Article

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.

Langue : ANGLAIS