Physical Activity in Solid Organ Transplant Recipients: Organizational Aspects and Preliminary Results of the Italian Project

Fatigue in kidney transplant recipients

“…It is well known that exercise and PA may reduce the prevalence and severity of fatigue in end‐stage renal disease patients on chronic hemodialysis and in other chronic diseases . However, a small pilot study including 21 kidney and five liver recipients, who performed three sessions per week of aerobic and strengthening exercises for 1 year, reported a significant improvement of the vitality domain of the SF‐36 questionnaire . It remains also unknown whether the treatment of depression, occurring in about one‐third of KTR, it remains unknown whether fatigue is a risk factor for mortality in KTR.…”

“…-50 However, a small pilot study including 21 kidney and five liver recipients, who performed three sessions per week of aerobic and strengthening exercises for 1 year, reported a significant improvement of the vitality domain of the SF-36 questionnaire 51. It remains also unknown whether the treatment of depression, occurring in about one-third of KTR, 5,52 may also improve fatigue53 as it happens in other chronic diseases [46][47][48][49][50].…”

Cardiovascular Outcomes in Renal Transplant Recipients: Feasibility and Clinical Role of 2D Speckle Tracking to Assess Myocardial Function

“…Renal transplantation is a very common procedure in terminal kidney disease [6,21]. Patients do not often quickly resume a normal active lifestyle after surgery.…”

“…Sedentary behavior and reduced daily physical activity represent the basic underlying causes for progressive worsening of those cardiovascular risk factors related to limited survivorship and increased morbidity [22]. It has been widely demonstrated that physical training improves particularly those cardiovascular risk factors strongly associated with a high risk of disability and death [1,21], especially if performed at moderate intensities [6,21]. Proper exercise can be however a complicated context considering the presence of many cardiovascular risks factors often present in an associated form as in the case of post-transplant syndrome.…”

“…After surgical treatment, solid organ recipients often show metabolic syndrome [2,3], where the risk of possible acute cardiac events and the risk of cardiovascular mortality remains unfortunately high. Improvement in maximal and sub-maximal exercise capacity has been demonstrated through aerobic and resistance activity, particularly in the post-transplant syndrome [4][5][6]. The maintenance of the left ventricle myocardial function is therefore relevant and mandatory during the exercise as the prescription program.…”