Lower Energy Expenditure and Spontaneous Physical Activity Are Associated With Weight Gain in Kidney Transplant Recipients.

Background: Weight gain after kidney transplantation is a common health problem. The factors in weight gain after kidney transplant include many factors such as age, ethnicity, gender, change in lifestyle (eg, kilocalorie intake and physical activity level), and immunosuppressive therapy. Research Questions: This study aimed to evaluate the relationship between weight gain and energy intake in dietary, energy expenditure in physical activity, and immunosuppressive therapy in kidney transplant recipients. Design: This prospective, observational study included 51 participants who underwent kidney transplant, during 6 months from the start of the study. Anthropometric measurements were performed at first week, third- and sixth-month follow-ups of transplant recipients. Participants also completed 3-day “Dietary Record Form” and the “Physical Activity Record Form” at each follow-up. Simple frequency, analysis of variance analysis, and correlation analysis were used for data analysis. Results: Weight gain in sixth month follow-up compared to baseline value was positively related to energy intake in first week (r = 0.59), third month (r = 0.75), and sixth month (r = 0.67) follow-ups, and energy expenditure in first week (r = 0.35) and sixth month (r = 0.34) follow-ups. However, weight gain was negatively related to mycophenolate mofetil dose (mg/d) in sixth month (r = −0.31) follow-up ( P < .05). Discussion: The results of this study provide an opportunity to reflect and discuss on modifiable risk factors such as energy intake and energy expenditure that affect weight gain posttransplantation in participants. It also examines the relationship between immunosuppressive therapy. Additionally, these results can be effective in designing interventions and managing risk factors to achieve weight management goals.

Download Full-text

Characterizing Dietary Intake and Physical Activity Affecting Weight Gain in Kidney Transplant Recipients

10.21007/etd.cghs.2010.0061 ◽

2010 ◽

Cited By ~ 1

Author(s):

Connie Cupples

Keyword(s):

Physical Activity ◽

Weight Gain ◽

Dietary Intake ◽

Kidney Transplant ◽

Transplant Recipients ◽

Kidney Transplant Recipients

Download Full-text

Feasibility and acceptability of a televideo physical activity and nutrition program for recent kidney transplant recipients

Pilot and Feasibility Studies ◽

10.1186/s40814-020-00672-4 ◽

2020 ◽

Vol 6 (1) ◽

Author(s):

Cheryl A. Gibson ◽

Aditi Gupta ◽

J. Leon Greene ◽

Jaehoon Lee ◽

Rebecca R. Mount ◽

...

Keyword(s):

Quality Of Life ◽

Physical Activity ◽

Weight Gain ◽

Kidney Transplant ◽

Physical Activity Intervention ◽

Vegetable Intake ◽

Fruit And Vegetable Intake ◽

Transplant Recipients ◽

Kidney Transplant Recipients

Abstract Background Post-transplant weight gain affects 50–90% of kidney transplant recipients adversely affecting survival, quality of life, and risk for diabetes and cardiovascular disease. Diet modification and physical activity may help prevent post-transplant weight gain. Methods for effective implementation of these lifestyle modifications are needed. The objective of this study is to assess the feasibility and acceptability of a remotely delivered nutrition and physical activity intervention among kidney transplant recipients. Secondary aims were to estimate the effectiveness of the intervention in producing changes in physical activity, qualify of life, fruit and vegetable intake, and consumption of whole grains and water from baseline to 6 months. Methods A randomized controlled study for stable kidney transplant recipients between 6 and 12 months post-transplantation was conducted. Participants were randomly assigned 1:1 to a technology-based, lifestyle modification program (intervention) or to enhanced usual care (control). Results The first 10 kidney transplant recipients screened were eligible and randomized into the intervention and control groups with no significant between-group differences at baseline. Health coaching attendance (78%) and adherence to reporting healthy behaviors (86%) were high. All participants returned for final assessments. The weight in controls remained stable, while the intervention arm showed weight gain at 3 and 6 months. Improvements were found for physical activity, quality of life, and fruit and vegetable intake in both groups. All participants would recommend the program to other transplant recipients. Conclusions Our data suggest that a remotely delivered televideo nutrition and physical activity intervention is feasible and valued by patients. These findings will aid in the development of a larger, more prescriptive, randomized trial to address weight gain prevention. Trial registration Clinicaltrials.gov Identifier NCT03697317. Retrospectively registered on October 5, 2018.

