Changes in Physical Activity Among Spanish Kidney Transplant Recipients: A 12-Month Longitudinal Study

IF 1.5 4区医学 Q3 NURSING

Journal of renal care Pub Date : 2025-08-21 DOI:10.1111/jorc.70029

Emilia Ferrer-López, Víctor Cantín-Lahoz, Francisco Javier Rubio-Castañeda, Isabel Blázquez-Ornat, Isabel Antón-Solanas, Fernando Urcola-Pardo

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引用次数: 0

Abstract

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.

Abstract Image

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西班牙肾移植受者身体活动的变化：一项为期12个月的纵向研究

背景：体育活动对改善肾移植受者心血管风险和整体健康至关重要。然而，移植前后身体活动的变化仍未得到充分研究。目的评价肾移植前后1年的能量消耗和体力活动，分析其与心血管危险因素的关系。设计描述性、纵向、前瞻性研究。参与者在单个移植中心接受过肾移植（年龄≥18岁）的112人。从医疗记录中提取社会人口学和临床数据。在基线和移植后3、6和12个月进行国际身体活动问卷调查，以评估身体活动（每周代谢当量分钟数）。同时采集实验室参数。描述性统计总结了参与者的特征。推断分析（卡方检验、t检验、方差分析、Mann-Whitney U、Kruskal-Wallis）检验了体力活动与临床变量之间的关联（显著性p <； 0.05）。结果参与者的中位年龄为58岁；70.5%为男性。总体体力活动在3个月时下降，6个月时反弹，12个月时再次下降，仍低于移植前观察到的水平。男性、移植前不需要透析的参与者、超重个体和有脑血管疾病史的个体在随访期间表现出较高的体力活动。体力活动与某些实验室参数相关，表明更好的临床状态可能促进更多的体力活动参与。结论：建议针对合并症和营养状况进行量身定制的体育活动，以改善肾移植受者的长期预后，尤其是女性、老年人和有多种合并症的患者。

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来源期刊

Journal of renal care Nursing-Advanced and Specialized Nursing

CiteScore

3.50

自引率

5.30%

发文量

期刊介绍： The Journal of Renal Care (JORC), formally EDTNA/ERCA Journal, is the official publication of the European Dialysis and Transplant Nursing Association/European Renal Care Association (EDTNA/ERCA). The Journal of Renal Care is an international peer-reviewed journal for the multi-professional health care team caring for people with kidney disease and those who research this specialised area of health care. Kidney disease is a chronic illness with four basic treatments: haemodialysis, peritoneal dialysis conservative management and transplantation, which includes emptive transplantation, living donor & cadavaric transplantation. The continuous world-wide increase of people with chronic kidney disease (CKD) means that research and shared knowledge into the causes and treatment is vital to delay the progression of CKD and to improve treatments and the care given. The Journal of Renal Care is an important journal for all health-care professionals working in this and associated conditions, such as diabetes and cardio-vascular disease amongst others. It covers the trajectory of the disease from the first diagnosis to palliative care and includes acute renal injury. The Journal of Renal Care accepts that kidney disease affects not only the patients but also their families and significant others and provides a forum for both the psycho-social and physiological aspects of the disease.