Assessment of functional capacity and pulmonary in pediatrics patients renal transplantation

Ferrari, Renata; Schaan, Camila Wohlgemuth; Cerutti, Karina; Mendes, Juliana Delalibera Thobias; Garcia, Clotilde Druck; Monteiro, Mariane Borba; Lukrafka, Janice Luísa

doi:10.5935/01012800.20130006

Cited by 8 publications

(10 citation statements)

References 23 publications

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“…In our study, we identified that 56% of children and adolescents presented a walking distance below this threshold. In accordance to our findings, previous studies also documented significantly reduced walking performances of severely ill children compared to their healthy peers . Beyond that, baseline characteristics indicate that female patients and adolescents tend to be in one of the UNFIT groups.…”

Section: Discussionsupporting

confidence: 92%

“…In accordance to our findings, previous studies also documented significantly reduced walking performances of severely ill children compared to their healthy peers. [42][43][44] Beyond that, baseline characteristics indicate that female patients and adolescents tend to be in one of the UNFIT groups. As reported by Ness et al, older people and women are at risk for an inactive lifestyle after cancer treatment.…”

Section: Discussionmentioning

confidence: 99%

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Impact of the initial fitness level on the effects of a structured exercise therapy during pediatric stem cell transplantation

Wallek

Senn-Malashonak

Vogt

et al. 2017

Pediatric Blood & Cancer

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Background Before and after hematopoietic stem cell transplantation (HSCT), most patients suffer from psychophysical limitations due to the treatment. Exercise interventions demonstrate beneficial effects on, for example, strength, endurance, or health‐related quality of life during and after HSCT, but with a great variation among patients concerning the response to exercise. This study examines the influence of the initial fitness on the effects of an exercise therapy in pediatric HSCT. Procedure Fifty‐three children and adolescents (10.9 ± 3.5 years) scheduled for HSCT were randomized into an exercise intervention group (IG) or a control group (CG). During hospitalization, the IG performed endurance, strength, and flexibility training three times per week. The CG included a nonexercise program. A 6‐min walk test was completed before and after the inpatient period. Baseline results (6‐min walking distance [6MWD]) were used to split both groups into the following: IGUNFIT, n = 14; IGFIT, n = 12; CGUNFIT, n = 16; CGFIT, n = 11. Differences in outcome changes between groups were analyzed with H‐test. Result Intergroup comparison revealed significant differences between IGUNFIT and CGUNFIT (P < 0.05). The IGUNFIT increased their 6MWD by +8% (vs. IGFIT, +1%); both CGs presented a decline in 6MWD (CGUNFIT, –14%; CGFIT, –16%). At discharge, the IGFIT achieved 85.5 ± 10.3% of healthy reference values. Conclusions The current results indicate that exercise during pediatric HSCT is feasible and contributes to prevention of treatment‐related loss of physical function. As seen in healthy persons, patients’ benefits might depend on their initial fitness level. As a diminished physical capability may result in higher training effects, impaired especially patients should engage in exercise.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Impact of the initial fitness level on the effects of a structured exercise therapy during pediatric stem cell transplantation

Wallek

Senn-Malashonak

Vogt

et al. 2017

Pediatric Blood & Cancer

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“…Muscle deficits are common because of lean mass wasting [21]. This phenotype typically persists post-kidney transplant [23][24][25][26][27]. This suggests that even children with CKD and a normal BMI may have excess adiposity.…”

Section: Bmi and Body Compositionmentioning

confidence: 99%

Assessment of nutritional status in children with kidney diseases—clinical practice recommendations from the Pediatric Renal Nutrition Taskforce

et al. 2020

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In children with kidney diseases, an assessment of the child’s growth and nutritional status is important to guide the dietary prescription. No single metric can comprehensively describe the nutrition status; therefore, a series of indices and tools are required for evaluation. The Pediatric Renal Nutrition Taskforce (PRNT) is an international team of pediatric renal dietitians and pediatric nephrologists who develop clinical practice recommendations (CPRs) for the nutritional management of children with kidney diseases. Herein, we present CPRs for nutritional assessment, including measurement of anthropometric and biochemical parameters and evaluation of dietary intake. The statements have been graded using the American Academy of Pediatrics grading matrix. Statements with a low grade or those that are opinion-based must be carefully considered and adapted to individual patient needs based on the clinical judgment of the treating physician and dietitian. Audit and research recommendations are provided. The CPRs will be periodically audited and updated by the PRNT.

