Exercise training in solid organ transplant recipients: a systematic review and meta-analysis.

Abstract:

BACKGROUND:Exercise training is effective in improving the cardiovascular risk profiles of nontransplanted patients, but the health benefits and potential harms of routine exercise training after solid organ transplantation are unclear. This study aims to assess the health benefits and harms of supervised exercise training programs in solid organ recipients. METHODS:We systematically reviewed all randomized controlled trials (RCTs) comparing the outcomes of exercise training programs in solid organ recipients against standard care. MEDLINE, EMBASE, the Transplant Library from the Centre for Evidence in Transplantation, and the Cochrane Central Register of Controlled Trials were searched to June 2012. RESULTS:In total, 15 eligible RCTs involving 643 patients (9 cardiac transplants [n=250 patients], 2 kidney transplants [n=164 patients], 3 lung transplants [n=110 patients], and 1 liver transplant [n=119 patients]) were included. Cardiac transplant recipients who engaged in an exercise program after transplantation showed significant improvement in maximal oxygen uptake (standardized mean difference, 0.77; 95% confidence interval, 0.10-1.45) but no improvement in the overall serum lipid profile, blood pressure, and glycemic control compared with standard care. Among other solid organ transplant recipients, no significant improvements in exercise capacity or cardiovascular risk factors such as incidence of new-onset diabetes after transplantation were observed, but all effect estimates were very imprecise. CONCLUSIONS:Exercise training is a promising but unproven intervention for improving the cardiovascular outcomes of solid organ transplant recipients. Existing trials are small, of relatively short duration, and focused on surrogate outcomes. Large-scale RCTs are urgently required if resources are to be directed toward exercise programs.

journal_name

Transplantation

journal_title

Transplantation

authors

Didsbury M,McGee RG,Tong A,Craig JC,Chapman JR,Chadban S,Wong G

doi

10.1097/TP.0b013e31827a3d3e

subject

Has Abstract

pub_date

2013-03-15 00:00:00

pages

679-87

issue

5

eissn

0041-1337

issn

1534-6080

journal_volume

95

pub_type

杂志文章,meta分析,评审
  • Signaling through CD31 protects endothelial cells from apoptosis.

    abstract::Endothelial damage has been implicated in the pathogenesis of chronic rejection. Conversely, expression of protective genes [including A20, A1, bcl-xl, and hemoxygenase-1 (HO-1)] in the endothelium has been associated with long-term graft survival. Overexpression of protective genes in cultured endothelial cells confe...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200102150-00020

    authors: Evans PC,Taylor ER,Kilshaw PJ

    更新日期:2001-02-15 00:00:00

  • Survival benefit of cardiopulmonary bypass support in bilateral lung transplantation for emphysema patients.

    abstract:BACKGROUND:This study is designed to examine a possible association of cardiopulmonary bypass (CPB) support and outcome of lung transplantation in a well-balanced group of emphysema patients. METHODS:We performed a retrospective analysis of 62 consecutive primary bilateral lung transplantations for emphysema. Risk fac...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200205270-00017

    authors: de Boer WJ,Hepkema BG,Loef BG,van der Bij W,Verschuuren EA,de Vries HJ,Lems SP,Ebels T

    更新日期:2002-05-27 00:00:00

  • Comparison between duodenal button and duodenal segment in pancreas transplantation.

    abstract::Two technical modifications have been suggested for whole-pancreas transplantation with bladder drainage. The duodenal button technique (DB [Madison]) and the duodenal segment technique (DS [Iowa]) are the most commonly performed procedures (1,2). From December 1985 until May 1988 we performed 32 combined pancreas-kid...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198901000-00026

    authors: D'Alessandro AM,Sollinger HW,Stratta RJ,Kalayoglu M,Pirsch JD,Belzer FO

    更新日期:1989-01-01 00:00:00

  • Relationship between ABO blood group and levels of Gal alpha,3Galactose-reactive human immunoglobulin G.

