The World Transplant Games: An incentive to improve physical fitness and habitual activity in pediatric solid organ transplant recipients

Deliva, Robin; Patterson, Catherine; So, Stephanie; Pellow, Vanessa; Miske, Stephanie; McLister, Carol; Manlhiot, Cedric; Pollock-BarZiv, Stacey M.; Drabble, Alison; Dipchand, Anne I.

doi:10.1111/petr.12370

Cited by 12 publications

(19 citation statements)

References 42 publications

(51 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Post-transplant rehabilitation: Exercise capacity and general fitness improves for children following lung transplant but remains reduced compared to age-predicted values[ 104 - 106 ]. Opportunities and access to rehabilitation post-transplant are often limited.…”

Section: Special Populationsmentioning

confidence: 99%

Physical rehabilitation for lung transplant candidates and recipients: An evidence-informed clinical approach

Wickerson¹,

Rozenberg²,

Janaudis-Ferreira³

et al. 2016

WJT

102

View full text Add to dashboard Cite

Physical rehabilitation of lung transplant candidates and recipients plays an important in optimizing physical function prior to transplant and facilitating recovery of function post-transplant. As medical and surgical interventions in lung transplantation have evolved over time, there has been a demographic shift of individuals undergoing lung transplantation including older individuals, those with multiple co-morbidites, and candidates with respiratory failure requiring bridging to transplantation. These changes have an impact on the rehabilitation needs of lung transplant candidates and recipients. This review provides a practical approach to rehabilitation based on research and clinical practice at our transplant centre. It focuses on functional assessment and exercise prescription during an uncomplicated and complicated clinical course in the pre-transplant, early and late post-transplant periods. The target audience includes clinicians involved in pre- and post-transplant patient care and rehabilitation researchers.

show abstract

Section: Special Populationsmentioning

confidence: 99%

Physical rehabilitation for lung transplant candidates and recipients: An evidence-informed clinical approach

Wickerson¹,

Rozenberg²,

Janaudis-Ferreira³

et al. 2016

WJT

102

View full text Add to dashboard Cite

show abstract

“…The only study that measured balance found a decline in both balance and 6MWT distance over the intervention 26 . Improvements in flexibility were not seen in any study 17,18,20 …”

Section: Resultsmentioning

confidence: 92%

“…The most common Tx population was HSCT ( N = 9/12; 75%), followed by heart Tx ( N = 1/12; 8%), and two studies with a mixed population of solid organ Tx (SOT) recipients including heart or lung ( N = 1/12; 8%) and heart, lung, liver, or kidney ( N = 1/12; 8%) 17,18 . The most common study designs were non‐randomized controlled trials ( N = 5/12; 42%), 18–22 randomized controlled trials (RCT) ( N = 3/12; 25%) 23–25 and single‐arm pre‐post‐intervention studies ( N = 2/12; 33%) 26,27 . One study had double intervention arms comparing hospital versus home‐based exercise interventions, 17 and one study was described a case–control with an intervention component 28 .…”

Section: Resultsmentioning

confidence: 99%

Exercise rehabilitation to treat sarcopenia in pediatric transplant populations

Hager,

Guo,

Wang

et al. 2023

Pediatric Transplantation

View full text Add to dashboard Cite

BackgroundIn adult transplant (Tx) populations, exercise rehabilitation strategies may improve sarcopenia components (muscle mass [MM], strength [MS], and physical performance [PP]). Limited data are available regarding exercise rehabilitation therapy in pediatric Tx populations.MethodsThe purpose of this review is to critically evaluate the feasibility and impact of exercise programs (EP) that include resistance exercise (RE) on markers of sarcopenia in pediatric Tx populations. Literature searches in SCOPUS and WEB OF SCIENCE were conducted to identify studies applying EP with a RE component in pediatric populations in the Tx setting.ResultsTwelve articles (2008–2022) met inclusion criteria. The exercise interventions varied in length (3 weeks–12 months), intensity (low to moderate), time pre/post Tx (0 days‐5 years post Tx), age of participants (3–18 years), adherence (63%–94%), and methodologies to measure components of sarcopenia. No studies measured all three components of sarcopenia concurrently. Approximately, 60% of studies found positive effects on MS and PP. Only one pediatric study measured body composition, therefore, the effect of exercise programs with RE components on MM is unknown.ConclusionsExercise programs may be a beneficial treatment for sarcopenia in Tx populations, particularly in components of MS and PP. Studies measuring all three aspects of sarcopenia together in response to RE training in pediatrics remains an important gap. Studies that include body composition measurements in response to exercise are needed. Special considerations for the development of RE programs in pediatrics Tx populations are safety, supervision, engagement through family/peer involvement and incorporation of game/play‐based elements.

show abstract

“…8 Despite this increase in participation, there is limited empirical data regarding demographics, physical characteristics and medication regimes of TxA attending the Games. Existing data suggests participants at Transplant Games have predominantly been male kidney recipients with a mean age of 42-46 years [9][10][11][12][13] Data from the 1996 US Transplant Games 9 and 2012 Latin American Transplant Games 13 reported a high proportion (52%) of competitors managing one or more comorbid conditions while a small proportion (7%) experienced graft rejection within the 12 months prior to competition. Competitors at these events managed concurrent medications with continuous immunosuppressant management evident among nearly all TxA.…”

Section: How This Study Might Affect Research Practice or Policymentioning

confidence: 99%

Characteristics of transplant athletes competing at national and international transplant games

Hames

Wright

Thake

2022

BMJ Open Sport Exerc Med

View full text Add to dashboard Cite

ObjectiveTo describe the characteristics of athletes with solid-organ transplants (TxA) attending the British and World Transplant Games.Methods220 TxA completed an online survey to explore transplant history, medications, training advice and support and limitations to training.ResultsTxA were predominantly caucasian, male, kidney recipients in their mid-forties and approximately 11 years post-transplant. The majority of TxA took some form of medication (immunosuppressants 88%, steroids 47%, antihypertensives 47%, statins 28%, antiplatelets 26%, antibiotics/antivirals/antifungals 20%). Stem cell recipients were least likely to require medication. Post-transplant complications were experienced by 40% of TxA, with 53% of these being rejection. Although over half the participants (57%) initially received exercise or training advice post-transplant, only 34% of these received this from their consultants or immediate medical team. Only 1% had been specifically directed towards transplant sport. Half of the TxA (53%) perceived there were limitations preventing them from performing at their potential, 45% considered they did not recover from training as well as non-TxA while 29% felt they trained equally to non-Tx’s. Only 6% considered medication impaired training. TxA competed for a range of reasons from social and health benefits to winning medals.ConclusionsTxA compete at the British and World Transplant Games for a diverse range of reasons. Athletes manage a range of medications with a range of exercise and health experiences pre-transplant. TxA face a lack of both general and specific exercise training and recovery guidance. The individuality of each TxA‘s background should be considered and is likely reflected in their exercise capacity and goals.

show abstract

The World Transplant Games: An incentive to improve physical fitness and habitual activity in pediatric solid organ transplant recipients

Cited by 12 publications

References 42 publications

Physical rehabilitation for lung transplant candidates and recipients: An evidence-informed clinical approach

Physical rehabilitation for lung transplant candidates and recipients: An evidence-informed clinical approach

Exercise rehabilitation to treat sarcopenia in pediatric transplant populations

Characteristics of transplant athletes competing at national and international transplant games

Contact Info

Product

Resources

About