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FACTORS AFFECTING EXERCISE TEST PERFORMANCE IN PATIENTS AFTER LIVER TRANSPLANTATION

机译:肝移植后患者运动测试表现的影响因素

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Background: Cardiovascular diseases are a leading cause of morbidity and mortality in solid organ transplant recipients. In addition, low physical activity is a risk factor for cardiac and cerebrovascular complications.Objectives: This study examined potential relationships between physical activity, health-related quality of life (HRQoL), risk factors for cardiovascular disease, and an exercise test in liver-graft recipients.Patients and Methods: A total of 107 participants (62 men/45 women) who had received a liver transplantation (LT) at least 6 months previously were evaluated. Physical activity was assessed using three different questionnaires, while HRQoL was assessed using the medical outcomes study short form (SF) -36 questionnaire, and health behaviors were evaluated using the health behavior inventory (HBI). The exercise test was performed in a standard manner.Results: Seven participants (6.5%) had a positive exercise test, and these individuals were older than those who had a negative exercise test (P=0.04). A significant association between a negative exercise test and a higher level of physical activity was shown by the Seven-day physical activity recall questionnaire. In addition, HRQoL was improved in various domains of the SF-36 in participants who had a negative exercise test. No correlations between physical activity, the exercise test and healthy behaviors, as assessed via the HBI were observed.Conclusions: Exercise test performance was affected by lower quality of life and lower physical activity after LT. With the exception of hypertension, well known factors that affect the risk of coronary artery disease had no effect on the exercise test results.
机译:背景:心血管疾病是实体器官移植接受者发病和死亡的主要原因。此外,运动量低是心脏和脑血管并发症的危险因素。目的:这项研究检查了运动量,健康相关的生活质量(HRQoL),心血管疾病的危险因素以及肝脏运动试验之间的潜在关系。患者和方法:总共对至少6个月前接受了肝移植(LT)的107名参与者(62名男性/ 45名女性)进行了评估。使用三种不同的调查表评估了身体活动,而使用医学成果研究简表(SF)-36调查表评估了HRQoL,并使用健康行为清单(HBI)评估了健康行为。结果:7名参与者(6.5%)接受了积极的运动测试,这些人比接受负运动测试的人年龄更大(P = 0.04)。七日体育锻炼回想问卷显示,负运动测试与较高水平的体育锻炼之间存在显着关联。此外,运动测试阴性的参与者在SF-36的各个方面的HRQoL也得到了改善。通过HBI评估未观察到体育锻炼,运动测试与健康行为之间的相关性。结论:运动测试的表现受LT后生活质量降低和体育锻炼降低的影响。除高血压外,影响冠心病风险的众所周知因素对运动测试结果没有影响。

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