    abstract:BACKGROUND:The terminal Gal alpha1,3Galactose (alphaGal) determinant is present on all porcine glycoproteins and glycolipids, but is not expressed by human cells. Consequently human sera contain anti-alphaGal natural antibodies. The human blood group B antigen [Gal alpha1,3(Fuc1,2)Galactose] is differentiated from the ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199708150-00032

    authors: McMorrow IM,Comrack CA,Nazarey PP,Sachs DH,DerSimonian H

    更新日期:1997-08-15 00:00:00

  • Evidence that portal tract microvascular destruction precedes bile duct loss in human liver allograft rejection.

    abstract::In liver allograft rejection, interlobular bile ducts are thought to be the main target of rejection. In contrast, in other organ allografts the capillary bed of the graft appears to be the primary target. To determine whether portal tract microvasculature is destroyed in liver allografts during rejection, we have ide...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199307000-00012

    authors: Matsumoto Y,McCaughan GW,Painter DM,Bishop GA

    更新日期:1993-07-01 00:00:00

  • Renal response to a protein load persists during long-term follow-up of children after renal transplantation.

    abstract:BACKGROUND:Kidney donors and transplant recipients may be at risk of complications from glomerular hyperfiltration of the single kidney. It has been assumed that tests of the existence of renal functional reserve [delta glomerular filtration rate (deltaGFR), delta effective renal plasma flow (deltaERPF)] can be used to...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200011150-00013

    authors: Englund M,Berg U

    更新日期:2000-11-15 00:00:00

  • A comprehensive definition of the major antibody specificities in polyclonal rabbit antithymocyte globulin.

    abstract::The potent immunosuppressive action of rabbit antithymocyte globulin (RATG) in allotransplant recipients has been recognized for many years. Some of the antibody specificities and immunoregulatory effects of RATG have been described, but a comprehensive definition of RATG components has not been reported previously. I...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199403150-00010

    authors: Rebellato LM,Gross U,Verbanac KM,Thomas JM

    更新日期:1994-03-15 00:00:00

  • Influence of N-acetylcysteine on Klotho expression and its signaling pathway in experimental model of chronic cyclosporine nephropathy in mice.

    abstract:BACKGROUND:Cyclosporine A (CsA)-associated oxidative stress has been proposed as an important mechanism of renal injury. This study was designed to examine whether N-acetylcysteine (NAC), a well-known antioxidant, affects Klotho, antiaging gene, expression and its signaling pathway in an experimental model of chronic C...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e318296c9a9

    authors: Piao SG,Kang SH,Lim SW,Chung BH,Doh KC,Heo SB,Jin L,Li C,Yang CW

    更新日期:2013-07-27 00:00:00

  • Infections in De Novo Kidney Transplant Recipients Treated With the RANKL Inhibitor Denosumab.

    abstract:BACKGROUND:Infections are a major cause of morbidity and mortality in kidney allograft recipients. In this post hoc analysis of a randomized clinical trial which tested the effect of denosumab on bone mineral density, we assessed the impact of this drug on the incidence and severity of infections in the first year afte...

    journal_title:Transplantation

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/TP.0000000000001547

    authors: Bonani M,Frey D,de Rougemont O,Mueller NJ,Mueller TF,Graf N,Wüthrich RP

    更新日期:2017-09-01 00:00:00

  • Reconstitution of cytotoxic T lymphocyte activity following allogeneic bone marrow transplantation in man.

    abstract::Longitudinal studies over an eight-month period have been performed to follow the T killer response restoration after allogeneic bone marrow transplantation (BMT). The capacity of the patient's peripheral blood mononuclear cells (PBM) to develop cytotoxic effector cells directed either against allogeneic cells or agai...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198708000-00024

    authors: Tilkin AF,Bagot M,Dreyfus F,Kayibanda M,Cordonnier C,Vernant JP,Levy JP

    更新日期:1987-08-01 00:00:00

  • Experience with protocol biopsies after solitary pancreas transplantation.

