Page 108 - Physical activity in recipients of solid organ transplantation - Edwin J. van Adrichem
P. 108

Chapter 6
Abstract
Background
development.
Objective
Design
Cross-sectional survey.
Method
Results
outcome measures.
Limitations
Conclusions
Short-term survival after solid organ transplantation has substantially improved and focus
has shifted to long-term survival including the role of physical activity (PA). Knowledge
about physical activity (PA) and sedentary time in recipients of solid organ transplantation
is limited and identi
 
cation of the level and associates is necessary for intervention
Investigate the level of PA and sedentary time in recipients of solid organ transplantation
and identify factors associated with these levels.
Questionnaires on PA level, sedentary time, and potential associated factors were
conducted in recipients of solid organ transplantation (kidney, liver, lung, heart [n
Less than 60% of the recipients complied with the physical activity guidelines. Signi
associated with lower levels of PA included being female; age (non-linear); not actively
working or being retired; physical limitations; and low expectations and self-con
 
cantly
 
dence.
Signi
 
cantly associated with lower sedentary time included exercise self-e
 
cacy and not
actively working or being retired. Signi
 
cantly associated with higher sedentary time were
high education; fear of negative e
 
ects; physical limitations; and the motivator ‘health and
physical outcomes’.
 
e type of transplantation did not signi
 
cantly in
 
uence either of the
e design did not allow for causal inferences to be made.
e studied associated factors
=656]).
Multiple regression analyzes with a variable selection procedure were used.
 
 
were limited to individual and interpersonal factors. Subjective measures of PA and
sedentary time were utilized.
In intervention development directed at increasing the level of PA and reducing sedentary
time in recipients of solid organ transplantation, attention should be paid to physical
limitations,
fear of negative e
 
ects, low expectations and self-con
 
dence,
health and
physical outcomes, and exercise self-e
 
cacy.
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