The role of diet and physical activity in post‐transplant weight gain after renal transplantation

Zelle, Dorien M.; Kok, T; Dontje, Manon L.; Danchell, Eva I.; Navis, Gerjan; Son, Willem J. van; Bakker, Stephan J. L.; Corpeleijn, Eva

doi:10.1111/ctr.12149

Cited by 74 publications

(78 citation statements)

References 21 publications

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“…Even in the presence of reduced percentage variations, preliminary data confirm the improvement of the nutritional status in patients practising regular physical activity, as recently reported [25]. The trend to reduce the fat mass is promising for the prevention of metabolic syndrome; the secretion of inflammatory adipokines has been shown as a mechanism to induce peripheral tissue insulin resistance [4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23,24,25,26].…”

Section: Discussionsupporting

confidence: 79%

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

Mosconi

Cuna²,

Tonioli³

et al. 2014

Kidney Blood Press Res

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Background/Aims: The role of physical activity in transplanted patients is often underestimated. We discuss the Italian National Transplant Centre experience, which started in 2008 studying transplanted patients involved in sports activities. The study was then developed through a model of cooperation between surgeons, sports physicians and exercise specialists. Methods: A multicentre study was realized in 120 transplanted patients of which 60 treated with supervised physical activity (three sessions/week of aerobic and strengthening exercises) and 60 controls. We present the results of the first 26 patients (16 males, 10 females; 47.8±10.0 years; 21 kidney, 5 liver transplanted; time from transplant 2.3±1.4 years) who completed 12 months of supervised physical activity. Results: Data showed an increase of peak aerobic power (t=4.535; P<0.01) and maximum workload (t=4.665; P<0.01) in the incremental cycling test. Maximum strength of knee extensors (t=2.933; P<0.05) and elbow flexors (t=2.450; P<0.05), and the power of lower limb (t=2.303; P<0.05) significantly increases. Health Related Quality of Life showed a significant improvement. Serum creatinine (1.4±0.5 vs 1.3±0.4 mg/dL) and proteinuria (0.10±0.14 vs 0.08±0.08 gr/dL) were stable. Conclusion: These preliminary results confirm the positive effects of supervised physical exercise. It can be considered as an input to promote other detailed exercise protocols.

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Section: Discussionsupporting

confidence: 79%

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

Mosconi

Cuna²,

Tonioli³

et al. 2014

Kidney Blood Press Res

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“…In addition, the higher weight gain was strongly related to total cholesterol and triglyceride serum levels. Hence, fat gain after renal transplantation seems to be related to low physical activity [19]. Of course, RCTs are needed to confirm the benefits of physical activity on metabolic and nutritional status in renal transplanted patients, as well as to evaluate the potential impact on morbidity and mortality.…”

Section: Physical Activity and Nutrition In Renal Transplantationmentioning

confidence: 99%

Physical Activity and Renal Transplantation

Bellizzi

Cupisti

Capitanini

et al. 2014

Kidney Blood Press Res

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Renal transplantation is burdened by high cardiovascular risk because of increased prevalence of traditional and disease-specific cardiovascular risk factors and, consequently, patients are affected by greater morbidity and mortality. In renal transplanted patients, healthy lifestyle and physical activity are recommended to improve overall morbidity and cardiovascular outcomes. According to METs (Metabolic Equivalent Task; i.e. the amount of energy consumed while sitting at rest), physical activities are classified as sedentary (<3.0 METs), of moderate-(3.0 to 5.9 METs) or vigorous-intensity (≥6.0 METs). Guidelines suggest for patients with chronic kidney disease an amount of physical activity of at least 30 minutes of moderate-intensity activity five times per week (min 450 MET-minutes/week). Data on physical activity in renal transplanted patients, however, are limited and have been mainly obtained by mean of non-objective methods. Available data suggest that physical activity is low either at the start or during renal transplantation and this may be associated with poor patient and graft outcomes. Therefore, in renal transplanted patients more data on physical activity obtained with objective, accelerometer-based methods are needed. In the meanwhile, physical activity have to be considered as an essential part of the medical care for renal transplanted recipients.

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“…22 In a prospective study conducted by Zelle and associates in 2013, patients with stable body fat levels had 33% to 37% more number of steps in addition to regular activity than those without stable body fat levels. 23 Patients with stable weight had greater levels of physical activity, with 19% of these patients having more than 10 000 steps per day. In a qualitative study conducted by Stanfill and associates in 2012, situations preventing physical activity include impairment of health of the new kidney, health complications related or not related to transplant (leg pain, backache, nerve entrapment), and lack of time after return to work.…”

Section: Resultsmentioning

confidence: 96%

Untitled

2016

Exp Clin Transplant

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Objectives: Weight gain and obesity are frequent problems for renal transplant patients. The purpose of this review is to show why weight gain is experienced by patients after kidney transplant and the significance of prevention. Materials and Methods: To investigate this topic, PubMed and Ulakbim databases were searched with the following key words: renal transplant and transplantation, weight gain, and obesity. Results: Weight gain frequently appears in the first year after transplant, and it is reported to be a common problem for patients within the first 6 months. Weight gain varies between 6 and 10 kg, and the change in mean body mass index varies between 2 and 3.8 kg/m 2 after transplant. Potential factors causing weight gain after kidney transplant are the use of immunosuppressive medications to protect the newly implanted organ and the changes in life style, such as dietary intake and insufficient physical activity. In addition, weight gain is affected by factors such as age, sex, race, lack of acute rejection, genetics, and psychological factors related to stress. Conclusions: A better understanding of food intake, physical activities, and environmental factors causing weight gain after kidney transplant and the development of dietary intake and physical activity protocols specific to individuals would be helpful for health care professionals.

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The role of diet and physical activity in post‐transplant weight gain after renal transplantation

Cited by 74 publications

References 21 publications

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

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

Physical Activity and Renal Transplantation

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