The level of daily physical activity and methods to increase it in patients after liver or kidney transplantation

Abstract

Introduction: Regular physical activity results in many health benefits, however many studies indicate that the level of activity of patients after transplantation is low. The purpose of the study was to assess the level of daily physical activity in patients after liver (LTx) or kidney transplantation (KTx) and the usefulness of a selfmonitoring method in increasing their daily physical activity. Material and methods: Patients after LTx or KTx (n=100) has been enrolled to the study and were randomly assigned to either an intervention (IG) or control group (CG). Ninety-four participants completed the 3 month period of observation. Participants assigned to IG were monitoring their daily physical activity using a pedometer and were required to complete a diary of daily number of steps. The level of physical activity was also assessed by International Physical Activity Questionnaire (IPAQ). In the statistical analysis the parametric and non-parametric tests has been used in consistency with data distribution. A value of P ≤ 0.05 was considered significant. Results:The average daily number of steps in pre/posttest in both study groups was less than 7600. A significant relationship between the average daily number of steps and daily Total Physical Activity Score TPAS/day [MET-min/day] (p<0.001; r=0.57). The study did not revealed any effects of intervention. Conclusions: Daily physical activity in patients after KTx or LTx is low, but it does not differ from healthy populations (<7500 steps). In post-transplant comprehensive medical management, long-term physical activity recommendations could be included on a par with the early post-surgery physiotherapy.

The Sizes of Spine Curvatures of Children That Practice Selected Sports

“…Increasing deviations within the spine may lead in the future to back pain and may increase the risk of injuries and overload the musculoskeletal system [6]. The literature indicates both the positive effect of increased physical activity on health [7][8][9] as well as the risk of posture asymmetry and pain in the lower back of the spine of children who practice sports such as volleyball, athletics, team sports, martial arts and gymnastics [10][11][12][13].…”