Vecchiato Marco, Duregon Federica, Zanardo Emanuele, Baioccato Veronica, Quinto Giulia, Livio Alberto, Mazzucato Barbara, Sarri Chiara, Bellis Lia, Carella Claudia, Cardillo Massimo, Neunhaeuserer Daniel, Ermolao Andrea, Battista Francesca
Sports and Exercise Medicine Division, Department of Medicine, University of Padova, Padova, Italy.
Clinical Network of Sports and Exercise Medicine of the Veneto Region, Veneto, Italy.
Front Sports Act Living. 2024 Sep 3;6:1436742. doi: 10.3389/fspor.2024.1436742. eCollection 2024.
Tailored exercise prescription is a crucial intervention for kidney transplant recipients (KTRs). This longitudinal study investigates the impact on long-term effectiveness of exercise prescriptions over one year follow-up, implementing telehealth tools for exercise administration and adherence monitoring.
KTRs were evaluated with clinical assessments including body composition, blood and urinary parameters, physical performance and quality of life at baseline (T0), after six (T6) and twelve (T12) months. The adherence to prescribed exercise training was monitored via video call interviews until T6 when the sample was divided into a group monitored via wearables (WG) and a group continuing video calls (VG) until T12.
Twenty-six KTRs completed the study. No changes in body composition and kidney function were reported. KTRs showed an improvement in lipid profile, systolic blood pressure, cardiorespiratory fitness and quality of life. WG showed no clinical differences compared to VG except for reported higher quality of life.
A good adherence to the exercise prescription was obtained with both monitoring methods (232 vs 253 min/week). This study reinforces the inclusion exercise training for KTRs to enhance physical fitness and reduce cardiovascular risk factors. These results emphasize the role of telehealth monitoring methods as motivators for adherence to long-term exercise prescriptions.
量身定制的运动处方是肾移植受者（KTRs）的关键干预措施。这项纵向研究调查了在一年的随访期内运动处方的长期效果，采用远程医疗工具进行运动管理和依从性监测。
在基线（T0）、六个月（T6）和十二个月（T12）时，对KTRs进行临床评估，包括身体成分、血液和尿液参数、身体机能和生活质量。通过视频通话访谈监测规定运动训练的依从性，直到T6，此时样本被分为通过可穿戴设备监测的组（WG）和持续视频通话的组（VG），直至T12。
26名KTRs完成了研究。未报告身体成分和肾功能有变化。KTRs的血脂水平、收缩压、心肺适能和生活质量有所改善。除了报告的生活质量较高外，WG与VG相比没有临床差异。
两种监测方法均取得了对运动处方的良好依从性（232对253分钟/周）。本研究强化了将运动训练纳入KTRs的方案，以增强身体素质并降低心血管危险因素。这些结果强调了远程医疗监测方法作为坚持长期运动处方的激励因素的作用。
