Personalized physical rehabilitation program and employment in kidney transplant recipients: a randomized trial

被引:5
|
作者
Kastelz, Alexandra [1 ]
Fernhall, Bo [2 ]
Wang, Edward [2 ]
Tzvetanov, Ivo [1 ]
Spaggiari, Mario [1 ]
Shetty, Aneesha [3 ]
Gallon, Lorenzo [3 ]
Hachaj, Greg [4 ]
Kaplan, Bruce [5 ]
Benedetti, Enrico [1 ]
机构
[1] Univ Illinois, Dept Surg, Univ Chicago, Chicago, IL 60680 USA
[2] Univ Illinois, Coll Appl Hlth Sci, Chicago, IL 60608 USA
[3] Northwestern Med Grp, Internal Med Nephrol, Chicago, IL USA
[4] GH FitLab, Chicago, IL USA
[5] Corp Off, Baylor Scott & White Hlth Syst, Dallas, TX USA
关键词
employment; exercise; kidney transplant; physical rehabilitation; quality of life;
D O I
10.1111/tri.13868
中图分类号
R61 [外科手术学];
学科分类号
摘要
Kidney transplantation is the preferred treatment for kidney failure; however after transplant, reduced physical function, poor self-perceptions, and unemployment are common concerns that remain. This randomized controlled trial compared the effects of a 12-month exercise rehabilitation program (intervention) to standard care alone (control) in kidney transplant recipients. The exercise intervention consisted of a 2 day/week, 60-minute personalized, one-on-one, resistance-based exercise trainings. Eighty participants completed the study (52 intervention vs. 28 control). For individuals unemployed at baseline, there was a 52.3% increase in employment compared to 13.3 % increase in the control group after 12 months (P = <0.0001). For those already employed at baseline, 100% of individuals maintained employment in both groups after 12 months (P = 0.4742). For all comers, there was a positive trend for Global Physical Health (P = 0.0034), Global Mental Health (P = 0.0064), and Physical Function (P = 0.0075), with the intervention group showing greater improvements. These findings suggest the implementation of an exercise rehabilitation program postkidney transplant can be beneficial to increase employment for individuals previously unemployed, improve self-perceived health, physical function, and mental health, overall contributing to better health outcomes in kidney transplant recipients. (Clinicaltrials.gov number: NCT02409901).
引用
收藏
页码:1083 / 1092
页数:10
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