Nephrol Dial Transplant (2001) 16: 134-140
© 2001 European Renal Association-European Dialysis and Transplant Association
Increase of physical activity level after successful renal transplantation: a 5 year follow-up study
1 Physical Medicine and Rehabilitation, 2 Nephrology and 3 Renal Transplantation, Université Catholique de Louvain, Cliniques Universitaires Saint-Luc, Brussels, Belgium
Background. Physical activity (PA) level of end-stage renal disease (ESRD) patients after renal transplantation (TP) is a largely unexplored field, although it is an important component of quality of life.
Methods. Using the Baecke self-administered and the Five-City Project 7-day PA recall questionnaires, PA level was estimated in 32 consecutive ESRD patients (12 males, 20 females; mean age 45.9±13.1 years; mean dialysis duration 23.5±21.8 months) admitted for renal TP and to whom no exercise programme of any kind was proposed. PA were recorded 1, 3, 6, 12 and 60 months after TP.
Results. Immediate pre-TP PA level of renal transplant candidates was between 18 and 35% less than that of age-matched healthy subjects (P<0.05), depending on gender and questionnaire. After an immediate decrease in PA level 1 month post-TP, mean PA level increased and reached a plateau 1 year after TP. This gain in PA capacity reached 30%, as compared with pre-TP values (P=0.06 to P<0.01). During the fifth year after TP, the mean level of PA was unchanged. A more qualitative analysis, allowed by the sub-score comparisons, showed that although the occupational status of the patients remained the same, they participated significantly more in moderate and even high intensity PA (leisure, sports, household chores) after TP.
Conclusions. Most renal graft recipients are spontaneously more active after TP, an observation consistent with a better quality of life. Therefore, they should be advised precisely about how to resume more strenuous activities such as sports in order to avoid cardiac or musculoskeletal disorders in relation to their weakened pre-TP condition.
Keywords: haemodialysis; physical-activity; questionnaires; rehabilitation; renal-transplantation
Correspondence and offprint requests to: H. Nielens, Service de Médecine Physique, Cliniques Universitaires Saint-Luc, Avenue Hippocrate 10, B-1200 Brussels, Belgium.
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