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Adherence to a pedometer-based physical activity intervention following kidney transplant and impact on metabolic parameters.

Abstract：

:The majority of kidney transplant recipients die from cardiovascular events. Physical activity may be a modifiable risk factor for cardiovascular disease following transplant. The goal of our study was to examine adherence to a physical activity intervention following kidney transplant and its impact on metabolic parameters. All patients who received a kidney transplant at our center between 12/2010 and 12/2011 received usual care (n = 162), while patients transplanted between 12/2011 and 1/2013 received a 90-day pedometer-based physical activity intervention (n = 145). Metabolic parameters were assessed at four and 12 months post-transplant. Baseline demographics and clinical management were similar between cohorts. Adherence to the prescription was 36.5%. Patients in the physical activity cohort had lower systolic and diastolic blood pressure four months post-transplant compared to the usual care cohort (122 ± 18 vs. 126 ± 16 mmHg, p = 0.049 and 73 ± 10 vs. 77 ± 9, p = 0.004) and less impaired fasting glucose (20.7% vs. 30.9%, p = 0.04). Twelve-month outcomes were not different between cohorts. Over one-third of our cohort adhered to a pedometer-based physical activity intervention following kidney transplant, and the intervention was associated with improved metabolic parameters. Further study of post-transplant exercise interventions and methods to optimize long-term adherence are needed.

journal_name

Clin Transplant

journal_title

Clinical transplantation

authors

Lorenz EC,Amer H,Dean PG,Stegall MD,Cosio FG,Cheville AL

doi

10.1111/ctr.12553

subject

Has Abstract

pub_date

2015-06-01 00:00:00

pages

560-8

issue

6

eissn

0902-0063

issn

1399-0012

journal_volume

29

pub_type

杂志文章

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