A randomized trial of exercise training after renal transplantation

Painter, Patricia Lynn; Hector, Lisa; Ray, Karen; Lynes, Liliana; Dibble, Suzanne; Paul, Steven M.; Tomlanovich, Stephen L.; Ascher, Nancy L.

doi:10.1097/00007890-200207150-00008

Cited by 207Cardiovascular and exercise physiologyPhysical Activity and HealthRenal Transplantation Outcomes and Treatments

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A randomized trial of exercise training after renal transplantation

Painter, Patricia Lynn, Hector, Lisa, Ray, Karen, Lynes, Liliana, Dibble, Suzanne, Paul, Steven M., Tomlanovich, Stephen L., Ascher, Nancy L.·2002·Transplantation

DOI 10.1097/00007890-200207150-00008

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Abstract

BACKGROUND: Significant health benefits result from regular physical activity, many which are important for transplant recipients. Although exercise capacity improves initially after transplant, it is not normalized, and only two studies have reported the effects of exercise training in this population. We report a randomized clinical trial of exercise after renal transplantation (RTX). METHODS: One hundred sixty-seven patients were randomized at 1 month after RTX into two groups: exercise intervention (EX) and usual care (UC), with repeat testing at 6 and 12 months. Ninety-five patients completed the following testing at both testing times: symptom-limited treadmill testing with measurement of peak oxygen uptake (peak Vo2); isokinetic muscle testing for muscle strength; and dual-energy X-ray absorptiometry scans for body composition. The SF-36 Health Status Questionnaire assessed self-reported functioning. The exercise intervention consisted of individually prescribed programs to be conducted at home with regular phone follow-up to enhance adherence. Repeated measures analysis of variance was performed to determine differences between the groups for the three testing times. RESULTS: At 1 year 67% of the EX group were exercising regularly compared with 36% of the UC group (P=0.01). Compared with the UC group, the EX group had significantly greater gains in peak Vo2 (P=0.016), percent age-predicted Vo2 (P=0.03), and muscle strength (P=0.05), and a trend toward higher self-reported physical functioning (P=0.06). There were no differences between the groups in changes in body composition. At 1 year, peak Vo2 was significantly correlated with age, percent fat, muscle strength, hematocrit, and self-reported physical functioning. CONCLUSIONS: Exercise training after RTX results in higher levels of measured and self-reported physical functioning; however, exercise alone does not affect body composition.

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Kidney transplant recipients, especially those who received dialysis treatment over several years, have a high level of comorbidity and are often physically impaired.
“Taking into account that KTx recipients, especially those who received dialysis treatment over several years, have a high level of comorbidity and are often physically impaired, it becomes obvious that a large proportion of the patients is not able to perform high level physical exercise as a weight reduction strategy (29).”
From Cognitive-behavioral and dietary weight loss intervention in adult kidney transplant recipients with overweight and obesity: Results of a pilot RCT study (Adi-KTx) (2023) · cites this paper as [29]
A large proportion of kidney transplant patients are not able to perform high-level physical exercise as a weight reduction strategy.
“Taking into account that KTx recipients, especially those who received dialysis treatment over several years, have a high level of comorbidity and are often physically impaired, it becomes obvious that a large proportion of the patients is not able to perform high level physical exercise as a weight reduction strategy (29).”
From Cognitive-behavioral and dietary weight loss intervention in adult kidney transplant recipients with overweight and obesity: Results of a pilot RCT study (Adi-KTx) (2023) · cites this paper as [29]

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PHYSICAL FUNCTIONING IN KIDNEY TRANSPLANT RECIPIENTS AFTER 12 MONTHS OF EXERCISE INTERVENTION 1186
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EXERCISE INCREASES SELF-REPORTED PHYSICAL FUNCTIONING IN KIDNEY TRANSPLANT RECIPIENTS 1183
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Graded Exercise Testing and Training After Renal Transplantation: A Preliminary Study
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Systematic review and meta-analysis of the efficacy of exercise intervention in kidney transplant recipients
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Authors: Painter, P. L., Hector, L., Ray, K., Lynes, L., Dibble, S., Paul, S. M., Tomlanovich, S. L., & Ascher, N. L.
Affiliations: University of California, San Francisco (US)
Corresponding author: Painter, Patricia Lynn
ORCID: Paul, Steven M.
Ascher, Nancy L.
Venue: Transplantation
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2002-07
Volume: 74
Issue: 1
Pages: 42-48
ISSN: 0041-1337 (ISSN-L)
DOI: 10.1097/00007890-200207150-00008
OpenAlex: W2064652774
Cited by: 207
References: 28
Citations by year: 2026: 1 · 2025: 8 · 2024: 6 · 2023: 9 · 2022: 7 · 2021: 17 · 2020: 9 · 2019: 13 · 2018: 9 · 2017: 12 · 2016: 6 · 2015: 10 · 2014: 12 · 2013: 11 · 2012: 9
FWCI: 15.92
Type: journal article
Language: en
Open access: closed
Locations: Transplantation (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Physiology (medical) › Cardiovascular and exercise physiology
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Physical Activity and Health
Health Sciences › Medicine › Transplantation › Renal Transplantation Outcomes and Treatments
Keywords: exercise training, kidney transplantation, peak oxygen uptake, exercise capacity, muscle strength, body composition, physical function, home-based exercise, transplant recipients, exercise adherence
MeSH terms: Adult, Body Composition, Exercise Therapy, Female, Humans, Kidney Failure, Chronic, Male, Middle Aged, Muscle Contraction, Oxygen Consumption, Physical Fitness, Quality of Life, Surveys and Questionnaires, Kidney Transplantation

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A randomized trial of exercise training after renal transplantation

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