Physical fitness and health‐related quality of life in pediatric renal transplant recipients: An interventional trial with active video gaming
Background Pediatric renal transplant recipients are at increased risk for cardiovascular diseases, one contributing factor is reduced cardiorespiratory fitness. The purpose was to evaluate cardiorespiratory fitness, motor coordination, muscle strength, daily physical activity, and health‐related qu...
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| Veröffentlicht in: | Pediatric transplantation 2020-02, Vol.24 (1), p.e13630-n/a |
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| creator | Weigmann‐Faßbender, Sandra Pfeil, Kathrin Betz, Theresa Sander, Anja Weiß, Klaus Tönshoff, Burkhard Friedmann‐Bette, Birgit |
| description | Background
Pediatric renal transplant recipients are at increased risk for cardiovascular diseases, one contributing factor is reduced cardiorespiratory fitness. The purpose was to evaluate cardiorespiratory fitness, motor coordination, muscle strength, daily physical activity, and health‐related quality of life and to find out, if active video gaming is effective for improving these items in this patient population.
Methods
Twenty renal transplant recipients (13.5 ± 3.4 years) and 33 matched healthy controls (13.1 ± 3.2 years) performed a spiroergometry, a motor coordination test, and a maximal handgrip strength test. Quality of life was determined with a validated questionnaire, and daily physical activity was recorded with a physical activity monitor. Thirteen patients (12.9 ± 3.4 years) participated in a 6‐week home‐based exergaming intervention (3×/week for 30 minutes) and repeated all tests after that.
Results
The renal transplant recipients exhibited a substantial impairment compared with the controls in peak oxygen consumption (−31%, P |
| doi_str_mv | 10.1111/petr.13630 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2331257535</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2331257535</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3930-89ad7ec12c42159c61cb276bce9680d4e0b358c5ce39046370a0c6d8c9cf24033</originalsourceid><addsrcrecordid>eNp90c1KHTEUB_BQLPWj3fQBJOCmCGOTSebLnYi1BaFS7HrIPXPGeyQ3MyaZK3fXR_AZ-yTmOrYLF2aRL375w8lh7LMUJzKNryNGfyJVqcQ7tidV02RK6HLneV9lSup8l-2HcCeELHWtP7BdJetaCK322OP1chMIjOU9RYchcOM6vkRj4_Lvn0eP1kTs-P1kLMUNH3puqUdOjo_YkYmegHt06X30xoXRGhfTBdBI6GI45Wcu4Yh-nY40zJDS_EBxyQ1EWiNfU4cDvzUrcrcf2fve2ICfXtYD9vvbxc359-zq5-WP87OrDFSjRFY3pqsQZA46l0UDpYRFXpULwKasRadRLFRRQwGomvQZqhJGQNnV0ECfa6HUAfsy545-uJ8wxHZFAdCmAnCYQpsrJfOiKlSR6NErejdMPpWyVVqLoqqKKqnjWYEfQvDYt6OnlfGbVop226d226f2uU8JH75ETosVdv_pv8YkIGfwQBY3b0S11xc3v-bQJ68IoJg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2344057757</pqid></control><display><type>article</type><title>Physical fitness and health‐related quality of life in pediatric renal transplant recipients: An interventional trial with active video gaming</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Weigmann‐Faßbender, Sandra ; Pfeil, Kathrin ; Betz, Theresa ; Sander, Anja ; Weiß, Klaus ; Tönshoff, Burkhard ; Friedmann‐Bette, Birgit</creator><creatorcontrib>Weigmann‐Faßbender, Sandra ; Pfeil, Kathrin ; Betz, Theresa ; Sander, Anja ; Weiß, Klaus ; Tönshoff, Burkhard ; Friedmann‐Bette, Birgit</creatorcontrib><description>Background
Pediatric renal transplant recipients are at increased risk for cardiovascular diseases, one contributing factor is reduced cardiorespiratory fitness. The purpose was to evaluate cardiorespiratory fitness, motor coordination, muscle strength, daily physical activity, and health‐related quality of life and to find out, if active video gaming is effective for improving these items in this patient population.
Methods
Twenty renal transplant recipients (13.5 ± 3.4 years) and 33 matched healthy controls (13.1 ± 3.2 years) performed a spiroergometry, a motor coordination test, and a maximal handgrip strength test. Quality of life was determined with a validated questionnaire, and daily physical activity was recorded with a physical activity monitor. Thirteen patients (12.9 ± 3.4 years) participated in a 6‐week home‐based exergaming intervention (3×/week for 30 minutes) and repeated all tests after that.
