Accelerometry-based physical activity and exercise capacity in pediatric kidney transplant patients

Clark, Camillia G.; Cantell, Marja; Crawford, Susan; Hamiwka, Lorraine

doi:10.1007/s00467-011-2054-z

Cited by 17 publications

(14 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Step counts were also lower in comparison with Canadian adolescents when compared by gender and age group. The findings of our study are comparable to accelerometry measures among children post-kidney transplant, which showed that these children had low levels of PA and engaged mainly in low-intensity PA (44). When examining opportunities to increase PA, our results suggest that children are more active during the weekday compared to weekend days.…”

Section: Discussionsupporting

confidence: 82%

Physical activity and its correlates in children and adolescents post‐liver transplant

Patterson

Schneiderman

et al. 2016

Pediatric Transplantation

View full text Add to dashboard Cite

The health benefits of PA are well established for healthy and chronically ill children. This study objectively measures physical fitness and PA levels in children PLT and explores potential correlates and perceived barriers impacting their PA. A total of 23 children (16 females, mean 14.01 ± 2.49 yrs) >1 yr PLT were assessed for peak oxygen consumption (VO2 peak), muscle strength, endurance, and flexibility. MVPA and steps/day were determined with accelerometry. Additionally, SE, perceived fatigue, and barriers and benefits of PA were examined. VO2 peak (mean 33. 2 ± 7.61 mL/kg/min; 77.0 ± 15.6% predicted) and PA (average 6841 ± 2299 steps/day) were below healthy norms. MVPA (31.6 ± 16.1 min/day) was lower than national guidelines. Six participants (30%) attained criterion standards for abdominal strength and one participant (5%) for push-ups. Fatigue and SE were lower than reported levels in healthy children. A commonly perceived barrier to PA was "I am tired." A positive correlation was shown between SE and MVPA (r = 0.57, p = 0.007), SE and fatigue (r = 0.54, p = 0.01), and PELD score and fatigue (r = 0.66, p = 0.007). Children PLT demonstrate below normal levels of PA and aerobic capacity. SE is a modifiable correlate of their PA. Further investigation of the impact of PA correlates can guide the development of future innovative PA intervention strategies in children PLT.

show abstract

Section: Discussionsupporting

confidence: 82%

Physical activity and its correlates in children and adolescents post‐liver transplant

Patterson

Schneiderman

et al. 2016

Pediatric Transplantation

View full text Add to dashboard Cite

show abstract

“…Therefore, pediatric renal transplanted patients are basically physically inactive, and their physical activity level is of low intensity. In this study, as it was already observed in other studies, the exercise capacity and physical fitness were impaired, as well [10]. …”

Section: Habitual Physical Function and Physical Activity At The Starsupporting

confidence: 72%

Physical Activity and Renal Transplantation

Bellizzi

Cupisti

Capitanini

et al. 2014

Kidney Blood Press Res

View full text Add to dashboard Cite

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.

show abstract

“…Of course, they compared their patients' results with different reference values from the other population . Other studies have utilized cycle ergometers for assessing cardiorespiratory fitness , but their results cannot be compared with treadmill test as cycle ergometers involve less muscle mass during exercise and may underestimate MaxVO 2 . Our study showed no significant difference.…”

Section: Discussionmentioning

confidence: 99%

Exercise test in pediatric renal transplant recipients and its relationship with their cardiac function

Derakhshan

Amoozgar

et al. 2014

Pediatric Transplantation

View full text Add to dashboard Cite

Pediatric kidney transplant recipients are at increased risk of CVD. Exercise test is a good method to evaluate exercise capacity, cardiorespiratory fitness, and risk of potential CVDs. The aim of this study was to assess the exercise capacity in this population and determine its relationship with their cardiac function using conventional and tissue Doppler echocardiography. Exercise test, conventional and tissue Doppler echocardiography were performed on 44 kidney transplant children (age ranging 11-20, 59% male) with acceptable renal function, and the results were compared with their normal healthy counterparts. Our transplant patients achieved significantly lower maximal heart rate, maximal heart rate ratio, total energy expenditure during the exercise, and maximal O2 consumption (Max VO2 ) than the normal group (p < 0.05). No correlation was found between hemoglobin (Hb) level, dialysis duration, kidney function, and the exercise test parameters. Kidney transplant patients had preserved systolic despite diminished diastolic cardiac function compared to the normal children. Our pediatric renal transplant recipients had severely impaired diastolic dysfunction and significantly reduced MaxVO2 compared with their healthy counterparts. No correlation was found between MaxVO2 and measured indices of systolic and diastolic cardiac function.

show abstract

Accelerometry-based physical activity and exercise capacity in pediatric kidney transplant patients

Cited by 17 publications

References 24 publications

Physical activity and its correlates in children and adolescents post‐liver transplant

Physical activity and its correlates in children and adolescents post‐liver transplant

Physical Activity and Renal Transplantation

Exercise test in pediatric renal transplant recipients and its relationship with their cardiac function

Contact Info

Product

Resources

About