Exercise Training in Solid Organ Transplant Recipients - A Systematic Review

Didsbury, Madeleine; Craig, Jonathan C.; Tong, Allison; Chapman, Jennifer; Kable, Kathy; Wong, Gina

doi:10.1097/00007890-201211271-01848

Cited by 41 publications

(67 citation statements)

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“…43 While regular dietary consultations and multidisciplinary care-modified dietary patterns might slow weight gain, 44 effects of lifestyle modification on patient-relevant outcomes in solid-organ transplantation are lacking. 45 Patients with earlier stages of CKD wish to address dietary approaches specifically targeted at preventing CKD progression, which aligns with evidence showing that patients prioritize diet as an intervention to prevent CKD progression when asked. 46 Patients often find changing their diet and fluid habits unacceptable because they view the restrictions as externally imposed and additional to other losses associated with CKD.…”

Section: Discussionmentioning

confidence: 92%

Dietary and Fluid Restrictions in CKD: A Thematic Synthesis of Patient Views From Qualitative Studies

Palmer

Hanson

Craig

et al. 2015

American Journal of Kidney Diseases

136

159

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Section: Discussionmentioning

confidence: 92%

Dietary and Fluid Restrictions in CKD: A Thematic Synthesis of Patient Views From Qualitative Studies

Palmer

Hanson

Craig

et al. 2015

American Journal of Kidney Diseases

136

159

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“…To improve the patient's function and HRQoL before and after transplantation, a training exercise for patients awaiting solid organ transplantation is recommended . Despite some experience of physical activity programs in the setting of lung and cardiac surgeries, there remains a paucity of studies and no standardized exercise programs prior to LT.…”

Section: Discussionmentioning

confidence: 99%

Home‐Based Exercise in Patients Awaiting Liver Transplantation: A Feasibility Study

et al. 2019

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Frailty is associated with increased mortality both before and after liver transplantation (LT). There are no standardized exercise programs, in particular home‐based exercise programs (HBEPs), for patients awaiting LT. The aim was to investigate the feasibility of such a program in patients awaiting LT. Patients were randomly selected from the Birmingham LT waiting list and provided with a 12‐week HBEP, including average daily step (ADS) targets and twice‐weekly resistance exercises. Feasibility was based on patient eligibility (≥66% of waiting list), target recruitment (≥90% of n = 20), safety (no related serious adverse events), and adherence (≥66% adherence to 6‐week HBEP). Measures of aerobic (incremental shuttle walk test [ISWT], ADS), functional capacity (short physical performance battery test [SPPBT]), and health‐related quality of life (EuroQol 5‐Dimension 5‐Level (EQ‐5D‐5L) and hospital anxiety and depression score [HADS]) were taken at baseline and at 6 and 12 weeks. 18 patients (50% male; median age, 55 years) were recruited. All domains of the study feasibility criteria were met. ISWT improved after 6 weeks (50 m; P ≤ 0.01) and 12 weeks (210 m; P ≤ 0.01), despite withdrawal of the telephone health calls. Similarly, improvements were seen in ADS (2700/day; P ≤ 0.01) and the SPPBT (2.5; P = 0.02) after 12 weeks. There was no difference in HADS (median difference [MD] –3; P = 0.69), but EQ‐5D‐5L after 12 weeks (17.5%; P = 0.04). In conclusion, a 12‐week HBEP, incorporating both easy‐to‐apply resistance and aerobic exercises, is safe and feasible in patients awaiting LT. Measures of aerobic and functional capacity demonstrate trends toward improvement that warrant further investigation in a randomized controlled trial.

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“…The only requirements are an open space and elastic bands with different resistances. Home‐based exercise programs can be applied but supervision of the training sessions by a professional is recommended to enhance adherence and control that the patients perform the exercises well, with a proper technique …”

Section: Discussionmentioning

confidence: 99%

Combined resistance and endurance training at a moderate‐to‐high intensity improves physical condition and quality of life in liver transplant patients

et al. 2017

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Although currently moderate and high intensity concurrent physical exercise is prescribed in populations with special needs due to its greater effect on physical condition and health-related quality of life (HRQOL), there are no data in the liver transplantation (LT) setting. The aim of this study is to evaluate changes in maximal strength, aerobic capacity, body composition, liver function, and HRQOL in LT patients after a moderate-to-high intensity combined resistance-endurance training. Six months after LT, 54 patients were randomized into 2 groups: intervention group (IG) and control group (CG). A total of 50 patients completed the study with repeat testing at 6 and 12 months after LT. The IG completed a 6-month exercise training program, consisting of exercising 2 days for 24 weeks in the hospital facilities, whereas the CG followed usual care recommendations. Patients completed a 5-multijoint exercise circuit with elastic bands involving the major muscle groups. The effects of the concurrent training program on maximal oxygen consumption, overall and regional maximal strength, body composition, liver function, and HRQOL were analyzed. The IG showed a significant improvement (P < 0.05) in outcome measurements compared with the CG in aerobic capacity, hip extension, elbow flexion, overall maximal strength, physical functioning, and vitality of HRQOL, whereas no changes were observed in body composition and liver function tests. In conclusion, this is the first study that combines supervised resistance and aerobic training performed at moderate-to-high intensity in LT recipients. It results in significant improvements in aerobic capacity, maximal strength, and HRQOL. Liver Transplantation 23 1273-1281 2017 AASLD.

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Exercise Training in Solid Organ Transplant Recipients - A Systematic Review

Cited by 41 publications

References 0 publications

Dietary and Fluid Restrictions in CKD: A Thematic Synthesis of Patient Views From Qualitative Studies

Dietary and Fluid Restrictions in CKD: A Thematic Synthesis of Patient Views From Qualitative Studies

Home‐Based Exercise in Patients Awaiting Liver Transplantation: A Feasibility Study

Combined resistance and endurance training at a moderate‐to‐high intensity improves physical condition and quality of life in liver transplant patients

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