Investigation of factors affecting weight gain and physical activity in kidney transplant recipients
Keywords:
kidney transplantation, self-management, scale validity and reliability, physical activity
Abstract
Objective: This study aimed to determine the affecting factors related to weight gain and physical activity in kidney transplant recipients. Design: The study has a descriptive and cross-sectional design. The study population consisted of all the patients having kidney transplantation (n=107) at one private hospital and one university hospital between November 2017 and August 2018. Methods: Data were collected by using a sociodemographic and clinical characteristic form, Nutrition Assessment Questionnaire, and the International Physical Activity Scale. Linear regression analysis was used to evaluate the data. Results: The difference between the body mass index in the first follow-up and the body mass index in last follow-up was 2.44 ± 4.78. There were statistically significant differences between weight and BMI in the first follow-up and weight and the body mass index in the last follow-up after transplantation. As age increased, weight gain decreased by 0.22 times, but as time from transplantation increased, weight gain increased by 0.37 times. Transplants from live donors increased weight gain by 0.21 times. None of the variables included in the regression model was predictive of physical activity levels. No significant relation was found between weight gain and physical activity levels. Conclusion: While the recipients gained less weight as age progressed, they gained more weight as the time elapsed after kidney transplantation increased. It seems that live transplant recipients gain more weight and need support in this respect. Sociodemographic and clinical characteristics of the recipients did not affect their physical exercise levels. Weight gain and physical activity status of kidney transplant recipients should be examined periodically.
References
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15) Dontje ML, de Greef MH, Krijnen WP, Corpeleijn E, Kok T, Bakker SJ, et al. Longitudinal measurement of physical activity following kidney transplantation. Clin Transplant. 2014;28(4):394-402. doi: 10.1111/ctr.12325.
16) Stanfill A, Bloodworth R, Cashion A. Lessons learned: experiences of gaining weight by kidney transplant recipients. Prog Transplant. 2012;22(1):71-8. doi: 10.7182/pit2012986.
17) van Adrichem EJ, van de Zande SC, Dekker R, Verschuuren EA, Dijkstra PU, van der Schans CP. Perceived barriers to and facilitators of physical activity in recipients of solid organ transplantation, a qualitative study. PLoS One. 2016;11(9):e0162725. doi: 10.1371/journal.pone.0162725.
18) Heng AE, Montaurier C, Cano N, Caillot N, Blot A, Meunier N, et al. Energy expenditure, spontaneous physical activity and with weight gain in kidney transplant recipients. Clin Nutr. 2015;34(3):457-64. doi: 10.1016/j.clnu.2014.05.003.
19) Zelle DM, Kok T, Dontje ML, Danchell EI, Navis G, van Son WJ, et al. The role of diet and physical activity in post-transplant weight gain after renal transplantation. Clin Transplant. 2013;27(4):E484-90. doi: 10.1111/ctr.12149.
20) Kugler C, Einhorn I, Gottlieb J, Warnecke G, Schwarz A, Barg-Hock H, et al. Postoperative weight gain during the first year after kidney, liver, heart, and lung transplant: a prospective study. Prog Transplant. 2015;25(1):49-55. doi: 10.7182/pit2015668.
21) O'Brien T, Hathaway D. An integrative literature review of physical activity recommendations for adult renal transplant recipients. Prog Transplant. 2016;26(4):381-5. doi: 10.1177/1526924816664079.
22) Pantik C, Cho YE, Hathaway D, Tolley E, Cashion A. Characterization of body composition and fat mass distribution 1 year after kidney transplantation. Prog Transplant. 2017;27(1):10-5. doi: 10.1177/1526924816681007.
23) Raymond J, Johnson ST, Diehl-Jones W, Vallance JK. Walking, Sedentary time and health-related quality life among kidney transplant recipients: an exploratory study. Transplant Proc. 2016;48(1):59-64. doi: 10.1016/j.transproceed.2015.12.022.
24) Nicoletto BB, Fonseca NK, Manfro RC, Gonçalves LF, Leitão CB, Souza GC. Effects of obesity on kidney transplantation outcomes: a systematic review and meta-analysis. Transplantation. 2014;98(2):167-76. doi: 10.1097/TP.0000000000000028.
25) Orazio L, Chapman J, Isbel NM, Campbell KL. Nutrition care for renal transplant recipients: an evaluation of service delivery and outcomes. J Ren Care. 2014;40(2):99-106. doi: 10.1111/jorc.12055.
