Page 117 - Physical activity in recipients of solid organ transplantation - Edwin J. van Adrichem

Physical activity in recipients of solid organ transplantation
Kidney-txd Liver-tx Lung-tx Heart-tx n=163 n=130 n=92 n=28
49.1 (80)
55.4 (72)
60.9 (56)
60.7 (17)
645 (165-1320) 705 (315-1502) 900 (450-1473) 675 (383-1621) 32 (27-36) 32 (27-36) 33 (30-37) 32 (26-35)
Discussion
360 (240-480)
(140)
360 (240-540)
(114)
360 (240-540)
(88)
345 (240-420)
(26)

is is the

rst study to report on the level of PA and sedentary time and its associated
factors in a large sample of recipients with various types of SOT.

e percentage of
recipients ful

lling the PA guideline was notably limited with less than 60% of participants
complying to the guideline. Comparing compliance levels in the current sample (55.9%)
with that of the average Dutch population (75.3%) indicates that compliance in recipients
of a SOT is substantially lower.
39
Signi

cantly and negatively associated with the level of
PA were: being female; age (non-linear); not actively working or being retired; physical
limitations; and low expectations and self-con

dence. Signi

cantly associated with lower
6
sedentary time were: exercise self-e
Signi
outcomes.

cacy; and not actively working or being retired.

cantly associated with a higher sedentary time were: having obtained high education;
fear of negative e

ects; physical limitations; and the motivator health and physical
e type of transplantation received was not of signi

cant in

uence on either of

e use of self-reported questionnaires to assess the level of PA has been
demonstrated to give an overestimation compared to objective measurements.
40

erefore,
the absolute results of the SQUASH questionnaire on the median amount of time spent on
moderate to vigorous PA should be interpreted with caution. As this overestimation is
likely to occur in all responders, the SQUASH can be used to provide a classi

cation of a
substantial number of participants and,
Among the factors signi
therefore, can be used in regression analyzes.

cantly associated with the level of PA in the current study, age,
gender, employment status, and physical limitations were also indicated as associated
factors of physical activity in the general population.
(absence of physical limitations) was also indicated as being associated with higher PA
44,45
Better physical functioning
levels in kidney transplant recipients.
having a linear negative association with PA level in the general population
Remarkably, until now, age is only described as
44,45
whereas, in
the current study, age was signi

cantly associated with PA as a non-linear spline variable
and contributing to the explained variance considerably. In this population recipients being
younger and recipients being older showed the lowest levels of PA, recipients in the age
range of ~55 to 65 showed the highest levels of PA.
the outcome measures.
40–43
17
115.