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“…Estas alterações podem persistir mesmo após a terapia renal substitutiva 18,27 . Ferrari et al 13 encontraram uma redução significativa na força muscular respiratória de crianças e adolescentes após o transplante em comparação com as crianças em geral. A miopatia persistente, relacionada principalmente à uremia prévia e ao tratamento com corticosteroides após o transplante, pode estar relacionada a esta redução 10 .…”

Section: Tabelaunclassified

“…De acordo com Chavers et al 12 a incidência de eventos cardiovasculares em pacientes com DRC estágio 5 foi de 24,3; 24,5; 23,9 e 36,9 em crianças de 0-4 anos, 5-9 anos, 10-14 anos e 15-19 anos, respectivamente. Este risco é aumentado quando associado à redução da capacidade de exercício 11 e inatividade, levando ao comprometimento da capacidade funcional de crianças e adolescentes após o transplante renal 13,14 .…”

Section: Introductionunclassified

Redução da força muscular periférica e respiratória em pacientes pediátricos após transplante renal

Frantzeski

Thomazi²,

Pinho

et al. 2023

Braz. J. Nephrol.

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Resumo ntrodução: Força muscular reduzida e baixa capacidade de exercício encontram-se bem documentadas em adultos mas há poucos estudos examinando essas alterações em crianças e adolescentes após transplante renal. O objetivo deste estudo foi avaliar a força muscular periférica e respiratória e a associação com a capacidade submáxima de exercício em crianças e adolescentes após o transplante renal. Métodos: Foram incluídos 47 pacientes entre 6 e 18 anos de idade clinicamente estáveis após o transplante. Avaliou-se a força muscular periférica (dinamometria isocinética e de preensão manual), a força muscular respiratória (pressão inspiratória e expiratória máximas) e a capacidade submáxima de exercício (teste de caminhada de seis minutos – TC6M). Resultados: Os pacientes apresentaram média de idade de 13,1 ± 2,7 anos e uma média de 34 meses desde o transplante. Os flexores de joelho mostraram uma redução significativa na força muscular (77,3% do previsto) e os extensores de joelho apresentaram valores normais (105,4% do previsto). A força de preensão manual e as pressões respiratórias máximas (inspiratória e expiratória) foram significativamente inferiores ao esperado (p < 0,001). Embora a distância percorrida no TC6M tenha sido significativamente menor do que o previsto (p < 0,001), não encontramos nenhuma correlação significativa com a força muscular periférica e respiratória. Conclusão: Crianças e adolescentes submetidos ao transplante renal apresentam força muscular periférica reduzida de flexores de joelho e de preensão manual, bem como das pressões respiratórias máximas. Não foram encontradas associações entre força muscular periférica e respiratória e a capacidade submáxima de exercício.

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Assessment of functional capacity and pulmonary in pediatrics patients renal transplantation

Abstract: Reduced functional capacity and maximum respiratory pressures were diagnosed in a small cohort of pediatric patients after kidney transplantation. Better the functional capacity and PiMáx better the FVC.

Cited by 8 publications

References 23 publications

Impact of the initial fitness level on the effects of a structured exercise therapy during pediatric stem cell transplantation

Impact of the initial fitness level on the effects of a structured exercise therapy during pediatric stem cell transplantation

Assessment of nutritional status in children with kidney diseases—clinical practice recommendations from the Pediatric Renal Nutrition Taskforce

Redução da força muscular periférica e respiratória em pacientes pediátricos após transplante renal

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