Renal Responses to exercise in heart and kidney transplant patients

Poortmans, Jacques; Hermans, Laurent; Vandervliet, A.; Niset, Georges; Godefroid, C.

doi:10.1111/j.1432-2277.1997.tb00711.x

Cited by 17 publications

(12 citation statements)

References 17 publications

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“…Despite improved survival, the aerobic capacity of renal transplant recipients (RTR), measured objectively as peak exercise oxygen uptake (V O 2peak ), is 10% to 40% lower than age-matched healthy individuals (Kempeneers et al 1990;Poortmans et al 1997;Warburton et al 2004;van den Ham et al 2005van den Ham et al , 2007Armstrong et al 2006;Kouidi et al 2013). The mechanisms responsible for the reduced V O 2peak are due to impaired cardiovascular and skeletal muscle function that results in reduced oxygen delivery to and (or) utilization by the exercising muscles (Armstrong et al 2006;Oterdoom et al 2008;Zelle et al 2011;Kouidi et al 2013).…”

Section: Introductionmentioning

confidence: 95%

Exercise training improves aerobic capacity, muscle strength, and quality of life in renal transplant recipients

Riess

Haykowsky

Lawrance

et al. 2014

Appl. Physiol. Nutr. Metab.

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Renal transplant recipients (RTR) have reduced peak aerobic capacity, muscle strength, arterial function and an unfavorable cardiovascular disease risk (CVD) profile. This study compared the effects of 12 weeks of supervised endurance and strength training (EST, n = 16) versus usual care (UC, n = 15) on peak aerobic capicity, cardiovascular and skeletal muscle function, CVD risk profile, and quality of life (QOL) in RTR (55 ± 13 years). Peak aerobic capacity and exercise hemodynamics, arterial compliance, 24-h blood pressure, muscle strength, lean body mass, CVD risk score, and QOL were assessed before and after 12 weeks. The change in peak aerobic capacity (EST: 2.6 ± 3.1 vs. UC: -0.5 ± 2.5 mL/(kg·min)), cardiac output (EST: 1.7 ± 2.6 vs. UC: -0.01 ± 0.8 L/min), leg press (EST: 48.7 ± 34.1 vs. UC: -10.5 ± 37.7 kg) and leg extension strength (EST: 9.5 ± 10.3 vs. UC: 0.65 ± 5.5 kg) improved significantly after EST compared with UC. The overall change in QOL improved significantly after 12 weeks of EST compared with UC. No significant difference was found between groups for lean body mass, arterial compliance, 24-h blood pressure or CVD risk score. Supervised EST is an effective intervention to improve peak exercise aerobic capacity and cardiac output, muscle strength and QOL in clinically stable RTR.

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Section: Introductionmentioning

confidence: 95%

Exercise training improves aerobic capacity, muscle strength, and quality of life in renal transplant recipients

Riess

Haykowsky

Lawrance

et al. 2014

Appl. Physiol. Nutr. Metab.

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“…There is no specific physical activity recommendation for kidney transplant recipients, but also no restrictions for performing activities . In the absence of a disease specific guideline, the American College of Sports Medicine (ACSM) recommends adults with clinically significant chronic conditions to comply with the same guidelines as healthy adults as much as their abilities and conditions allow .…”

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confidence: 99%

Longitudinal measurement of physical activity following kidney transplantation

Dontje

Greef

Krijnen

et al. 2014

Clinical Transplantation

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The purpose of this longitudinal observational study was to (i) examine the change of daily physical activity in 28 adult kidney transplant recipients over the first 12 months following transplantation; and (ii) to examine the change in metabolic characteristics and renal function. Accelerometer-based daily physical activity and metabolic- and clinical characteristics were measured at six wk (T1), three months (T2), six months (T3) and 12 months (T4) following transplantation. Linear mixed effect analyses showed an increase in steps/d (T1 = 6326 ± 2906; T4 = 7562 ± 3785; F = 3.52; p = 0.02), but one yr after transplantation only 25% achieved the recommended 10 000 steps/d. There was no significant increase in minutes per day spent on moderate-to-vigorous intensity physical activity (T1 = 80.4 ± 63.6; T4 = 93.2 ± 55.1; F = 1.71; p = 0.17). Body mass index increased over time (T1 = 25.4 ± 3.2; T4 = 27.2 ± 3.8; F = 12.62; p < 0.001), mainly due to an increase in fat percentage (T1 = 30.3 ± 8.0; T4 = 34.0 ± 7.9; F = 14.63; p < 0.001). There was no significant change in renal function (F = 0.17; p = 0.92). Although the recipients increased physical activity, the majority did not meet the recommended levels of physical activity after one yr. In addition to the weight gain, this may result in negative health consequences. Therefore, it is important to develop strategies to support kidney transplant recipients to comply with healthy lifestyle recommendations, including regular physical activity.

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“…While the understanding of renal function following exercise is important in healthy individuals, its knowledge is essential in patients with existing renal complications. Early work (10) demonstrated that moderate exercise increased plasma creatinine by ~10% in patients with a kidney transplant, although exercise had no detrimental effect on renal function. Further research is needed to fully understand acute renal changes following exercise in CKD groups.…”

Section: Exercisementioning

confidence: 99%