Correlates and Outcomes of Low Physical Activity Posttransplant: A Systematic Review and Meta-Analysis

被引：24

作者：

Berben, Lut ^{[1
]}

Engberg, Sandra J. ^{[2
]}

Rossmeissl, Anja ^{[3
,20
]}

Gordon, Elisa J. ^{[4
,16
,17
]}

Kugler, Christiane ^{[5
]}

Schmidt-Trucksass, Arno ^{[3
,22
]}

Klem, Mary Lou ^{[6
]}

Sereika, Susan M. ^{[2
,7
,23
]}

De Simone, Paolo ^{[8
]}

Dobbels, Fabienne ^{[1
,9
,12
]}

De Geest, Sabina M. ^{[1
,9
]}

Binet, Isabelle ^{[10
]}

Burkhalter, Hanna ^{[11
]}

Denhaerynck, Kris ^{[12
]}

Drent, Gerda ^{[13
]}

Duerinckx, Nathalie ^{[9
,14
]}

Sandra, Sandra J. Engberg ^{[2
]}

Glass, Tracy ^{[15
]}

Kirsch, Monika ^{[18
]}

Lerret, Stacee ^{[19
]}

Russell, Cynthia L. ^{[21
]}

机构：

[1] Univ Basel, Inst Nursing Sci, Dept Publ Hlth, Bernoullistr 28, Basel, Switzerland

[2] Univ Pittsburgh, Sch Nursing, Pittsburgh, PA 15260 USA

[3] Univ Basel, Fac Med, Dept Sport Exercise & Hlth, Div Sports & Exercise Med, Basel, Switzerland

[4] Northwestern Univ, Feinberg Sch Med, Ctr Bioeth & Med Humanities, Dept Surg,Div Transplantat,Ctr Healthcare Studies, Evanston, IL 60208 USA

[5] Univ Freiburg, Inst Nursing Sci, Fac Med, Freiburg, Germany

[6] Univ Pittsburgh, Hlth Sci Lib Syst, Pittsburgh, PA 15260 USA

[7] Univ Pittsburgh, Sch Nursing, Ctr Res & Evaluat, Dept Hlth & Community Syst, Pittsburgh, PA 15260 USA

[8] Univ Pisa, Med Sch Hosp, Hepatobiliary Surg & Liver Transplantat, Pisa, Italy

[9] KU Leuven Univ Leuven, Acad Ctr Nursing & Midwifery, Leuven, Belgium

[10] Cantonal Hosp, Nephrol & Transplantat Med, St Gallen, Switzerland

[11] Hirslanden Grp Zurich, Ctr Sleep Med, Zurich, Switzerland

[12] Univ Basel, Inst Nursing Sci, Basel, Switzerland

[13] Univ Med Ctr Groningen, Dept Gastroenterol & Hepatol, Groningen, Netherlands

[14] Univ Hosp Leuven, Heart Transplantat Program, Leuven, Belgium

[15] Univ Basel, Swiss Trop & Publ Hlth Inst, Dept Biostat, Basel, Switzerland

[16] Northwestern Univ, Feinberg Sch Med, Ctr Healthcare Studies, Chicago, IL 60611 USA

[17] Northwestern Univ, Feinberg Sch Med, Comprehens Transplant Ctr, Chicago, IL 60611 USA

[18] Univ Hosp Basel, Dept Anesthesiol, Basel, Switzerland

[19] Med Coll Wisconsin, Dept Pediat Gastroenterol & Transplant Surg, Milwaukee, WI 53226 USA

[20] Univ Hosp Basel, Dept Sport Bewegung & Gesundheit, Basel, Switzerland

[21] Univ Missouri, Sch Nursing & Hlth Studies, Kansas City, MO 64110 USA

[22] Univ Basel, Dept Sport Bewegung & Gesundheit, Basel, Switzerland

[23] Univ Pittsburgh, Grad Sch Publ Hlth, Pittsburgh, PA 15260 USA

来源：

TRANSPLANTATION | 2019年 / 103卷 / 04期

关键词：

KIDNEY-TRANSPLANT RECIPIENTS; QUALITY-OF-LIFE; LONG-TERM; RENAL-TRANSPLANT; RISK-FACTORS; SOCIAL-PARTICIPATION; METABOLIC SYNDROME; EXERCISE CAPACITY; LUNG-TRANSPLANT; FLUID INTAKE;

D O I：

10.1097/TP.0000000000002543

中图分类号：

R392 [医学免疫学]; Q939.91 [免疫学];

学科分类号：

100102 ;

摘要：

Background. Little is known about associations between low physical activity (PA) and its correlates and outcomes in solid organ transplant recipients. This systematic review with meta-analysis examined correlates and outcomes associated with low PA (ie, not meeting individual study's definition of being physically active) following solid organ transplantation. Methods. We searched PubMed, CINAHL, PsycINFO, and EMBASE from inception to February 2016 to identify peer-reviewed data-based articles. Articles published in English, German, Spanish, French, Italian, Portuguese, or Dutch that examined correlates or outcomes associated with low PA in adult single, solid organ transplant recipients were included. Studies' quality was assessed using a 14-item checklist. Pooled odds ratios and 95% confidence intervals were computed for correlates and outcomes examined in >= 5 studies. Results. Of 7401 publications screened, 34 studies met inclusion criteria and were included in the overall synthesis with 15 included in the meta-analysis. Most focused on renal transplantation (n = 18, 53%) and used cross-sectional designs (n = 26, 77%). Of 30 correlates examined, [condition-related (n = 11), social/economic-related (n = 9), patient-related (n = 4), healthcare system-related (n = 3), and treatment-related (n = 3)], only 4 were examined >= 5 times and included in meta-analyses. None were significantly related to low PA. Of 19 outcomes assessed, only physical health-related quality of life was examined >= 5 times. Low PA was significantly associated with low physical health-related quality of life (odds ratio = 0.172, 95% confidence interval = 0.08-0.37). Conclusions. We found few studies examining most correlates and outcomes related to low PA despite growing evidence that improving PA might be an effective intervention in improving posttransplant outcomes.

引用

页码：679 / 688

页数：10

共 68 条

[1] Metabolic syndrome after liver transplantation: prevalence and predictive factors [J].