    abstract::The early detection of allograft rejection remains elusive after solitary pancreas transplantation (PTX). We have previously described a modified technique of cystoscopic transduodenal PTX biopsy using the Biopty gun under ultrasound guidance. During the last 2 years, we performed 24 solitary PTXs with prospective pro...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199560120-00011

    authors: Stratta RJ,Taylor RJ,Grune MT,Sindhi R,Sudan D,Castaldo P,Cushing KA,Radio SJ,Wisecarver JL,Matamoros A

    更新日期:1995-12-27 00:00:00

  • Ling Zhi-8: studies of a new immunomodulating agent.

    abstract::Ling Zhi-8 (LZ-8) is a protein derived from the fungus Ganoderma lucidum and has immunomodulatory capacities. It was shown to be mitogenic toward mouse splenocytes in vitro and immunosuppressive in vivo by reducing antigen-induced antibody formation and by preventing completely the incidence of autoimmune diabetes in ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:

    authors: van der Hem LG,van der Vliet JA,Bocken CF,Kino K,Hoitsma AJ,Tax WJ

    更新日期:1995-09-15 00:00:00

  • Donor age affects fibrosis progression and graft survival after liver transplantation for hepatitis C.

    abstract:BACKGROUND:The use of liver allografts from an older donor (OD) (age>50 years) is a widespread strategy to manage the disparity between supply and demand of organs for liver transplantation. This study determines the effect of OD allografts on fibrosis progression and graft survival after liver transplantation in patie...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.TP.0000095896.07048.BB

    authors: Machicao VI,Bonatti H,Krishna M,Aqel BA,Lukens FJ,Nguyen JH,Rosser BG,Satyanarayana R,Grewal HP,Hewitt WR,Harnois DM,Crook JE,Steers JL,Dickson RC

    更新日期:2004-01-15 00:00:00

  • Possible role of extracellularly released phagocyte proteinases in coagulation disorder during liver transplantation.

    abstract::Orthotopic liver transplantation is frequently associated with a complex coagulation disorder, influencing the outcome of the procedure. In this respect, disseminated intravascular coagulation (DIC) had been suggested to be of causative importance for bleeding complications after reperfusion of the liver graft. In 10 ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199109000-00018

    authors: Riess H,Jochum M,Machleidt W,Himmelreich G,Blumhardt G,Roissaint R,Neuhaus P

    更新日期:1991-09-01 00:00:00

  • International Liver Transplant Society Practice Guidelines: Diagnosis and Management of Hepatopulmonary Syndrome and Portopulmonary Hypertension.

    abstract::Two distinct pulmonary vascular disorders, hepatopulmonary syndrome (HPS) and portopulmonary hypertension (POPH) may occur as a consequence of hepatic parenchymal or vascular abnormalities. HPS and POPH have major clinical implications for liver transplantation. A European Respiratory Society Task Force on Pulmonary-H...

    journal_title:Transplantation

    pub_type: 杂志文章,实务指引

    doi:10.1097/TP.0000000000001229

    authors: Krowka MJ,Fallon MB,Kawut SM,Fuhrmann V,Heimbach JK,Ramsay MA,Sitbon O,Sokol RJ

    更新日期:2016-07-01 00:00:00

  • Intravenous immune globulin treatment inhibits crossmatch positivity and allows for successful transplantation of incompatible organs in living-donor and cadaver recipients.

    abstract:BACKGROUND:Sensitization to human leukocyte antigens (HLA) is a significant barrier to transplantation. Currently, no proven therapy exists to improve access to transplantation for highly sensitized patients. Here, we report a novel approach using intravenous immune globulin to modulate anti-HLA antibody and improve th...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.TP.0000080685.31697.FC

    authors: Jordan SC,Vo A,Bunnapradist S,Toyoda M,Peng A,Puliyanda D,Kamil E,Tyan D

    更新日期:2003-08-27 00:00:00

  • Delayed correction of portal hypertension after portal vein conduit arterialization in liver transplantation.

