E V Carvalho1, M M Reboredo1, E P Gomes1, D R Teixeira1, N C Roberti1, J O Mendes1, J C A Oliveira1, H Sanders-Pinheiro2, B V Pinheiro3. 1. Respiratory Division, Federal University of Juiz de Fora, Minas Gerais, Brazil. 2. Renal Transplantation Unit, Division of Nephrology, Federal University of Juiz de Fora, Minas Gerais, Brazil; Núcleo Interdisciplinar de Estudos e Pesquisas em Nefrologia [NIEPEN], Juiz de Fora, Minas Gerais, Brazil. 3. Respiratory Division, Federal University of Juiz de Fora, Minas Gerais, Brazil. Electronic address: bvallepinheiro@gmail.com.
Abstract
BACKGROUND: Sedentary lifestyle is a problem among hemodialysis (HD) patients, potentially attenuated after kidney transplantation. However, the effect of kidney transplantation on physical activity has not been thoroughly investigated. OBJECTIVE: This study sought to evaluate the physical activity in daily life in kidney transplant recipients (KTRs) compared with HD patients and to explore its relationship with clinical variables. METHODS: A cross-sectional study enrolled KTRs who received transplants at least 6 months before the study (N = 23; 48.3 ± 10.3 years) and patients undergoing HD for at least 6 months (N = 20; 47.3 ± 12.6 years). Time spent in different activities (walking, standing, sitting, and lying down) and number of steps taken, measured by a multiaxial accelerometer used for 12 h/d on 2 consecutive days for KTRs and on 4 consecutive days for HD patients, were evaluated. RESULTS: KTRs engaged in more active time per day (sum of walking and standing time) than HD patients (311 ± 87 vs 196 ± 54 min/d; P = .001), with longer walking (106 ± 53 vs 70 ± 27 min/d; P = .008) and standing time (205 ± 55 vs 126 ± 42 min/d; P < .001). Sixty-five percent of KTRs were classified as active (>7500 steps/d) compared with only 20% of the HD group (P < .05). The multivariate analysis showed that time posttransplantation was significantly associated with walking time and active time. CONCLUSIONS: By using an accelerometer, a precise method, this study showed that KTRs are significantly more active in daily life than HD patients, and that daily physical activity increases with time since transplantation.
BACKGROUND: Sedentary lifestyle is a problem among hemodialysis (HD) patients, potentially attenuated after kidney transplantation. However, the effect of kidney transplantation on physical activity has not been thoroughly investigated. OBJECTIVE: This study sought to evaluate the physical activity in daily life in kidney transplant recipients (KTRs) compared with HDpatients and to explore its relationship with clinical variables. METHODS: A cross-sectional study enrolled KTRs who received transplants at least 6 months before the study (N = 23; 48.3 ± 10.3 years) and patients undergoing HD for at least 6 months (N = 20; 47.3 ± 12.6 years). Time spent in different activities (walking, standing, sitting, and lying down) and number of steps taken, measured by a multiaxial accelerometer used for 12 h/d on 2 consecutive days for KTRs and on 4 consecutive days for HDpatients, were evaluated. RESULTS: KTRs engaged in more active time per day (sum of walking and standing time) than HDpatients (311 ± 87 vs 196 ± 54 min/d; P = .001), with longer walking (106 ± 53 vs 70 ± 27 min/d; P = .008) and standing time (205 ± 55 vs 126 ± 42 min/d; P < .001). Sixty-five percent of KTRs were classified as active (>7500 steps/d) compared with only 20% of the HD group (P < .05). The multivariate analysis showed that time posttransplantation was significantly associated with walking time and active time. CONCLUSIONS: By using an accelerometer, a precise method, this study showed that KTRs are significantly more active in daily life than HDpatients, and that daily physical activity increases with time since transplantation.
Authors: Luke A Baker; Daniel S March; Thomas J Wilkinson; Roseanne E Billany; Nicolette C Bishop; Ellen M Castle; Joseph Chilcot; Mark D Davies; Matthew P M Graham-Brown; Sharlene A Greenwood; Naushad A Junglee; Archontissa M Kanavaki; Courtney J Lightfoot; Jamie H Macdonald; Gabriella M K Rossetti; Alice C Smith; James O Burton Journal: BMC Nephrol Date: 2022-02-22 Impact factor: 2.388
Authors: John W Larkin; Maggie Han; Hao Han; Murilo H Guedes; Priscila Bezerra Gonçalves; Carlos Eduardo Poli-de-Figueiredo; Américo Lourenço Cuvello-Neto; Ana Beatriz L Barra; Thyago Proença de Moraes; Len A Usvyat; Peter Kotanko; Maria Eugenia F Canziani; Jochen G Raimann; Roberto Pecoits-Filho Journal: BMC Nephrol Date: 2020-05-25 Impact factor: 2.388
Authors: Jeff K Vallance; Steven T Johnson; Stephanie Thompson; Kevin Wen; Ngan N Lam; Terry Boyle; Itzel Juárez; Soroush Shojai Journal: Can J Kidney Health Dis Date: 2019-10-29
Authors: Natalia Target; Cécile Courivaud; Pierre Antoine Michel; Salima Daoud; Michel Thomas Journal: BMC Nephrol Date: 2020-11-23 Impact factor: 2.388
Authors: Karsten Vanden Wyngaert; Bert Celie; Patrick Calders; Sunny Eloot; Els Holvoet; Wim Van Biesen; Amaryllis H Van Craenenbroeck Journal: PLoS One Date: 2020-07-30 Impact factor: 3.240
Authors: Keigan M More; Chris Blanchard; Olga Theou; Alec Cranston; Amanda J Vinson; Christine Dipchand; Bryce Kiberd; Karthik K Tennankore Journal: Can J Kidney Health Dis Date: 2019-08-28
Authors: Karsten Vanden Wyngaert; Amaryllis H Van Craenenbroeck; Els Holvoet; Patrick Calders; Wim Van Biesen; Sunny Eloot Journal: Toxins (Basel) Date: 2020-02-22 Impact factor: 4.546