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参与结构化体育活动计划的肾移植受者习惯性身体活动和生活质量的同时改善。

Simultaneous Improvement of Habitual Physical Activity and Life Quality in Kidney Transplant Recipients Involved in Structured Physical Activity Program.

作者信息

Masajtis-Zagajewska Anna, Muras-Szwedziak Katarzyna, Nowicki Michał

机构信息

Department of Nephrology, Hypertension and Kidney Transplantation, Medical University of Lodz, University Hospital and Teaching Center, Lodz, Poland.

Department of Nephrology, Hypertension and Kidney Transplantation, Medical University of Lodz, University Hospital and Teaching Center, Lodz, Poland.

出版信息

Transplant Proc. 2019 Jul-Aug;51(6):1822-1830. doi: 10.1016/j.transproceed.2019.02.037.

Abstract

OBJECTIVES

The aim of the study was to compare the effects of a physical activity program on daily physical activity and quality of life in kidney transplant (KTx) recipients and in patients with chronic kidney disease (CKD).

MATERIALS AND METHODS

The study group consisted of 24 KTx recipients and 15 patients with stage 3 to 4 CKD. Habitual physical activity was monitored for 72 hours. Individualized structured programs of increased physical activity were prepared based on baseline physical performance. The measurements were repeated after 1 and 3 months. Participants completed the 36-item Short Form Health Survey questionnaire and an International Physical Activity Questionnaire at baseline and after 1, 2, and 3 months.

RESULTS

Physical activity duration and total energy expenditure significantly increased after 3 months in both KTx recipients (from 126 ± 87 to 200 ± 132 min/d, P = .001, and from 1.73 ± 0.37 to 2.24 ± 0.59 cal/min, P < .001, respectively) and CKD patients (from 79 ± 78 to 129 ± 114 min/d, P < .001, and from 1.5 ± 0.5 to 1.92 ± 0.47 cal/min, P < .001, respectively). Short Form Health Survey total score and physical component scale score improved significantly in both groups. Mental component scale score increased significantly only in KTx patients.

CONCLUSION

Increased physical activity induces similar beneficial effects on total and physical activity component of quality of life and habitual daily activity in CKD and KTx patients.

摘要

目的

本研究旨在比较体育活动计划对肾移植(KTx)受者和慢性肾脏病(CKD)患者日常身体活动及生活质量的影响。

材料与方法

研究组包括24例KTx受者和15例3至4期CKD患者。对习惯性身体活动进行72小时监测。根据基线身体表现制定个性化的增加身体活动的结构化计划。在1个月和3个月后重复测量。参与者在基线时以及1、2和3个月后完成36项简短健康调查问卷和国际身体活动调查问卷。

结果

3个月后,KTx受者(分别从126±87分钟/天增至200±132分钟/天,P = 0.001;从1.73±0.37卡/分钟增至2.24±0.59卡/分钟,P < 0.001)和CKD患者(分别从79±78分钟/天增至129±114分钟/天,P < 0.001;从1.5±0.5卡/分钟增至1.92±0.47卡/分钟,P < 0.001)的身体活动持续时间和总能量消耗均显著增加。两组的简短健康调查问卷总分和身体成分量表得分均显著改善。仅KTx患者的心理成分量表得分显著增加。

结论

增加身体活动对CKD和KTx患者的生活质量总体及身体活动成分以及习惯性日常活动产生类似的有益影响。

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