand why many of the barriers differ among various populations. More research is also
needed to identify and test facilitators to healthy eating and physical activity.