Page 109 - Physical activity in recipients of solid organ transplantation - Edwin J. van Adrichem
P. 109

Introduction
11
Transplantation is a life-saving intervention for people with end-stage solid organ diseases.
In the past decades, short-term survival following solid organ transplantation (SOT) has
associated with the level of these behaviors.
Methods
Setting and Participants
Physical activity in recipients of solid organ transplantation
substantially improved due to progression in organ preservation, surgical techniques, and
immunosuppressive medication.1
As a result, focus has shifted towards long-term survival,
and associated issues, such as improving quality of life and increasing physical activity (PA).
 
e level of PA in recipients of a SOT is positively associated with rehabilitation goals like
the capacity to perform activities of daily life,2
Nevertheless, it does not seem as though the recommended amount and type of PA
experienced quality of life,
3–6
and survival.
7–
(moderate-intense PA for ≥
30 minutes
 
ve days per week or vigorous PA for ≥
20 minutes
three days per week)
12
is being met by the majority of recipients.
Generally, a more
sedentary and inactive lifestyle of recipients of a SOT is found when compared to the
11,13–21
general population. However, the majority of these previous studies su
comprehensive and encompass various groups of SOT recipients are necessary to extent the
 
ered from limited
sample sizes and focused on a single organ group.
11,13–21
Studies that are more
knowledge base of the PA level and the amount of sedentary time following various types
of transplantation. In order to develop an optimal intervention to increase participation in
PA behavior and decrease sedentary time after SOT as a prerequisite for successful
rehabilitation and long term outcome, it is necessary to identify (modi
 
able) factors
 
e aims of the current study were: (i) to identify how many recipients of a SOT
ful
 
ll the physical activity guideline; (ii) to describe the level of PA and sedentary time in
several SOT groups; and (iii) to identify associated factors of the time spent on moderate
to vigorous intensity PA as well as sedentary time.
All patients who underwent a SOT at the University Medical Center Groningen between
2002
and 2012, were aged 18 or older at the time of transplantation, and were capable of
 
lling out a questionnaire in Dutch were invited to participate in this cross-sectional
survey. Recipients on the waiting list for re-transplantation or who had been re-
transplanted after 2012 were excluded.
upon request. An informed consent form was provided online prior to
 
e invitation letter to participate was sent by mail.
 
lling out the
questionnaire or sent back before receiving a paper version. A single reminder was
forwarded to non-repliers after two weeks. Data were coded and processed anonymously.
 
e study complied with the declarations of Helsinki and Istanbul. None of the transplant
donors were from a vulnerable population and all donors or next of kin provided written
informed consent that was freely given.
of the study (METc 2013/410).
 
e Institutional Review Board approved execution
 
e questionnaire could be completed digitally, however, a paper version could also be sent
107.
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