Results
The renal transplant recipients exhibited a substantial impairment compared with the controls in peak oxygen consumption (−31%, P < .001), motor competence (−44%, P < .001), daily physical activity (−33%, P = .001), and quality of life (−12%, P = .017). Handgrip strength was similar in both groups. Despite of low compliance in the intervention group, steps per hour were significantly increased after 6 weeks of exergaming (+31%, P = .043); however, all other measures remained unchanged.
Conclusion
Cardiorespiratory fitness, motor competence, and quality of life are reduced in pediatric renal transplant recipients. Home‐based exergaming is not appropriate to improve these items, probably due to a substantially impaired motor competence. However, it provided a stimulus for an increased daily physical activity.</description><identifier>ISSN: 1397-3142</identifier><identifier>EISSN: 1399-3046</identifier><identifier>DOI: 10.1111/petr.13630</identifier><identifier>PMID: 31880043</identifier><language>eng</language><publisher>Denmark: Wiley Subscription Services, Inc</publisher><subject>Adolescent ; Cardiorespiratory fitness ; Cardiovascular diseases ; Cardiovascular Diseases - prevention & control ; Case-Control Studies ; Child ; Coordination ; Cross-Sectional Studies ; Exercise ; Exercise Test ; Exercise Therapy - methods ; exergames ; Female ; Health risk assessment ; health‐related quality of life ; Humans ; Kidney transplantation ; Kidney Transplantation - rehabilitation ; Male ; Motor ability ; motor coordination ; Muscle Strength ; Oxygen consumption ; Patient Compliance ; Pediatrics ; Physical activity ; Physical fitness ; Physical Fitness - physiology ; Postoperative Complications - prevention & control ; Prospective Studies ; Quality of Life ; Questionnaires ; Video Games ; Young Adult</subject><ispartof>Pediatric transplantation, 2020-02, Vol.24 (1), p.e13630-n/a</ispartof><rights>2019 The Authors. published by Wiley Periodicals, Inc.</rights><rights>2019 The Authors. Pediatric Transplantation published by Wiley Periodicals, Inc.</rights><rights>2020 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3930-89ad7ec12c42159c61cb276bce9680d4e0b358c5ce39046370a0c6d8c9cf24033</citedby><cites>FETCH-LOGICAL-c3930-89ad7ec12c42159c61cb276bce9680d4e0b358c5ce39046370a0c6d8c9cf24033</cites><orcidid>0000-0002-8302-0044</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fpetr.13630$$EPDF$$P50$$Gwiley$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fpetr.13630$$EHTML$$P50$$Gwiley$$Hfree_for_read</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31880043$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Weigmann‐Faßbender, Sandra</creatorcontrib><creatorcontrib>Pfeil, Kathrin</creatorcontrib><creatorcontrib>Betz, Theresa</creatorcontrib><creatorcontrib>Sander, Anja</creatorcontrib><creatorcontrib>Weiß, Klaus</creatorcontrib><creatorcontrib>Tönshoff, Burkhard</creatorcontrib><creatorcontrib>Friedmann‐Bette, Birgit</creatorcontrib><title>Physical fitness and health‐related quality of life in pediatric renal transplant recipients: An interventional trial with active video gaming</title><title>Pediatric transplantation</title><addtitle>Pediatr Transplant</addtitle><description>Background
Pediatric renal transplant recipients are at increased risk for cardiovascular diseases, one contributing factor is reduced cardiorespiratory fitness. The purpose was to evaluate cardiorespiratory fitness, motor coordination, muscle strength, daily physical activity, and health‐related quality of life and to find out, if active video gaming is effective for improving these items in this patient population.
Methods
Twenty renal transplant recipients (13.5 ± 3.4 years) and 33 matched healthy controls (13.1 ± 3.2 years) performed a spiroergometry, a motor coordination test, and a maximal handgrip strength test. Quality of life was determined with a validated questionnaire, and daily physical activity was recorded with a physical activity monitor. Thirteen patients (12.9 ± 3.4 years) participated in a 6‐week home‐based exergaming intervention (3×/week for 30 minutes) and repeated all tests after that.