26) Craig CL, Marshall AL, Sjöström M, Bauman AE, Booth ML, Ainsworth BE, et al. International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc. 2003;35(8):1381-95. doi: 10.1249/01.MSS.0000078924.61453.FB.
27) Saglam M, Arikan H, Savci S, Inal-Ince D, Bosnak-Guclu M, Karabulut E, et al. International physical activity questionnaire: reliability and validity of the Turkish version. Percept Mot Skills. 2010;111(1):278-84. doi: 10.2466/06.08.PMS.111.4.278-284.
28) Hap K, Madziarska K, Hap W, Zmonarski S, Zielińska D, Kamińska D, et al. Are Females More Prone Than Males to Become Obese After Kidney Transplantation? Ann Transplant. 2019;24:57-61. doi: 10.12659/AOT.912096.
29) Henggeler CK, Plank LD, Ryan KJ, Gilchrist EL, Casas JM, Lloyd LE, et al. A Randomized Controlled Trial of an Intensive Nutrition Intervention Versus Standard Nutrition Care to Avoid Excess Weight Gain After Kidney Transplantation: The INTENT Trial. J Ren Nutr. 2018;28(5):340-51. doi: 10.1053/j.jrn.2018.03.001.
30) Klaassen G, Zelle DM, Navis GJ, Dijkema D, Bemelman FJ, Bakker SJL, et al. Lifestyle intervention to improve quality of life and prevent weight gain after renal transplantation: Design of the Active Care after Transplantation (ACT) randomized controlled trial. BMC Nephrol. 2017;18(1):296. doi: 10.1186/s12882-017-0709-0.
31) Tantisattamo E. Post-transplant weight gain and obesity: an opportunity for renal dietary management. Adv Obes Weight Manag Control. 2017;7(2):276-9. doi: 10.15406/aowmc.2017.07.00195.
32) Osté MCJ, Gomes-Neto AW, Corpeleijn E, Gans ROB, de Borst MH, van den Berg E, et al. Dietary Approach to Stop Hypertension (DASH) diet and risk of renal function decline and all-cause mortality in renal transplant recipients. Am J Transplant. 2018;18(10):2523-33. doi: 10.1111/ajt.14707.
33) Liese J, Bottner N, Büttner S, Reinisch A, Woeste G, Wortmann M, et al. Influence of the recipient body mass index on the outcomes after kidney transplantation. Langenbecks Arch Surg. 2018;403(1):73-82. doi: 10.1007/s00423-017-1584-7.
34) IRODaT, International Registry on Organ Donation and Transplantation [Internet]. Disponible en: https://www.irodat.org
35) Sébille V, Hardouin JB, Giral M, Bonnaud-Antignac A, Tessier P, Papuchon E, et al. Prospective, multicenter, controlled study of quality of life, psychological adjustment process and medical outcomes of patients receiving a preemptive kidney transplant compared to a similar population of recipients after a dialysis period of less than three years--The PreKit-QoL study protocol. BMC Nephrol. 2016;17:11. doi: 10.1186/s12882-016-0225-7.
2) Bozkurt B, Kumru AÖ, Dumlu EG, Tokaç M, Koçak H, Süleymanlar G, et al. Patient and graft survival after pre-emptive versus non-pre-emptive kidney transplantation: a single-center experience from Turkey. Transplant Proc. 2013;45(3):932-4. doi: 10.1016/j.transproceed.2013.02.064.
3) O'Keeffe LM, Ramond A, Oliver-Williams C, Willeit P, Paige E, Trotter P, et al. Mid- and long-term health risks in living kidney donors: a systematic review and meta-analysis. Ann Intern Med. 2018;168(4):276-84. doi: 10.7326/M17-1235.
4) Forte CC, Pedrollo EF, Nicoletto BB, Lopes JB, Manfro RC, Souza GC, et al. Risk factors associated with weight gain after kidney transplantation: a cohort study. PLoS One. 2020;15(12):e0243394. doi: 10.1371/journal.pone.0243394.
5) Oliveira CMC, Moura AEF, Gonçalves L, Pinheiro LSF, Pinheiro FML, Esmeraldo RM, Post-operative weight gain: prevalence and the impact steroid-free therapy. Transplant Proc. 2014;46(6):1735-40. doi: 10.1016/j.transproceed.2014.05.027.