    abstract::A 55-year-old woman underwent orthotopic liver transplantation for autoimmune chronic active hepatitis. Extensive portal and superior mesenteric venous thrombosis precluded standard portal venous reconstruction and necessitated use of a venous conduit from the recipient splenic vein of the donor liver. Flow through th...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199704150-00022

    authors: Neelamekam TK,Geoghegan JG,Curry M,Hegarty JE,Traynor O,McEntee GP

    更新日期:1997-04-15 00:00:00

  • How deceased donor transplantation is impacting a decline in commercial transplantation-the Tamil Nadu experience.

    abstract::India with a population of 1.2 billion has a renal transplantation rate of 3.25 per million population. The major cause of chronic kidney disease is hypertension and diabetes. The crude and age-adjusted incidence rates of end-stage renal disease are estimated to be 151 and 232 per million population, respectively, in ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e3182469b91

    authors: Abraham G,Reddy YN,Amalorpavanathan J,Daniel D,Roy-Chaudhury P,Shroff S,Reddy Y

    更新日期:2012-04-27 00:00:00

  • Thromboembolism in heart transplantation: role of prothrombin G20210A and factor V Leiden.

    abstract:BACKGROUND:Thromboembolism has been reported as a frequent complication after cardiac transplantation. Many risk factors for thrombosis may explain this, such as metabolic alterations and the use of cyclosporine. In the general population, two single nucleotide polymorphisms (SNPs), factor V Leiden and prothrombin G202...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000170545.42790.6f

    authors: Miriuka SG,Langman LJ,Evrovski J,Miner SE,Kozuszko S,D'Mello N,Delgado DH,Wong BY,Ross HJ,Cole DE

    更新日期:2005-09-15 00:00:00

  • Predictive role of pretransplant serum CXCL10 for cardiac acute rejection.

    abstract:BACKGROUND:The detection of acute rejection in heart transplantation remains an important feature of transplant management, especially in the early phase. Frequent surveillance with endomyocardial biopsy is necessary, even though it is an invasive procedure and carries a certain risk. Hence, noninvasive biomarkers able...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e3181919f5d

    authors: Crescioli C,Buonamano A,Scolletta S,Sottili M,Francalanci M,Giomarelli P,Biagioli B,Lisi G,Pradella F,Serio M,Romagnani P,Maccherini M

    更新日期:2009-01-27 00:00:00

  • Favorable Kidney Function in Pediatric Liver Transplant Recipients: Results of a Single-center Cohort Study.

    abstract:BACKGROUND:Although chronic kidney disease (CKD) is still a common complication, the prognosis of kidney function after liver transplantation (LT) is not well known. Moreover, kidney function after LT in children with renal involvement is unknown. METHODS:We retrospectively analyzed patients aged <20 years who underwe...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000002548

    authors: Sato M,Kaneko T,Ogura M,Kamei K,Ito S,Fukuda A,Sakamoto S,Kasahara M,Ishikura K

    更新日期:2019-08-01 00:00:00

  • Cyclosporine's effect on functional reserve in the renal allograft.

    abstract::Thirteen renal allograft recipients (6 patients on cyclosporine/7 patients on azathioprine) participated in a short-term oral protein-loading study to determine the effect of cyclosporine on an allograft's functional reserve. The baseline glomerular filtration rate of the two groups were similar (52 +/- 18 ml/min/1.73...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199101000-00030

    authors: Nunley JR,King A,Comstock T,Posner M,Marshall C,Sica DA

    更新日期:1991-01-01 00:00:00

  • Epitope specificity of HLA class I alloantibodies: II. Stability of cross-reactive group antibody patterns over extended time periods.

    abstract::The stability of HLA alloantibodies was studied in 128 antibody-positive, potential kidney transplant recipients over an average period of 3 years. Antibody detection was performed using an anti-human globulin-complement-dependent cytotoxicity technique. In this study, the specificity of antibodies was categorized as ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199703270-00015

    authors: Rodey GE,Revels K,Fuller TC

    更新日期:1997-03-27 00:00:00

  • Active role of chimerism in transplantation tolerance induced by antilymphocyte serum, sirolimus, and bone-marrow-cell infusion.

