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Feasibility and acceptability of a televideo physical activity and nutrition program for recent kidney transplant recipients
- Source :
- Pilot and Feasibility Studies, Vol 6, Iss 1, Pp 1-14 (2020), Pilot and Feasibility Studies
- Publication Year :
- 2020
- Publisher :
- Springer Science and Business Media LLC, 2020.
-
Abstract
- Background Post-transplant weight gain affects 50–90% of kidney transplant recipients adversely affecting survival, quality of life, and risk for diabetes and cardiovascular disease. Diet modification and physical activity may help prevent post-transplant weight gain. Methods for effective implementation of these lifestyle modifications are needed. The objective of this study is to assess the feasibility and acceptability of a remotely delivered nutrition and physical activity intervention among kidney transplant recipients. Secondary aims were to estimate the effectiveness of the intervention in producing changes in physical activity, qualify of life, fruit and vegetable intake, and consumption of whole grains and water from baseline to 6 months. Methods A randomized controlled study for stable kidney transplant recipients between 6 and 12 months post-transplantation was conducted. Participants were randomly assigned 1:1 to a technology-based, lifestyle modification program (intervention) or to enhanced usual care (control). Results The first 10 kidney transplant recipients screened were eligible and randomized into the intervention and control groups with no significant between-group differences at baseline. Health coaching attendance (78%) and adherence to reporting healthy behaviors (86%) were high. All participants returned for final assessments. The weight in controls remained stable, while the intervention arm showed weight gain at 3 and 6 months. Improvements were found for physical activity, quality of life, and fruit and vegetable intake in both groups. All participants would recommend the program to other transplant recipients. Conclusions Our data suggest that a remotely delivered televideo nutrition and physical activity intervention is feasible and valued by patients. These findings will aid in the development of a larger, more prescriptive, randomized trial to address weight gain prevention. Trial registration Clinicaltrials.gov Identifier NCT03697317. Retrospectively registered on October 5, 2018.
- Subjects :
- medicine.medical_specialty
Health coaching
Medicine (miscellaneous)
Disease
030230 surgery
law.invention
03 medical and health sciences
0302 clinical medicine
Quality of life
Randomized controlled trial
law
Intervention (counseling)
Diabetes mellitus
Medicine
030212 general & internal medicine
Kidney transplant
Weight gain
lcsh:R5-920
Physical activity
business.industry
Research
Attendance
medicine.disease
Diet
Physical therapy
medicine.symptom
lcsh:Medicine (General)
business
Subjects
Details
- ISSN :
- 20555784
- Volume :
- 6
- Database :
- OpenAIRE
- Journal :
- Pilot and Feasibility Studies
- Accession number :
- edsair.doi.dedup.....2d2274d2c47b96c86cde89cfa7bcde78