6) Arshad A, Hodson J, Khalil K, Sharif A. Changes in Body Mass Index and outcomes after kidney transplant: a single-center, retrospective, observational study. Exp Clin Transplant. 2020;18(3):292-9. doi: 10.6002/ect.2019.0416.
7) Cashion AK, Sánchez ZV, Cowan PA, Hathaway DK, Lo Costello A, Gaber AO. Changes in weight during the first year after kidney transplantation. Prog Transplant. 2007;17(1):40-7.
8) Cashion AK, Hathaway DK, Stanfill A, Thomas F, Ziebarth JD, Cui Y, et al. Pre-transplant predictors of one yr weight gain after kidney transplantation. Clin Transplant. 2014;28(11):1271-8. doi: 10.1111/ctr.12456.
9) Gill JS, Hendren E, Dong J, Johnston O, Gill J. Differential association of body mass index with access to kidney transplantation in men and women. Clin J Am Soc Nephrol. 2014;9(5):951-9. doi: 10.2215/CJN.08310813.
10) Kumar TGS, Soundararajan P, Maiya GA, Ravi A. Physical activity and quality of life after renal transplantation. Online J Health Allied Sci. 2018;17(4):4.
11) Sabbatini M, Ferreri L, Pisani A, Capuano I, Morgillo M, Memoli A, et al. Nutritional management in renal transplant recipients: A transplant team opportunity to improve graft survival. Nutr Metab Cardiovasc Dis. 2019;29(4):319-24. doi: 10.1016/j.numecd.2019.01.002.
12) Vallance JK, Johnson ST, Thompson S, Wen K, Lam NN, Boyle T, et al. Prevalence and correlates of accelerometer-based physical activity and sedentary time among kidney transplant recipients. Can J Kidney Health Dis. 2019;6:2054358119882658. doi: 10.1177/2054358119882658.
13) Beckmann S, Nikolic N, Denhaerynck K, Binet I, Koller M, Boely E, et al.; Psychosocial Interest Group, Swiss Transplant Cohort Study. Evolution of body weight parameters up to 3 years after solid organ transplantation: The prospective Swiss Transplant Cohort Study. Clin Transplant. 2017;31(3). doi: 10.1111/ctr.12896.
14) Cupples CK, Cashion AK, Cowan PA, Tutor RS, Wicks MN, Williams R, et al. Characterizing dietary intake and physical activity affecting weight gain in kidney transplant recipients. Prog Transplant. 2012;22(1):62-70. doi: 10.7182/pit2012888.
15) Dontje ML, de Greef MH, Krijnen WP, Corpeleijn E, Kok T, Bakker SJ, et al. Longitudinal measurement of physical activity following kidney transplantation. Clin Transplant. 2014;28(4):394-402. doi: 10.1111/ctr.12325.
16) Stanfill A, Bloodworth R, Cashion A. Lessons learned: experiences of gaining weight by kidney transplant recipients. Prog Transplant. 2012;22(1):71-8. doi: 10.7182/pit2012986.
17) van Adrichem EJ, van de Zande SC, Dekker R, Verschuuren EA, Dijkstra PU, van der Schans CP. Perceived barriers to and facilitators of physical activity in recipients of solid organ transplantation, a qualitative study. PLoS One. 2016;11(9):e0162725. doi: 10.1371/journal.pone.0162725.
18) Heng AE, Montaurier C, Cano N, Caillot N, Blot A, Meunier N, et al. Energy expenditure, spontaneous physical activity and with weight gain in kidney transplant recipients. Clin Nutr. 2015;34(3):457-64. doi: 10.1016/j.clnu.2014.05.003.
19) Zelle DM, Kok T, Dontje ML, Danchell EI, Navis G, van Son WJ, et al. The role of diet and physical activity in post-transplant weight gain after renal transplantation. Clin Transplant. 2013;27(4):E484-90. doi: 10.1111/ctr.12149.
20) Kugler C, Einhorn I, Gottlieb J, Warnecke G, Schwarz A, Barg-Hock H, et al. Postoperative weight gain during the first year after kidney, liver, heart, and lung transplant: a prospective study. Prog Transplant. 2015;25(1):49-55. doi: 10.7182/pit2015668.
21) O'Brien T, Hathaway D. An integrative literature review of physical activity recommendations for adult renal transplant recipients. Prog Transplant. 2016;26(4):381-5. doi: 10.1177/1526924816664079.
