Department of Surgical and Transplantation Nursing and Extracorporeal Therapies, Medical University of Warsaw, Warsaw, Poland.
Ann Transplant. 2024 Jun 11;29:e944101. doi: 10.12659/AOT.944101.
BACKGROUND Physical activity is a key factor in improvement of quality of life. This study aimed to assess the extent of physical activity in solid-organ transplant recipients. MATERIAL AND METHODS The study involved 106 patients, mostly kidney (64.15%) and liver (28.30%) recipients, observed in a Warsaw transplant center. The study group was dominated by women (56.6%), mean age 49.25±14.09 years, the time since transplantation ranged from 1 month to 28 years, with a mean of 93.9±71.83 months. Recipients were educated about physical activity in the immediate post-transplant period and during follow-up visits. The study was conducted in early 2021 and used the long form of the International Physical Activity Questionnaire (IPAQ) validated for Polish patients, consisting of the of 5 parts - physical activity, professional work, travel, housework, recreation, and time spent sitting - containing a total of 27 questions in the main part of the questionnaire and 7 questions in the introductory part determining the typicality of the last 7 days. RESULTS More than half (57.5%) of the transplant recipients reported high levels of physical activity. Patients reported the highest mean physical activity in job-related physical activity (P<0.001). Patients also had high scores for walking and moderate-intensity physical activity, while the lowest mean scores were for leisure-time physical activity, total vigorous-intensity physical activity, and housework-related activity. CONCLUSIONS When undertaking physical activity, patients turn to activities that do not involve intense effort, are less physically demanding, and do not result in high energy expenditure. Employed patients had higher PA levels in all domains.
体力活动是改善生活质量的关键因素。本研究旨在评估实体器官移植受者的体力活动程度。
本研究纳入了在华沙移植中心观察的 106 名患者,主要为肾(64.15%)和肝(28.30%)移植受者。研究组以女性为主(56.6%),平均年龄 49.25±14.09 岁,移植后时间从 1 个月到 28 年不等,平均为 93.9±71.83 个月。受者在移植后即刻和随访期间接受了体力活动教育。该研究于 2021 年初进行,使用了经过波兰患者验证的国际体力活动问卷(IPAQ)的长表,由 5 部分组成-体力活动、职业工作、旅行、家务、娱乐和坐着时间-共包含 27 个问题在问卷的主要部分和 7 个问题在介绍性部分,确定了过去 7 天的典型性。
超过一半(57.5%)的移植受者报告了高水平的体力活动。患者报告在与工作相关的体力活动中平均体力活动最高(P<0.001)。患者在步行和中等强度体力活动方面的得分也较高,而在休闲时间体力活动、总剧烈强度体力活动和家务相关活动方面的平均得分最低。
当进行体力活动时,患者会选择不涉及剧烈努力、体力要求较低且不会导致高能量消耗的活动。所有领域的在职患者体力活动水平都较高。