Results
The renal transplant recipients exhibited a substantial impairment compared with the controls in peak oxygen consumption (−31%, P < .001), motor competence (−44%, P < .001), daily physical activity (−33%, P = .001), and quality of life (−12%, P = .017). Handgrip strength was similar in both groups. Despite of low compliance in the intervention group, steps per hour were significantly increased after 6 weeks of exergaming (+31%, P = .043); however, all other measures remained unchanged.
Conclusion
Cardiorespiratory fitness, motor competence, and quality of life are reduced in pediatric renal transplant recipients. Home‐based exergaming is not appropriate to improve these items, probably due to a substantially impaired motor competence. However, it provided a stimulus for an increased daily physical activity.</description><subject>Adolescent</subject><subject>Cardiorespiratory fitness</subject><subject>Cardiovascular diseases</subject><subject>Cardiovascular Diseases - prevention & control</subject><subject>Case-Control Studies</subject><subject>Child</subject><subject>Coordination</subject><subject>Cross-Sectional Studies</subject><subject>Exercise</subject><subject>Exercise Test</subject><subject>Exercise Therapy - methods</subject><subject>exergames</subject><subject>Female</subject><subject>Health risk assessment</subject><subject>health‐related quality of life</subject><subject>Humans</subject><subject>Kidney transplantation</subject><subject>Kidney Transplantation - rehabilitation</subject><subject>Male</subject><subject>Motor ability</subject><subject>motor coordination</subject><subject>Muscle Strength</subject><subject>Oxygen consumption</subject><subject>Patient Compliance</subject><subject>Pediatrics</subject><subject>Physical activity</subject><subject>Physical fitness</subject><subject>Physical Fitness - physiology</subject><subject>Postoperative Complications - prevention & control</subject><subject>Prospective Studies</subject><subject>Quality of Life</subject><subject>Questionnaires</subject><subject>Video Games</subject><subject>Young Adult</subject><issn>1397-3142</issn><issn>1399-3046</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>EIF</sourceid><recordid>eNp90c1KHTEUB_BQLPWj3fQBJOCmCGOTSebLnYi1BaFS7HrIPXPGeyQ3MyaZK3fXR_AZ-yTmOrYLF2aRL375w8lh7LMUJzKNryNGfyJVqcQ7tidV02RK6HLneV9lSup8l-2HcCeELHWtP7BdJetaCK322OP1chMIjOU9RYchcOM6vkRj4_Lvn0eP1kTs-P1kLMUNH3puqUdOjo_YkYmegHt06X30xoXRGhfTBdBI6GI45Wcu4Yh-nY40zJDS_EBxyQ1EWiNfU4cDvzUrcrcf2fve2ICfXtYD9vvbxc359-zq5-WP87OrDFSjRFY3pqsQZA46l0UDpYRFXpULwKasRadRLFRRQwGomvQZqhJGQNnV0ECfa6HUAfsy545-uJ8wxHZFAdCmAnCYQpsrJfOiKlSR6NErejdMPpWyVVqLoqqKKqnjWYEfQvDYt6OnlfGbVop226d226f2uU8JH75ETosVdv_pv8YkIGfwQBY3b0S11xc3v-bQJ68IoJg</recordid><startdate>202002</startdate><enddate>202002</enddate><creator>Weigmann‐Faßbender, Sandra</creator><creator>Pfeil, Kathrin</creator><creator>Betz, Theresa</creator><creator>Sander, Anja</creator><creator>Weiß, Klaus</creator><creator>Tönshoff, Burkhard</creator><creator>Friedmann‐Bette, Birgit</creator><general>Wiley Subscription Services, Inc</general><scope>24P</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>H94</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-8302-0044</orcidid></search><sort><creationdate>202002</creationdate><title>Physical fitness and health‐related quality of life in pediatric renal transplant recipients: An interventional trial with active video gaming</title><author>Weigmann‐Faßbender, Sandra ; Pfeil, Kathrin ; Betz, Theresa ; Sander, Anja ; Weiß, Klaus ; Tönshoff, Burkhard ; Friedmann‐Bette, Birgit</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3930-89ad7ec12c42159c61cb276bce9680d4e0b358c5ce39046370a0c6d8c9cf24033</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adolescent</topic><topic>Cardiorespiratory fitness</topic><topic>Cardiovascular diseases</topic><topic>Cardiovascular Diseases - prevention & control</topic><topic>Case-Control Studies</topic><topic>Child</topic><topic>Coordination</topic><topic>Cross-Sectional Studies</topic><topic>Exercise</topic><topic>Exercise Test</topic><topic>Exercise Therapy - methods</topic><topic>exergames</topic><topic>Female</topic><topic>Health risk assessment</topic><topic>health‐related quality of life</topic><topic>Humans</topic><topic>Kidney transplantation</topic><topic>Kidney Transplantation - rehabilitation</topic><topic>Male</topic><topic>Motor ability</topic><topic>motor coordination</topic><topic>Muscle