There is a large variation in PA levels among SOT recipients. Multiple factors may explain the variance in PA levels in SOT recipients. Identification of facilitators and barriers to PA can inform the development of health and educational promotion strategies to improve participation among SOT recipients with low activity levels.

Purpose: Computed tomography (CT) of the chest is routinely performed in people with lung disease; however, the utility of measuring thoracic muscle size to assess the presence of sarcopenia (low muscle mass and function) has not been studied. The purpose of this study was to examine the reliability and validity of thoracic muscle size obtained from chest CT as a surrogate of sarcopenia. Methods: In this observational study, chest CT was obtained from routine clinical evaluation in 32 individuals with advanced lung disease awaiting lung transplantation. Thoracic muscle area from vertebral levels T4–T6 was manually segmented using Slice-O-Matic software, and average muscle cross-sectional area (CSA) and muscle volume were calculated. Measures of sarcopenia included quadriceps CSA and thickness from ultrasound, quadriceps, and biceps torque and short physical performance battery (SPPB). Results: Intrareliability and interrater reliability for muscle CSA were high (intraclass correlation coefficient = 0.96, 0.99; absolute difference = 0.61, 1.7 cm2, respectively). Thoracic muscle CSAs and volume correlated with quadriceps size and limb muscle strength (r = 0.56–0.71, P < .001) but not SPPB. Cross-sectional areas from single slices at T4–T6 were highly correlated with muscle volume (r = 0.89–0.91, P < .001). Conclusions: Thoracic muscle size seems to be a reliable and valid technique that can be applied in large studies evaluating the presence of sarcopenia in patients with advanced lung disease.

RESUMOIntrodução: A doença e a hospitalização constituem uma situação de crise tanto para a criança como para a família pois implicam alterações financeiras, psicológicas, relacionais e sociais.Objetivos: Conhecer os sentimentos e opiniões de pais face à hospitalização de filhos numa unidade de pediatria e identificar os profissionais que mais os apoiaram nesse período.Metodologia: Trata-se de um estudo descritivo, no qual foi utilizada uma amostra de 33 pais/acompanhantes. Após autorização do Conselho Diretivo do Hospital e o Consentimento informado aos inquiridos foi aplicado um questionário aos pais/acompanhantes de crianças hospitalizadas no serviço de pediatria no Centro Hospitalar Trás-os-Montes e Alto Douro -Vila Real.Resultados: A idade dos participantes está compreendida entre os 21 e os 46 anos de idade, sendo que a maioria tem 30 e 35 anos. 87,9% das crianças estava acompanhada pela mãe e 15,2% das crianças já tinham sido internadas entre 3 (6,1%) a 5 vezes (9,1%). Durante o internamento, os pais vivenciaram sentimentos ambivalentes. Os sentimentos negativos mais expressivos foram a ansiedade, a tristeza e o medo. Evidenciam-se como sentimentos positivos a esperança, a segu-

Purpose: Access to pre-and post-transplant supervised exercise programmes in Canada is not consistent across organ types. The opinions of solid organ transplant (SOT) recipients can contribute to the discussion among stakeholders regarding increasing the availability of supervised exercise programmes. The objective of the study was to determine Canadian SOT recipients' opinions of pre-and post-transplant supervised exercise programmes and the factors that influenced their participation. Method: An Internet-based questionnaire was distributed to members of the Canadian Transplant Association. It was part of a larger survey and examined seven items related to accessibility to, and opinion of, supervised exercise programmes. Results: A total of 35% (n ¼ 39) of respondents had attended a pre-transplant exercise programme, and 54% (n ¼ 61) had attended a post-transplant exercise programme. The majority of participants believed that a supervised exercise programme was beneficial to health and well-being. Perception of benefits, a physician's recommendation, and health status and symptoms were key influencing factors in the decision of whether to attend a pre-or post-transplant exercise programme. Conclusion: SOT recipients had positive opinions of supervised exercise programmes despite unequal access among organ groups. Some key influencing factors (e.g., a physician's recommendation) are modifiable and should be taken into consideration to encourage participation in such programmes.Key Words: availability of health services; exercise; rehabilitation; organ transplantation; survey. RÉ SUMÉObjectif : l'accè s à un programme d'exercice supervisé avant et aprè s une greffe au Canada est iné gal selon le type d'organe. L'opinion des personnes ayant reç u une greffe d'organe plein (GOP) peut enrichir les discussions des intervenants concernant l'augmentation de l'offre de tels programmes. Cette é tude vise à dé terminer l'opinion des greffé s sur les programmes d'exercice supervisé s avant et aprè s la greffe et les facteurs qui ont influencé leur participation. Mé thodes : un questionnaire en ligne a é té envoyé aux membres de l'Association canadienne des greffé s. Ce questionnaire faisait partie d'un sondage plus vaste et portait sur sept aspects lié s à l'accessibilité des programmes d'exercice supervisé s et à l'opinion à leur é gard. Ré sultats : au total, 35 % (n ¼ 39 ) des ré pondants avaient participé à un programme d'exercice avant leur greffe, et 54 % (n ¼ 61) avaient participé à un programme aprè s leur greffe. La majorité des participants é tait d'avis qu'un programme d'exercice supervisé avait des bienfaits sur la santé et le bien-ê tre. La dé cision de participer ou non à un programme d'exercice avant ou aprè s la greffe é tait influencé e par les facteurs suivants : la perception des bienfaits, la recommandation d'un mé decin ainsi que l'é tat de santé et les symptô mes. Conclusion : les personnes ayant reç u une GOP ont une opinion favorable des programmes d'exercice supervisé s malgré l'iné galité ...

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