Physical activity, sedentary time, and associated factors in recipients of solid-organ transplantation

Edwin J. van Adrichem, Rienk Dekker, Wim P Krijnen, Erik A M Verschuuren, Pieter U. Dijkstra, Cees P van der Schans

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Background: Short-term survival after solid-organ transplantation has substantially improved, and the focus has shifted to long-term survival, including the role of physical activity (PA). Knowledge about PA and sedentary time in recipients of solid-organ transplantation is limited, and identification of the levels and associated factors is necessary for intervention development.

Objective: The objectives of this study were to investigate the level of PA and sedentary time in recipients of solid-organ transplantation and to identify factors associated with these behaviors.

Design: The design consisted of a cross-sectional survey.

Methods: Questionnaires on PA level, sedentary time, and potential associated factors were used for recipients of solid-organ transplantation (kidney, liver, lung, and heart [N = 656]). Multiple regression analyses with a variable selection procedure were used.

Results: Fewer than 60% of the recipients fulfilled the PA guideline. Factors significantly associated with a lower level of PA included being a woman, younger age (nonlinear), not actively working or being retired, physical limitations, and low expectations and self-confidence. Factors significantly associated with less sedentary time included exercise self-efficacy and not actively working or being retired. Significantly associated with more sedentary time were a high education level, fear of negative effects, physical limitations, and the motivator "health and physical outcomes." The type of transplantation did not significantly influence either of the outcome measures.

Limitations: The design did not allow for causal inferences to be made. The studied associated factors were limited to individual and interpersonal factors. Self-reported measures of PA and sedentary time were used.

Conclusions: In intervention development directed at increasing the level of PA and reducing sedentary time in recipients of solid-organ transplantation, attention should be paid to physical limitations, fear of negative effects, low expectations and self-confidence, health and physical outcomes, and exercise self-efficacy.

Original languageEnglish
Pages (from-to)646-657
JournalPhysical therapy
Volume98
Issue number8
DOIs
Publication statusPublished - 1 Aug 2018

Keywords

  • physical activity
  • organ transplantation

Cite this

van Adrichem, Edwin J. ; Dekker, Rienk ; Krijnen, Wim P ; Verschuuren, Erik A M ; Dijkstra, Pieter U. ; van der Schans, Cees P. / Physical activity, sedentary time, and associated factors in recipients of solid-organ transplantation. In: Physical therapy. 2018 ; Vol. 98, No. 8. pp. 646-657.
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abstract = "Background: Short-term survival after solid-organ transplantation has substantially improved, and the focus has shifted to long-term survival, including the role of physical activity (PA). Knowledge about PA and sedentary time in recipients of solid-organ transplantation is limited, and identification of the levels and associated factors is necessary for intervention development.Objective: The objectives of this study were to investigate the level of PA and sedentary time in recipients of solid-organ transplantation and to identify factors associated with these behaviors.Design: The design consisted of a cross-sectional survey.Methods: Questionnaires on PA level, sedentary time, and potential associated factors were used for recipients of solid-organ transplantation (kidney, liver, lung, and heart [N = 656]). Multiple regression analyses with a variable selection procedure were used.Results: Fewer than 60{\%} of the recipients fulfilled the PA guideline. Factors significantly associated with a lower level of PA included being a woman, younger age (nonlinear), not actively working or being retired, physical limitations, and low expectations and self-confidence. Factors significantly associated with less sedentary time included exercise self-efficacy and not actively working or being retired. Significantly associated with more sedentary time were a high education level, fear of negative effects, physical limitations, and the motivator {"}health and physical outcomes.{"} The type of transplantation did not significantly influence either of the outcome measures.Limitations: The design did not allow for causal inferences to be made. The studied associated factors were limited to individual and interpersonal factors. Self-reported measures of PA and sedentary time were used.Conclusions: In intervention development directed at increasing the level of PA and reducing sedentary time in recipients of solid-organ transplantation, attention should be paid to physical limitations, fear of negative effects, low expectations and self-confidence, health and physical outcomes, and exercise self-efficacy.",
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Physical activity, sedentary time, and associated factors in recipients of solid-organ transplantation. / van Adrichem, Edwin J.; Dekker, Rienk; Krijnen, Wim P; Verschuuren, Erik A M; Dijkstra, Pieter U.; van der Schans, Cees P.

In: Physical therapy, Vol. 98, No. 8, 01.08.2018, p. 646-657.

Research output: Contribution to journalArticleAcademicpeer-review

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AU - van Adrichem, Edwin J.

AU - Dekker, Rienk

AU - Krijnen, Wim P

AU - Verschuuren, Erik A M

AU - Dijkstra, Pieter U.

AU - van der Schans, Cees P

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N2 - Background: Short-term survival after solid-organ transplantation has substantially improved, and the focus has shifted to long-term survival, including the role of physical activity (PA). Knowledge about PA and sedentary time in recipients of solid-organ transplantation is limited, and identification of the levels and associated factors is necessary for intervention development.Objective: The objectives of this study were to investigate the level of PA and sedentary time in recipients of solid-organ transplantation and to identify factors associated with these behaviors.Design: The design consisted of a cross-sectional survey.Methods: Questionnaires on PA level, sedentary time, and potential associated factors were used for recipients of solid-organ transplantation (kidney, liver, lung, and heart [N = 656]). Multiple regression analyses with a variable selection procedure were used.Results: Fewer than 60% of the recipients fulfilled the PA guideline. Factors significantly associated with a lower level of PA included being a woman, younger age (nonlinear), not actively working or being retired, physical limitations, and low expectations and self-confidence. Factors significantly associated with less sedentary time included exercise self-efficacy and not actively working or being retired. Significantly associated with more sedentary time were a high education level, fear of negative effects, physical limitations, and the motivator "health and physical outcomes." The type of transplantation did not significantly influence either of the outcome measures.Limitations: The design did not allow for causal inferences to be made. The studied associated factors were limited to individual and interpersonal factors. Self-reported measures of PA and sedentary time were used.Conclusions: In intervention development directed at increasing the level of PA and reducing sedentary time in recipients of solid-organ transplantation, attention should be paid to physical limitations, fear of negative effects, low expectations and self-confidence, health and physical outcomes, and exercise self-efficacy.

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