Strength</topic><topic>Oxygen consumption</topic><topic>Patient Compliance</topic><topic>Pediatrics</topic><topic>Physical activity</topic><topic>Physical fitness</topic><topic>Physical Fitness - physiology</topic><topic>Postoperative Complications - prevention & control</topic><topic>Prospective Studies</topic><topic>Quality of Life</topic><topic>Questionnaires</topic><topic>Video Games</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Weigmann‐Faßbender, Sandra</creatorcontrib><creatorcontrib>Pfeil, Kathrin</creatorcontrib><creatorcontrib>Betz, Theresa</creatorcontrib><creatorcontrib>Sander, Anja</creatorcontrib><creatorcontrib>Weiß, Klaus</creatorcontrib><creatorcontrib>Tönshoff, Burkhard</creatorcontrib><creatorcontrib>Friedmann‐Bette, Birgit</creatorcontrib><collection>Wiley Online Library Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatric transplantation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Weigmann‐Faßbender, Sandra</au><au>Pfeil, Kathrin</au><au>Betz, Theresa</au><au>Sander, Anja</au><au>Weiß, Klaus</au><au>Tönshoff, Burkhard</au><au>Friedmann‐Bette, Birgit</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Physical fitness and health‐related quality of life in pediatric renal transplant recipients: An interventional trial with active video gaming</atitle><jtitle>Pediatric transplantation</jtitle><addtitle>Pediatr Transplant</addtitle><date>2020-02</date><risdate>2020</risdate><volume>24</volume><issue>1</issue><spage>e13630</spage><epage>n/a</epage><pages>e13630-n/a</pages><issn>1397-3142</issn><eissn>1399-3046</eissn><abstract>Background
Pediatric renal transplant recipients are at increased risk for cardiovascular diseases, one contributing factor is reduced cardiorespiratory fitness. The purpose was to evaluate cardiorespiratory fitness, motor coordination, muscle strength, daily physical activity, and health‐related quality of life and to find out, if active video gaming is effective for improving these items in this patient population.
Methods
Twenty renal transplant recipients (13.5 ± 3.4 years) and 33 matched healthy controls (13.1 ± 3.2 years) performed a spiroergometry, a motor coordination test, and a maximal handgrip strength test. Quality of life was determined with a validated questionnaire, and daily physical activity was recorded with a physical activity monitor. Thirteen patients (12.9 ± 3.4 years) participated in a 6‐week home‐based exergaming intervention (3×/week for 30 minutes) and repeated all tests after that.
Results
The renal transplant recipients exhibited a substantial impairment compared with the controls in peak oxygen consumption (−31%, P < .001), motor competence (−44%, P < .001), daily physical activity (−33%, P = .001), and quality of life (−12%, P = .017). Handgrip strength was similar in both groups. Despite of low compliance in the intervention group, steps per hour were significantly increased after 6 weeks of exergaming (+31%, P = .043); however, all other measures remained unchanged.
Conclusion
Cardiorespiratory fitness, motor competence, and quality of life are reduced in pediatric renal transplant recipients. Home‐based exergaming is not appropriate to improve these items, probably due to a substantially impaired motor competence. However, it provided a stimulus for an increased daily physical activity.</abstract><cop>Denmark</cop><pub>Wiley Subscription Services, Inc</pub><pmid>31880043</pmid><doi>10.1111/petr.13630</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0002-8302-0044</orcidid><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Adolescent Cardiorespiratory fitness Cardiovascular diseases Cardiovascular Diseases - prevention & control Case-Control Studies Child Coordination Cross-Sectional Studies Exercise Exercise Test Exercise Therapy - methods exergames Female Health risk assessment health‐related quality of life Humans Kidney transplantation Kidney Transplantation - rehabilitation Male Motor ability motor coordination Muscle Strength Oxygen consumption Patient Compliance Pediatrics Physical activity Physical fitness Physical Fitness - physiology Postoperative Complications - prevention & control Prospective Studies Quality of Life Questionnaires Video Games Young Adult |
| title | Physical fitness and health‐related quality of life in pediatric renal transplant recipients: An interventional trial with active video gaming |
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