Long-term physical training in cardiac transplant candidates: is it feasible?

Ben‐Gal, Tuvia; Pinchas, A; Zafrir, Nili; Sahar, Gideon; Berman, Marius; Aravot, Dan

doi:10.1016/s0041-1345(00)00964-7

Cited by 5 publications

(15 citation statements)

References 13 publications

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“…Exercise training has been shown to improve aerobic capacity and respiratory muscle oxygenation . Further research is needed specific to the pediatric population to determine whether transplant candidates present with an even higher degree of deconditioning and debilitation, and whether exercise programs pretransplant are beneficial, as there is evidence that they are in the adult population . Individuals with advanced heart failure may be bridged to transplant with VADs.…”

Section: Physical Implicationsmentioning

confidence: 99%

Waiting for transplant: Physical, psychosocial, and nutritional status considerations for pediatric candidates and implications for care

Anthony

Annunziato

Fairey

et al. 2014

Pediatric Transplantation

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The waiting period for an organ transplant has been described as a time of tremendous uncertainty and vulnerability, posing unique challenges and stressors for pediatric transplant candidates and their families. It has been identified as the most stressful stage of the transplant journey, yet little attention has been given to the physical, psychological, or social impact of the waiting period in the literature. In this review, we discuss the physical, nutritional, and psychosocial implications of the waiting period for child and adolescent transplant candidates and the impact on their parents and siblings. We identify areas for future research and provide recommendations for clinical practice to support children, adolescents, and families during the waiting period.

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Section: Physical Implicationsmentioning

confidence: 99%

Waiting for transplant: Physical, psychosocial, and nutritional status considerations for pediatric candidates and implications for care

Anthony

Annunziato

Fairey

et al. 2014

Pediatric Transplantation

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“…Eight of the 23 included articles were RCTs, 43‐50 five non‐RCTs, 51‐55 and 10 pre‐post studies 18,56‐64 . The majority of the articles included lung (n = 10) 18,43,49,50,55,56,60‐63 (Li et al 18 also included lung‐heart transplant candidates) and heart transplant candidates 45,46,51‐53,57,58 (n = 7). Four articles include liver 47,48,59,64 and two included kidney transplant candidates 44,54 (Gross et al 44 include kidney‐pancreas transplant candidates in addition to kidney patients).…”

Section: Resultsmentioning

confidence: 99%

“…The exercise training programs included in the studies used a variety of exercise interventions, which are described in Table 4. The majority of the programs offered a combination of aerobic training and another type of exercise (n = 17), 18,43,45,46,48‐56,59‐61,63 for instance, upper and/or lower limb strength or inspiratory muscle exercises. Five programs offered only aerobic exercise training 43,49,51,55,61 .…”

Section: Resultsmentioning

confidence: 99%

“…The majority of the programs offered a combination of aerobic training and another type of exercise (n = 17), 18,43,45,46,48‐56,59‐61,63 for instance, upper and/or lower limb strength or inspiratory muscle exercises. Five programs offered only aerobic exercise training 43,49,51,55,61 . Upper and/or lower limb strength training was an embedded component in thirteen programs 18,45,47,48,50,52‐54,56,59,60,62,63 .…”

Section: Resultsmentioning

confidence: 99%

“…Eight studies 44‐46,50,54,55,61,63 had more than one setting (eg, in‐patient and home‐based program or out‐patient and home‐based program or dialyze unit and home‐based program). Five trials did not report the setting of their programs 49,51,52,57,58 …”

Section: Resultsmentioning

confidence: 99%

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Exercise interventions in solid organ transplant candidates: A systematic review

Souza

Massierer

Raje

et al. 2020

Clinical Transplantation

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Solid organ transplantation (SOT) saves the lives of patients suffering from end-stage liver, heart, kidney, pancreas, and lung diseases 1,2 and improves disease-related symptoms as well as the quality of life (QoL) in these individuals. 3 Recent statistics show that close to 100 800 solid organ transplants are performed every year worldwide. 4 Many SOT candidates suffer from chronic disease for years before receiving a transplant, and depending on their health condition and which organ is involved, multiple systems may be compromised. 5,6 Studies have shown that SOT candidates experience limitations in exercise capacity secondary to central and peripheral factors 6-9 which may impact their levels of daily physical activity 10-13 and consequently on the psychosocial aspects of their lives. 14 In the general population, physical inactivity reduces normal functioning of major organ systems such as the cardiovascular, cardiopulmonary,

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Exercise for Solid Organ Transplant Candidates and Recipients: A Joint Position Statement of the Canadian Society of Transplantation and CAN-RESTORE

et al. 2019

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Background. The objectives of this position statement were to provide evidence-based and expert-informed recommendations for exercise training in adult and children solid organ transplant (SOT) candidates and recipients and on the outcomes relevant to exercise training and physical function that should be evaluated in SOT. Methods. We identified randomized controlled trials (RCTs) and systematic reviews of exercise interventions in adult and pediatric SOT candidates and recipients. When RCTs were not available, studies of any design were reviewed. The key recommendations were based on scientific evidence and expert-informed opinion. Results. We recommended that exercise training should be offered in the pre- and posttransplant phase for both adults and children. In adults, exercise training pretransplant was safe, but there was insufficient evidence to provide specific guidelines on the training characteristics. RCTs in adult SOT recipients demonstrated that exercise training improved exercise capacity, lower extremity muscle strength, and health-related quality of life. To obtain benefits, exercise training should be of moderate to vigorous-intensity level, 3–5 times a week for a minimum of 8 weeks. In pediatrics, there is an urgent need for high-quality multicenter clinical trials in the pre- and posttransplant phases. Due to limited evidence, specific recommendations regarding training characteristics could not be provided for pediatrics. Conclusions. The clinical relevance of this position statement is that it provides a key step toward raising awareness of the importance of exercise training in SOT patients among transplant professionals. It also identifies key areas for further research.

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Long-term physical training in cardiac transplant candidates: is it feasible?

Cited by 5 publications

References 13 publications

Waiting for transplant: Physical, psychosocial, and nutritional status considerations for pediatric candidates and implications for care

Waiting for transplant: Physical, psychosocial, and nutritional status considerations for pediatric candidates and implications for care

Exercise interventions in solid organ transplant candidates: A systematic review

Exercise for Solid Organ Transplant Candidates and Recipients: A Joint Position Statement of the Canadian Society of Transplantation and CAN-RESTORE

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