Download Full-text

Characterizing Dietary Intake and Physical Activity Affecting Weight Gain in Kidney Transplant Recipients

Progress in Transplantation ◽

10.7182/pit2012888 ◽

2012 ◽

Vol 22 (1) ◽

pp. 62-70 ◽

Cited By ~ 13

Author(s):

Connie K. Cupples ◽

Ann K. Cashion ◽

Patricia A. Cowan ◽

Ruth S. Tutor ◽

Mona N. Wicks ◽

...

Keyword(s):

Physical Activity ◽

Weight Gain ◽

Dietary Intake ◽

Kidney Transplant ◽

Transplant Recipients ◽

Kidney Transplant Recipients

Download Full-text

Effects of a Structured Physical Activity Program on Serum Adipokines and Markers of Inflammation and Volume Overload in Kidney Transplant Recipients

Annals of Transplantation ◽

10.12659/aot.917047 ◽

2019 ◽

Vol 24 ◽

pp. 569-575 ◽

Cited By ~ 3

Author(s):

Katarzyna Muras-Szwedziak ◽

Anna Masajtis-Zagajewska ◽

Ewa Pawłowicz ◽

Michał Nowicki

Keyword(s):

Physical Activity ◽

Kidney Transplant ◽

Volume Overload ◽

Physical Activity Program ◽

Transplant Recipients ◽

Kidney Transplant Recipients ◽

Markers Of Inflammation ◽

Activity Program

Download Full-text

Prevalence and Correlates of Accelerometer-Based Physical Activity and Sedentary Time Among Kidney Transplant Recipients

Canadian Journal of Kidney Health and Disease ◽

10.1177/2054358119882658 ◽

2019 ◽

Vol 6 ◽

pp. 205435811988265 ◽

Cited By ~ 1

Author(s):

Jeff K. Vallance ◽

Steven T. Johnson ◽

Stephanie Thompson ◽

Kevin Wen ◽

Ngan N. Lam ◽

...

Keyword(s):

Physical Activity ◽

Information System ◽

Kidney Transplant ◽

Sedentary Time ◽

Response Rate ◽

Transplant Recipients ◽

Kidney Transplant Recipients ◽

Cross Sectional ◽

System Database ◽

Northern Alberta

Background: Physical activity is recommended for kidney transplant recipents as it may improve outcomes including mortality, exercise capacity, muscle strength, and health-related quality of life. Objective: The objective of this study was to examine accelerometer-based physical activity and sedentary time profiles among kidney transplant recipients and examine possible demographic and clinical correlates of physical activity and sedentary time. Design: Cross-sectional. Setting: Edmonton, Alberta, Canada. Patients: Kidney transplant recipients were recruited (N = 1,284) from the Northern Alberta Renal Program’s Nephrology Information System database (1993-2016). Measurements: Participants wore an ActiGraph GT3X+ accelerometer on their hip during waking hours for seven consecutive days. Methods: Kidney transplant recipients (1993-2016) recruited from the Northern Alberta Renal Program’s Nephrology Information System database wore an accelerometer and completed a self-reported questionnaire. Multiple linear regression was used to determine associations between activity level, demographic, and clinical characteristics. Results: Participants’ (n = 133; 11% response rate) mean age (SD) was 58 (14) years and 56% were female. Mean total sedentary time was 9.4 (1.4) hours per day; total moderate-to-vigorous physical activity (MVPA) time was 20.7 (19.6) minutes per day. MVPA was significantly associated with age where each additional year was associated with 0.48 fewer min/day (ie, ~30 seconds) (unstandardized beta: B = −0.48 min/day, 95% confidence interval [95% CI]: −0.75, −0.22). Sedentary time was significantly associated with age ( B = 1.0 min/day, 95% CI: 0.03, 1.9), body mass index ( B = 2.7 min/day, 95% CI: 0.2, 5.13), education ( B = 39.1 min/day, 95% CI: 12.3, −65.8), and inversely associated with income ( B = −44.9 min/day, 95% CI: −73.1, −16.8). Limitations: Limitations include the cross-sectional design, poor response rate, and limited generalizability of the results. Conclusions: Kidney transplant recipients showed high volumes of sedentary time and low volumes of health-enhancing physical activity. Understanding correlates of these behaviors may aid in the development of interventions to favorably change these behaviors.

Download Full-text