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Relationships of accelerometer‐determined physical activity with obesity, hypertension, diabetes, dyslipidemia, and health‐related quality of life in patients after liver transplantation
Author(s) -
Tanaka Satomi,
Fujita Kimie,
Makimoto Kiyoko,
Kanaoka Maki,
Yakushiji Kanako,
Tanaka Rumi,
Harada Noboru,
Yoshizumi Tomoharu
Publication year - 2020
Publication title -
clinical transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.918
H-Index - 76
eISSN - 1399-0012
pISSN - 0902-0063
DOI - 10.1111/ctr.14117
Subject(s) - medicine , dyslipidemia , diabetes mellitus , obesity , body mass index , quality of life (healthcare) , transplantation , logistic regression , liver transplantation , physical therapy , endocrinology , nursing
The contribution of physical activity (PA) to the prevention of metabolic abnormalities following liver transplantation (LT) has not been well documented. We aimed to assess PA in post‐LT patients and to quantify its relationships with the development of postoperative metabolic abnormalities and health‐related quality of life (HRQOL). We recruited 111 patients who had undergone LT ≥ 6 months previously. PA was measured by accelerometry, and HRQOL was evaluated using SF‐8. PA was quantified as the number of steps per day, and the time spent performing moderate‐to‐vigorous PA and light PA per week. The prevalence of hypertension, diabetes, and dyslipidemia increased more than twofold following LT. The proportion of the participants with a sedentary lifestyle (<5000 steps/day) was 36%. Logistic regression analysis showed that postoperative hypertension and obesity were associated with preoperative body mass index and the number of steps taken (in 2000 steps/day increments). Preoperative diabetes was associated with obesity, and PA was associated with physical function‐related HRQOL scores. Thus, increasing the number of steps taken per day has the potential to reduce hypertension and obesity, and PA could improve physical function‐related HRQOL in patients following LT.