Physical fitness, fatigue, and quality of life after liver transplantation

Ginneken, Berbke T J van; Berg-Emons, Rita J G van den; Kazemier, Geert; Metselaar, Herold J.; Tilanus, Hugo W.; Stam, Henk J.

doi:10.1007/s00421-007-0435-6

Cited by 49 publications

(63 citation statements)

References 41 publications

(57 reference statements)

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“…Our young/middle-aged ltx pts were characterized by excessive body weight (average body weight 85.3 ± 15.5 kg and BMi 29.1 ± 4.5 kg/m 2 ), which is similar to data published by ribeiro et al, Berbke et al and silva alves et al [2,4,6]. the percentage of overweight and obese ltx pts in our study was higher compered to the adult Polish population or Bulzacka data [5,7].…”

Section: Discussionsupporting

confidence: 90%

“…incorrect wc had less than ca. 90% participants of our study -mean wc 101.9 ± 12.3 cm, which increased the risk of cVd/ /ncd [23] and was reported by other researchers [2,6,7]. attention was drawn by the high percentage of ltx pts with metabolic obesity in the studied group (65%), with the average body fat percentage being 28.81 ± 7.9%, which is similar to the dutch and Brazilian data [4,6].…”

Section: Discussionsupporting

confidence: 89%

“…although Ferreira et al observed a similar percentage [10], other researchers reported lower levels of protein supplied through the diet (14.5-15.9%) [6,7].…”

Section: Discussionmentioning

confidence: 90%

“…ribeiro et al in 2014 reported excessive weight at a level of 57% in Brazilian ltx pts, with an obesity prevalence equal to 26.2% (of 42 ltx pts aged 50.1 ± 13.1 years), which was confirmed the same year by silva alves et al when assessing the prevalence of obesity among 36 Brazilian pts up to 2 years after ltx (29.4% with a mean waist circumference of (wc) 95.9 ± 15.0 cm) [4,5]. in 2007, the mean body mass index (BMi) of 18 dutch ltx pts aged 48.0 ± 11.8 years was 26.6 ± 5.0 kg/m 2 , mean wc 96.6 ± 16.8 cm and mean percentage of total body fat 26.9 ± 6.4% [6]. excessive body mass (overweight and obesity) was reported for 28% of Polish ltx pts by Bulzacka in 2008 vs 58.6% in the Polish population [2,7].…”

Section: Introductionmentioning

confidence: 99%

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Lifestyle risk factors of non-communicable diseases among patients after liver transplantation – a pilot study

Jagielska¹,

Jankowski²,

Okręglicka³

et al. 2017

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Background. liver transplantation (ltx) is the ultimate treatment for some hepatologic patients (pts), very often observed having excessive weight gain after operation, resulting in an increased risk of non-communicable diseases (ncds). Objectives. the aim of the pilot study was to evaluate the chosen lifestyle risk factors of ncds (nutritional status, intake of energy, micronutrients, cholesterol and fiber, smoking habit and physical activity) of ltx pts. Material and methods. the pilot study group consisted of 44 pts (13 women and 31 men) of the department of transplant Medicine and nephrology, Medical university of warsaw. anthropometric, nutritional, smoking habit and physical activity data was collected from september 2015 till May 2016. Results. Mean body weight was 85.3 ± 15.6 kg, mean body mass index (BMi) -29.1 ± 4.5 kg/m 2 , mean waist circumference (wc) -101.9 ± 12.3 cm, mean % of total body fat -28.8 ± 7.9%. Only ca. 16% of pts had a normal BMi. More than 90% of pts had abdominal obesity. Mean energy intake was 1,605.4 ± 441.6 kcal (percentage of energy protein/total fat/carbohydrates -18.2 ± 3.2%/34.4 ± 5.8%/47.1 ± 6.0%), cholesterol intake 264.6 ± 100.7 mg, dietary fiber intake 17.4 ± 5.8 g daily. Mean number of steps was 7,163.2 ± 3,344.5 per day, and mean daily Met was only 1.5 ± 0.3. Moderate physical activity lasted on average for 02:06 ± 01:27 (hh:mm). the prevalence for smoking was 23%. Conclusions. the diet of ltx pts was based on improper proportions of macronutrients. anthropometric measurements of these patients revealed an impaired nutritional status, including metabolic obesity. the physical level of activity was insufficient. the prevalence for smoking was similar to the general Polish population. the presence of ncd risk factors among ltx pts requires the creation of interprofessional teams of health care workers. Key words: life style, liver transplantation, risk of non-communicable diseases.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionsupporting

confidence: 89%

“…although Ferreira et al observed a similar percentage [10], other researchers reported lower levels of protein supplied through the diet (14.5-15.9%) [6,7].…”

Section: Discussionmentioning

confidence: 90%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Lifestyle risk factors of non-communicable diseases among patients after liver transplantation – a pilot study

Jagielska¹,

Jankowski²,

Okręglicka³

et al. 2017

fmpcr

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“…[23] Literatür bulguları nakil sonrası dönemde yaşam kalitesinde düşüklüğü göstermektedir. [23][24][25][26] Hasta yakınların da ise yaşam kalitesi alt boyutlarından fiziksel fonksiyon, fiziksel rol güçlüğü, ağrı, genel sağlık algısı, ruhsal sağlık ve canlılık azaldıkça depresyonun arttığı, aynı zamanda kaygı arttıkça depresyonun da arttığı saptanmıştır. Hasta yakınlarının yüksek depresyon düzeyinin hastalara göre yaşam kalitesinin birçok alt boyutunda olumsuz etkileri olduğu bulunmuştur.…”

Section: Discussionunclassified

The Psychsocial Status Of Liver Transplant Patient And Their Relatives On The Effect Of Quality Of Life

Kaçmaz¹,

Barlas²

2014

Psi Hem Derg

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ÖZAmaç: Bu çalışma, karaciğer nakil ameliyatı olmuş hastaların ve onların bakımından sorumlu hasta yakınlarının ruhsal durumlarını ve ruhsal durumlarının yaşam kalitesi üzerine etkisini belirlemeyi amaç-lamaktadır. Gereç ve Bulgular:Hastaların yarısında ve hasta yakınlarının yarısından çoğun-da ciddi düzeyde depresyon saptandı. Depresyon, durumluk ve sü-rekli anksiyete puanı ortalamaları hasta yakınlarının hastalardan daha yüksek olduğu, aradaki farkın istatistiksel olarak anlamlı olmadığı saptandı. Hastaların yaşam kalitesinin fiziksel fonksiyon ve rol güçlüğü ile depresyon puanının ve ağrı, canlılık ve ruhsal sağlık ile durumluk kaygı puanı arasında negatif yönde orta düzeyde anlamlı bir ilişki bulundu. Hasta yakınlarının yaşam kalitesinin fiziksel ve ruhsal birçok alt boyutunun depresyon, durumluk ve sürekli kaygı puanları arasında negatif yönde orta düzeyde anlamlı bir ilişki saptandı.Sonuç: Nakil sonrası hasta ve hasta yakınlarının anksiyete ve depresyon düzeylerinin yüksek olduğu, ruhsal durumun yaşam kalitesini etkilediği, bu bağlamda nakil sonrasında destek grupları oluşturmanın ve ruhsal durum ile yaşam kalitesini iyileştirmeye odaklanan programlar geliştirmenin gerekli olduğu söylenebilir.

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