22) Pantik C, Cho YE, Hathaway D, Tolley E, Cashion A. Characterization of body composition and fat mass distribution 1 year after kidney transplantation. Prog Transplant. 2017;27(1):10-5. doi: 10.1177/1526924816681007.
23) Raymond J, Johnson ST, Diehl-Jones W, Vallance JK. Walking, Sedentary time and health-related quality life among kidney transplant recipients: an exploratory study. Transplant Proc. 2016;48(1):59-64. doi: 10.1016/j.transproceed.2015.12.022.
24) Nicoletto BB, Fonseca NK, Manfro RC, Gonçalves LF, Leitão CB, Souza GC. Effects of obesity on kidney transplantation outcomes: a systematic review and meta-analysis. Transplantation. 2014;98(2):167-76. doi: 10.1097/TP.0000000000000028.
25) Orazio L, Chapman J, Isbel NM, Campbell KL. Nutrition care for renal transplant recipients: an evaluation of service delivery and outcomes. J Ren Care. 2014;40(2):99-106. doi: 10.1111/jorc.12055.
26) Craig CL, Marshall AL, Sjöström M, Bauman AE, Booth ML, Ainsworth BE, et al. International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc. 2003;35(8):1381-95. doi: 10.1249/01.MSS.0000078924.61453.FB.
27) Saglam M, Arikan H, Savci S, Inal-Ince D, Bosnak-Guclu M, Karabulut E, et al. International physical activity questionnaire: reliability and validity of the Turkish version. Percept Mot Skills. 2010;111(1):278-84. doi: 10.2466/06.08.PMS.111.4.278-284.
28) Hap K, Madziarska K, Hap W, Zmonarski S, Zielińska D, Kamińska D, et al. Are Females More Prone Than Males to Become Obese After Kidney Transplantation? Ann Transplant. 2019;24:57-61. doi: 10.12659/AOT.912096.
29) Henggeler CK, Plank LD, Ryan KJ, Gilchrist EL, Casas JM, Lloyd LE, et al. A Randomized Controlled Trial of an Intensive Nutrition Intervention Versus Standard Nutrition Care to Avoid Excess Weight Gain After Kidney Transplantation: The INTENT Trial. J Ren Nutr. 2018;28(5):340-51. doi: 10.1053/j.jrn.2018.03.001.
30) Klaassen G, Zelle DM, Navis GJ, Dijkema D, Bemelman FJ, Bakker SJL, et al. Lifestyle intervention to improve quality of life and prevent weight gain after renal transplantation: Design of the Active Care after Transplantation (ACT) randomized controlled trial. BMC Nephrol. 2017;18(1):296. doi: 10.1186/s12882-017-0709-0.
31) Tantisattamo E. Post-transplant weight gain and obesity: an opportunity for renal dietary management. Adv Obes Weight Manag Control. 2017;7(2):276-9. doi: 10.15406/aowmc.2017.07.00195.
32) Osté MCJ, Gomes-Neto AW, Corpeleijn E, Gans ROB, de Borst MH, van den Berg E, et al. Dietary Approach to Stop Hypertension (DASH) diet and risk of renal function decline and all-cause mortality in renal transplant recipients. Am J Transplant. 2018;18(10):2523-33. doi: 10.1111/ajt.14707.
33) Liese J, Bottner N, Büttner S, Reinisch A, Woeste G, Wortmann M, et al. Influence of the recipient body mass index on the outcomes after kidney transplantation. Langenbecks Arch Surg. 2018;403(1):73-82. doi: 10.1007/s00423-017-1584-7.
34) IRODaT, International Registry on Organ Donation and Transplantation [Internet]. Disponible en: https://www.irodat.org
35) Sébille V, Hardouin JB, Giral M, Bonnaud-Antignac A, Tessier P, Papuchon E, et al. Prospective, multicenter, controlled study of quality of life, psychological adjustment process and medical outcomes of patients receiving a preemptive kidney transplant compared to a similar population of recipients after a dialysis period of less than three years--The PreKit-QoL study protocol. BMC Nephrol. 2016;17:11. doi: 10.1186/s12882-016-0225-7.
Published
2022-06-15
How to Cite
1.
Görücü E, Ordin YS. Investigation of factors affecting weight gain and physical activity in kidney transplant recipients. Rev Nefrol Dial Traspl. [Internet]. 2022Jun.15 [cited 2024Jul.27];42(2):134-43. Available from: http://revistarenal.org.ar/index.php/rndt/article/view/791
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