Longitudinal analysis of physical activity, fluid intake, and graft function among kidney transplant recipients

Gordon, Elisa J.; Prohaska, Thomas R.; Gallant, Mary P.; Sehgal, Ashwini R.; Strogatz, David; Yucel, Recai; Conti, David; Siminoff, Laura A.

doi:10.1111/j.1432-2277.2009.00917.x

Cited by 60 publications

(52 citation statements)

References 42 publications

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“…Only a few small studies have examined the relationship between post-transplant hydration and allograft outcomes in transplant recipients. In 2 prospective observational studies by Gordon et al [90,91] , 88 renal transplant recipients were recruited 2 months after they had received renal allografts and were followed for 12 months. Greater fluid intake was associated with improved graft function [91] ; however, only 35% of prior participants reported drinking the recommended 3 liters of fluid daily [90] .…”

Section: End-stage Kidney Diseasementioning

confidence: 99%

Hydration and Chronic Kidney Disease Progression: A Critical Review of the Evidence

et al. 2016

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We performed a comprehensive literature review to examine evidence on the effects of hydration on the kidney. By reducing vasopressin secretion, increasing water intake may have a beneficial effect on renal function in patients with all forms of chronic kidney disease (CKD) and in those at risk of CKD. This potential benefit may be greater when the kidney is still able to concentrate urine (high fluid intake is contraindicated in dialysis-dependent patients). Increasing water intake is a well-accepted method for preventing renal calculi, and current evidence suggests that recurrent dehydration and heat stress from extreme occupational conditions is the most probable cause of an ongoing CKD epidemic in Mesoamerica. In polycystic kidney disease (PKD), increased water intake has been shown to slow renal cyst growth in animals via direct vasopressin suppression, and pharmacologic blockade of renal vasopressin-V2 receptors has been shown to slow cyst growth in patients. However, larger clinical trials are needed to determine if supplemental water can safely slow the loss of kidney function in PKD patients.

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Section: End-stage Kidney Diseasementioning

confidence: 99%

Hydration and Chronic Kidney Disease Progression: A Critical Review of the Evidence

et al. 2016

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“…These findings suggest that higher physical activity in patients with kidney transplant may favourably affect graft functioning. Whether increasing physical activity should improve renal function outcome in renal transplanted patients need to be confirmed by RCT [20]. The systematic review of 21 studies on physical activity in renal transplanted patients indicates that exercise interventions has beneficial effects also on aerobic capacity and muscle strength, but only minimal effects on metabolic syndrome, immune system and kidney function [16].…”

Section: Physical Activity and Outcomes In Renal Transplantationmentioning

confidence: 99%

Physical Activity and Renal Transplantation

Bellizzi

Cupisti

Capitanini

et al. 2014

Kidney Blood Press Res

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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.

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“…Because nonadherence of transplant recipients to prescribed medical regimens has been identified as a major cause of allograft failure [21], three items (accurate dose, accurate intake timing, and self-management of immunosuppressive drugs) were added. Also, because adherence to fluid intake is statically a significant predictor of better graft function in kidney transplant recipients from longitudinal research [22], another item (fluid intake to prevent dehydration) was added.…”

Section: Discussionmentioning

confidence: 99%

Development of Self-Management Scale for Kidney Transplant Recipients, Including Management of Post-Transplantation Chronic Kidney Disease

Kosaka

Tanaka

Sakai

et al. 2013

ISRN Transplantation

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An evaluation scale is indispensable for the promotion of continuing, effective postkidney transplantation self-management behaviors. We aimed to develop and validate a new self-management scale for kidney transplant recipients to improve their long-term outcomes and prevent the recurrence of CKD complications. Two hundred and thirty-nine Japanese patients who had undergone kidney transplantation were recruited from three hospitals. The scale's validity and reliability were evaluated using exploratory factor analysis and intraclass correlation coefficients. Scale items were selected by considering the findings of a clinical importance survey of 17 experts. Four subscales were identified by the factor analysis: "Self-monitoring" (six items), "Self-care behavior in daily living" (seven items), "Early detecting and coping with abnormalities after kidney transplantation" (four items), and "Stress management" (three items). Cronbach's alpha coefficients for the subscales ranged from 0.61 to 0.87. A further four items with high clinical importance were added to the scale. The final scale comprised 24 items within four subscales and four single items. The intraclass correlation ranged from 0.88 to 0.95 in each subscale and the weighted kappa coefficient for the single items ranged from 0.33 to 0.72. The validity and reliability of our new self-management scale were confirmed by a patient-based field survey.

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Longitudinal analysis of physical activity, fluid intake, and graft function among kidney transplant recipients

Cited by 60 publications

References 42 publications

Hydration and Chronic Kidney Disease Progression: A Critical Review of the Evidence

Hydration and Chronic Kidney Disease Progression: A Critical Review of the Evidence

Physical Activity and Renal Transplantation

Development of Self-Management Scale for Kidney Transplant Recipients, Including Management of Post-Transplantation Chronic Kidney Disease

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