Physical activity level significantly affects the survival of patients with end-stage lung disease on a waiting list for lung transplantation.

Abstract:

PURPOSE:Our objective was to investigate the factors predicting the survival of patients on the waiting list for lung transplantation (LT) during the waiting period, with a special emphasis on the physical activity level. METHODS:The study included 70 patients with end-stage pulmonary disease who were on the waiting list for LT at Kyoto University Hospital. We examined the association between the baseline characteristics, including the body mass index and body composition, serum albumin, serum C-reactive protein (CRP), steroid administration, physical activity level (calculated by the food frequency questionnaire) and survival during the waiting period using Kaplan-Meier curves and Cox proportional hazard regression models. RESULTS:A physical activity level of ≤1.2 was correlated with significantly decreased survival (1-year survival: 68 vs. 90.9%, p = 0.0089), with a hazard ratio (HR) of 2.24 (95% confidence interval (CI) 1.22-4.19, p = 0.0001). Hypo-albumin (HR 2.024, 95% CI 1.339-6.009, p = 0.004), a high level of CRP (HR 2.551, CI 1.229-4.892, p = 0.02), and the administration of steroids (HR 2.258, CI 1.907-5.032, p = 0.024) were also significant predictors of survival. CONCLUSIONS:Low levels of physical activity during the waiting period for LT led to decreased survival times among LT candidates.

journal_name

Surg Today

journal_title

Surgery today

authors

Komatsu T,Oshima A,Chen-Yoshikawa TF,Harashima SI,Aoyama A,Inagaki N,Date H

doi

10.1007/s00595-017-1542-6

subject

Has Abstract

pub_date

2017-12-01 00:00:00

pages

1526-1532

issue

12

eissn

0941-1291

issn

1436-2813

pii

10.1007/s00595-017-1542-6

journal_volume

47

pub_type

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