Tranchita Eliana, Cafiero Giulia, Giordano Ugo, Palermi Stefano, Gentili Federica, Guzzo Isabella, Spada Marco, Morolli Federica, Drago Fabrizio, Turchetta Attilio
Sports Medicine Unit, Bambino Gesù Children's Hospital, Istituto di Ricovero e Cura a Carattere Scientifico, 00165 Rome, Italy.
Public Health Department, University of Naples Federico II, 80131 Naples, Italy.
Healthcare (Basel). 2023 May 31;11(11):1610. doi: 10.3390/healthcare11111610.
Advances in the medical-surgical field have significantly increased the life expectancy of patients undergoing solid organ transplantation but this exposes patients to long-term complications due to chronic therapies and changes in lifestyle. It is known that children affected by pathology tend to be more sedentary and inactivity represents a further risk factor for the onset of non-communicable diseases. The aim of the present study was to compare the lifestyle of two groups of young patients: one group of healthy subjects (HG) and one group of kidney or liver transplant recipients (TG).
Patients were asked to complete Physical Activity Questionnaire for Older Children (PAQ-C).
A total of 104 subjects were recruited (50.9% male, mean age 12.8 ± 3.16 years old). No significant differences were observed in the final score between groups when comparing subjects based on health condition (Healthy 2.69 ± 0.65 vs. Transplant Group 2.42 ± 0.88), the intensity of sports activities (Competitive 2.82 ± 0.59 vs. Not Competitive 2.53 ± 0.7) or type of transplant (Liver 2.51 ± 0.91 vs. Kidney 2.16 ± 0.75).
The results of this study showed a worrying reality: children are engaged in low levels of physical activity regardless of their health status and in general the level of activity does not reach the recommended values even in the absence of contraindications. So, it is necessary to encourage healthy children to practice more PA and to introduce PA prescriptions for transplanted children to prevent their health from deteriorating due to sedentariness.
医疗外科领域的进展显著提高了实体器官移植患者的预期寿命，但这也使患者因长期治疗和生活方式改变而面临长期并发症。众所周知，患有疾病的儿童往往久坐不动，而缺乏运动是引发非传染性疾病的另一个风险因素。本研究的目的是比较两组年轻患者的生活方式：一组是健康受试者（HG），另一组是肾或肝移植受者（TG）。
要求患者完成《大龄儿童身体活动问卷》（PAQ-C）。
共招募了104名受试者（男性占50.9%，平均年龄12.8±3.16岁）。根据健康状况比较受试者时，两组的最终得分没有显著差异（健康组2.69±0.65 vs. 移植组2.42±0.88），体育活动强度（竞技性2.82±0.59 vs. 非竞技性2.53±0.7）或移植类型（肝移植2.51±0.91 vs. 肾移植2.16±0.75）。
本研究结果显示了一个令人担忧的现实：无论健康状况如何，儿童的身体活动水平都很低，而且总体而言，即使在没有禁忌症的情况下，活动水平也未达到推荐值。因此，有必要鼓励健康儿童更多地进行体育活动，并为移植儿童制定体育活动处方，以防止他们因久坐而健康恶化。
