Journal of renal care · 2025
Changes in Physical Activity Among Spanish Kidney Transplant Recipients: A 12-Month Longitudinal Study.
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Ferrer-López Emilia, Cantín-Lahoz Víctor, Rubio-Castañeda Francisco Javier, Blázquez-Ornat Isabel, Antón-Solanas Isabel, Urcola-Pardo Fernando
Аннотация
BACKGROUND: Physical activity is crucial for improving cardiovascular risk and overall health in kidney transplant recipients. However, changes in physical activity before and after transplantation remain underexplored.
OBJECTIVE: To assess energy expenditure and physical activity before and after kidney transplantation over 1 year, analysing their relationship with cardiovascular risk factors.
DESIGN: Descriptive, longitudinal, prospective study.
PARTICIPANTS: A total of 112 individuals who had received a kidney transplant (aged ≥ 18 years) at a single transplant centre.
MEASUREMENTS: Sociodemographic and clinical data were extracted from medical records. The International Physical Activity Questionnaire was administered at baseline and at 3, 6 and 12 months after transplantation to evaluate physical activity (as metabolic equivalent minutes per week). Laboratory parameters were also collected.
ANALYSIS: Descriptive statistics summarised participant characteristics. Inferential analyses (chi-square, t-tests, ANOVA, Mann-Whitney U, Kruskal-Wallis) examined associations between physical activity and clinical variables (significance p < 0.05).
RESULTS: Participants had a median age of 58 years; 70.5% were men. Overall physical activity declined at 3 months, rebounded at 6, and decreased again at 12 months, remaining below the levels observed before transplantation. Men, participants not requiring dialysis before transplantation, individuals with overweight, and individuals with a history of cerebrovascular disease exhibited higher physical activity throughout follow-up. Physical activity correlated with certain laboratory parameters, suggesting that better clinical status may foster greater physical activity engagement.
CONCLUSION: Tailored physical activity targeting comorbidities and nutritional status are recommended to improve long-term outcomes in kidney transplant recipients, particularly among women, older adults, and those with multiple comorbidities.
OBJECTIVE: To assess energy expenditure and physical activity before and after kidney transplantation over 1 year, analysing their relationship with cardiovascular risk factors.
DESIGN: Descriptive, longitudinal, prospective study.
PARTICIPANTS: A total of 112 individuals who had received a kidney transplant (aged ≥ 18 years) at a single transplant centre.
MEASUREMENTS: Sociodemographic and clinical data were extracted from medical records. The International Physical Activity Questionnaire was administered at baseline and at 3, 6 and 12 months after transplantation to evaluate physical activity (as metabolic equivalent minutes per week). Laboratory parameters were also collected.
ANALYSIS: Descriptive statistics summarised participant characteristics. Inferential analyses (chi-square, t-tests, ANOVA, Mann-Whitney U, Kruskal-Wallis) examined associations between physical activity and clinical variables (significance p < 0.05).
RESULTS: Participants had a median age of 58 years; 70.5% were men. Overall physical activity declined at 3 months, rebounded at 6, and decreased again at 12 months, remaining below the levels observed before transplantation. Men, participants not requiring dialysis before transplantation, individuals with overweight, and individuals with a history of cerebrovascular disease exhibited higher physical activity throughout follow-up. Physical activity correlated with certain laboratory parameters, suggesting that better clinical status may foster greater physical activity engagement.
CONCLUSION: Tailored physical activity targeting comorbidities and nutritional status are recommended to improve long-term outcomes in kidney transplant recipients, particularly among women, older adults, and those with multiple comorbidities.