    abstract:BACKGROUND:A regimen consisting of antilymphocyte serum (ALS), sirolimus, and donor bone-marrow-cell (BMC) infusion induces indefinite skin allograft survival across fully mismatched mouse strain combinations. We investigated the role of chimerism in this transplantation tolerance model. MATERIALS:B10.A (H-2a) mice we...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000135463.21290.6b

    authors: Kanamoto A,Monaco AP,Maki T

    更新日期:2004-09-27 00:00:00

  • Long-term outcome of controlled, non-heart-beating donor liver transplantation.

    abstract:BACKGROUND:Previous reports have established the feasibility of using livers from controlled, non-heart-beating donors (CNHBD) with good immediate graft function. This has been largely borne out of necessity because of the donor shortage. METHODS:Retrospective database review for the last 7 years (1995-2002), encompas...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000128327.95311.e3

    authors: Manzarbeitia CY,Ortiz JA,Jeon H,Rothstein KD,Martinez O,Araya VR,Munoz SJ,Reich DJ

    更新日期:2004-07-27 00:00:00

  • Murine xenogeneic immune responses to the human testis: a presumed immune-privileged tissue.

    abstract:INTRODUCTION:Immune privilege provides a natural paradigm for potentially down-regulating allogeneic and xenogeneic inflammatory immune responses. Fas ligand has been suggested as a general underlying mechanism of immune privilege; the human Fas ligand has been shown to ligate murine Fas in vitro. METHODS:In this stud...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200003270-00010

    authors: Kimmel SG,Ohbatake M,Kushida M,Merguerian P,Clarke ID,Kim PC

    更新日期:2000-03-27 00:00:00

  • Distribution of upper limb skin cancers in relation to arteriovenous fistula side in renal transplant recipients.

    abstract:BACKGROUND:Renal transplant patients have an increased incidence of skin cancers, predominantly on sun-exposed surfaces. Clinical observation identified some patients with an increased number of viral warts, keratoses, and skin malignancies on the side of the arteriovenous fistula. METHODS:In a population of 980 patie...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200101150-00022

    authors: Bordea C,Cortina-Borja M,Wojnarowska F,Morris PJ

    更新日期:2001-01-15 00:00:00

  • HLA Population Genetics in Solid Organ Transplantation.

    abstract::HLAs are fundamental to the adaptive immune response and play critical roles in the cellular and humoral response in solid organ transplantation. The genes encoding HLA proteins are the most polymorphic within the human genome, with thousands of different allelic variants known within the population. Application of th...

    journal_title:Transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/TP.0000000000001830

    authors: Kransdorf EP,Pando MJ,Gragert L,Kaplan B

    更新日期:2017-09-01 00:00:00

  • Bladder augmentation using tissue-engineered autologous oral mucosal epithelial cell sheets grafted on demucosalized gastric flaps.

    abstract:BACKGROUND:At present, autologous intestinal segments are often used for bladder reconstruction. However, the gastrointestinal mucosa often causes various complications. METHODS:Oral mucosal tissues were obtained from the buccal cavity of beagle dogs. Primary oral mucosal epithelial cells were cultured on temperature-...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e31820e0170

    authors: Watanabe E,Yamato M,Shiroyanagi Y,Tanabe K,Okano T

    更新日期:2011-04-15 00:00:00

  • Accept or Decline? An Analytics-Based Decision Tool for Kidney Offer Evaluation.

    abstract:BACKGROUND:When a deceased-donor kidney is offered to a waitlisted candidate, the decision to accept or decline the organ relies primarily upon a practitioner's experience and intuition. Such decisions must achieve a delicate balance between estimating the immediate benefit of transplantation and the potential for futu...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000001824

    authors: Bertsimas D,Kung J,Trichakis N,Wojciechowski D,Vagefi PA

    更新日期:2017-12-01 00:00:00