Division of General Medicine, Department of Internal Medicine, University of Kansas Medical Center, Kansas City, KS, USA.
Division of Nephrology, Department of Internal Medicine, University of Kansas Medical Center, Kansas City, KS, USA.
Prog Transplant. 2023 Sep;33(3):193-200. doi: 10.1177/15269248231189878. Epub 2023 Jul 19.
Many kidney transplant recipients experience weight gain in the first year after transplantation.
The objective of this research study was to assess the desires of recent kidney transplant patients about the design features of a healthy lifestyle program to counter unnecessary weight gain.
In this descriptive study, recent recipients at 2 transplant centers were invited to participate in an online survey. Survey items included sociodemographic information, current medications, health conditions, weight change posttransplant, diet behaviors, physical activity participation, and desired features of a lifestyle program.
Fifty-three participants, mean age 60.5 (11.2) years, primarily males, completed surveys. Forty percent gained weight posttransplantation with many indicating struggling with their diet. Physical activity levels stayed the same (17%) or decreased (40%) posttransplantation. Eighty-seven percent of participants indicated they would participate in an online lifestyle program and 76% wanted online physical activity and nutrition sessions to meet at least once weekly. Suggestions about the type of information and activities, included eating strategies (eg, how to eat healthfully at restaurants, grocery shopping tips, and recipes), resources for at-home physical activities, access to cooking classes, and apps to track both activity and food intake.
Recent kidney transplant recipients would benefit from and desired to join a lifestyle program featuring tailored nutrition education and physical activity coaching. Gathered information will be used to inform and tailor a lifestyle program. Identifying features for the prevention of unnecessary weight gain with patients' input is essential for promoting and sustaining healthy behaviors.
许多肾移植受者在移植后第一年都会体重增加。
本研究的目的是评估近期肾移植患者对健康生活方式计划设计特点的需求，以防止不必要的体重增加。
在这项描述性研究中，邀请了 2 个移植中心的近期受者参与在线调查。调查项目包括社会人口统计学信息、当前用药情况、健康状况、移植后体重变化、饮食行为、身体活动参与情况以及生活方式计划的理想特征。
53 名参与者，平均年龄 60.5（11.2）岁，主要为男性，完成了调查。40%的人在移植后体重增加，许多人表示在饮食方面存在困难。移植后身体活动水平保持不变（17%）或下降（40%）。87%的参与者表示他们愿意参加在线生活方式计划，76%的人希望在线进行物理活动和营养课程，至少每周一次。关于信息和活动类型的建议包括饮食策略（例如，如何在餐馆健康饮食、购物技巧和食谱）、家庭身体活动资源、烹饪课程的获取以及可以同时跟踪活动和食物摄入的应用程序。
近期肾移植受者将受益于并希望加入一个以个性化营养教育和身体活动指导为特色的生活方式计划。收集到的信息将用于为生活方式计划提供信息和调整。通过患者的意见确定预防不必要体重增加的特征对于促进和维持健康行为至关重要。
