Health-related quality of life after solid organ transplantation: the role of sport activity

Cicognani, Elvira; Mazzoni, Davide; Totti, Valentina; Roi, Giulio Sergio; Mosconi, Giovanni; Costa, Alessandro Nanni

doi:10.1080/13548506.2014.993404

Cited by 12 publications

(13 citation statements)

References 11 publications

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“…The results showed that regular physical activity can significantly improve several SF-36 domains, such as General Health and Role—Emotional. Furthermore, they indicate that the benefits of sports activity go beyond the predictable impact on physical health to involve the psychological and social components of QoL [ 64 ]. Remarkably, many positive feedbacks can be already detected in the early stages of the interventions, and with a minimal amount of exercise load, in every age group.…”

Section: The Benefits Of Physical Activitymentioning

confidence: 99%

Physical Inactivity: A Modifiable Risk Factor for Morbidity and Mortality in Kidney Transplantation

Ponticelli

Favi

2021

JPM

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In patients with chronic kidney disease, sedentary behavior is widely recognized as a significant risk factor for cardiovascular disease, diabetes, obesity, osteoporosis, cancer, and depression. Nevertheless, the real impact of physical inactivity on the health of kidney transplant (KT) recipients remains uncertain. Over the last decade, there has been a renewed interest in exploring the effects of regular physical exercise on transplant-related outcomes. There is now mounting evidence that physical activity may reduce the burden of cardiovascular risk factors, preserve allograft function, minimize immunosuppression requirement, and ameliorate the quality of life of KT recipients. Many positive feedbacks can be detected in the early stages of the interventions and with a minimal exercise load. Despite these encouraging results, the perceived role of physical activity in the management of KT candidates and recipients is often underrated. The majority of trials on exercise training are small, relatively short, and focused on surrogate outcomes. While waiting for larger studies with longer follow-up, these statistical limitations should not discourage patients and doctors from initiating exercise and progressively increasing intensity and duration. This narrative review summarizes current knowledge about the deleterious effects of physical inactivity after KT. The benefits of regular physical exercise are also outlined.

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Section: The Benefits Of Physical Activitymentioning

confidence: 99%

Physical Inactivity: A Modifiable Risk Factor for Morbidity and Mortality in Kidney Transplantation

Ponticelli

Favi

2021

JPM

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“…These patients are also characterized by a subjective perception of personal physical, psychological, and emotional needs comparable to the population of healthy subjects, allowing them to achieve a level of quality of life similar to the general population of active individuals. 12 , 13 In these transplant recipients, this 130-km cycling race induces physiological modifications of kidney function, urinalysis, and complete blood count, similar to that observed in healthy amateur cyclists with a return to baseline values in the recovery period after the end of the competition. Furthermore, all the investigated parameters had a similar trend both in transplanted and healthy subjects, despite some differences related to the baseline clinical conditions.…”

Section: Discussionmentioning

confidence: 71%

Renal Function in Kidney and Liver Transplant Recipients After A 130-km Road Cycling Race

Mosconi

Roi²,

Totti

et al. 2015

Transplantation Direct

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BackgroundA few patients, after receiving solid organ transplantation, return to performing various sports and competitions; however, at present, data no study had evaluated the effects of endurance cycling races on their renal function.MethodsRace times and short form (36) health survey questionnaires of 10 kidney transplant recipients (KTR) and 8 liver transplant recipients (LTR) transplanted recipients involved in a road cycling race (130 km) were compared with 35 healthy control subjects (HCS), also taking laboratory blood and urine tests the day before the race, at the end of the race, and 18 to 24 hours after competing.ResultsThe 3 groups showed similar race times (KTR, 5 hours 59 minutes ± 0 hours 39 minutes; LTR, 6 hours 20 minutes ± 1 hour 11 minutes; HCS, 5 hours 40 minutes ± 1 hour 28 minutes), similar short form (36) health survey scores, and similar trend of laboratory parameters which returned to baseline after 18 to 24 hours. After the race, there was an increase in creatinine (0.24 mg/dL; effect size [ES] = 0.78; P < 0.001), urea (22 mg/dL; ES = 1.42; P < 0.001), and a decrease of estimated glomerular filtration rate (−17 mL/min; ES = 0.85; P < 0.001). The increase of blood uric acid was more remarkable in HCS and KTR (2.3 mg/dL; ES = 1.39; P < 0.001). The KTR showed an increase of microalbuminuria (167.4 mg/L; ES = 1.20; P < 0.001) and proteinuria (175 mg/mL; ES = 0.97; P < 0.001) similar to LTR (microalbuminuria: 176.0 mg/L; ES = 1.26; P < 0.001; proteinuria: 213 mg/mL; ES = 1.18; P < 0.001), with high individual variability. The HCS had a nonsignificant increase of microalbuminuria (4.4 mg/L; ES = 0.03; P = 0.338) and proteinuria (59 mg/mL; ES = 0.33; P = 0.084).ConclusionsSelected and well-trained KTR and LTR patients can participate to an endurance cycling race showing final race times and temporary modifications of kidney function similar to those of HCS group, despite some differences related to baseline clinical conditions and pharmacological therapies. Patients involved in this study represent the upper limit of performance currently available for transplant recipients and cannot be considered representative of the entire transplanted population.

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“…When they looked at solid organ transplant recipients who participated in sports competitions, they found that they scored similarly to healthy sport‐playing controls on QOL scores regarding Physical Role, General Health, and Vitality. Non‐sportive transplant recipients scored significantly lower 63 . On the pediatric side, decreased physical fitness level and increased BMI have also been found to be associated with decreased QOL in kidney transplant recipients 64 .…”

Section: School and Sports Participation: Link To Quality Of Life (Qomentioning

confidence: 96%

School and sports participation post‐transplant

Bobrowski

2020

Pediatric Transplantation

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Pediatric recipients of life‐saving organ transplants are living longer, with improved graft and overall survivals. After successful transplant, children are encouraged to return to “normal life,” with school attendance and participation in age‐appropriate physical activities. This transition may cause stress to the recipients, parents, teachers, and other participating caregivers and staff. Planning for school reentry and assuring education for and open lines of communication with the school staff can help alleviate some of this discomfort and ease the process for the patient and the family. Cardiovascular disease has emerged as the leading cause of death in survivors of pediatric transplantation and is contributed to by modifiable risk factors such as obesity, hypertension, and the MS. Physical activity is a proven tool in decreasing surrogate markers of this risk. Sports participation is an important way to promote an enjoyment of physical activity that can ideally persist into adulthood, but conflicting advice and opinions exist regarding type and participation in physical activity. Moreover, specific recommendations are likely not applicable to all recipients, as certain degrees of rehabilitation may be needed depending on degree and length of illness. In general, a program of rehabilitation and increased physical activity has been shown to be safe and effective for most pediatric transplant recipients. Focusing on optimizing the “normal” childhood activities of going to school and participating in sports can improve the physical, social, cognitive, and mental health outcomes of this population after transplant and should be prioritized.

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Health-related quality of life after solid organ transplantation: the role of sport activity

Cited by 12 publications

References 11 publications

Physical Inactivity: A Modifiable Risk Factor for Morbidity and Mortality in Kidney Transplantation

Physical Inactivity: A Modifiable Risk Factor for Morbidity and Mortality in Kidney Transplantation

Renal Function in Kidney and Liver Transplant Recipients After A 130-km Road Cycling Race

School and sports participation post‐transplant

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