Exercise capacity and physical fitness in pediatric dialysis and kidney transplant patients.

Exercise capacity and physical fitness in pediatric dialysis and kidney transplant patients. Research Abstract Details 

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Exercise capacity and physical fitness in pediatric dialysis and kidney transplant patients. Abstract Text:

Patricia Painter,Joanne Krasnoff,Robert Mathias,

Studies of exercise capacity in children with chronic kidney disease (CKD) are limited. We tested 25 pediatric kidney transplant (TX) recipients and 15 pediatric dialysis (DX) patients. Nine children in the DX group received kidney transplants and were retested 3 months following surgery (pre/post). Testing involved treadmill testing with measurement of peak oxygen uptake (VO(2peak)), muscle strength, body composition (percent fat), and "field" tests of physical fitness using the FITNESSGRAM, which included the PACER test. Values obtained were compared with gender- and age-based criterion-referenced standards [healthy fitness zone (HFZ)]. The previous day physical activity recall (PDPAR) was used to assess physical activity participation. There were no differences between TX and DX subjects for VO(2peak) and muscle strength measurements, and all values were below the normative values. The TX group achieved significantly higher PACER scores, but only one TX and no DX subjects achieved the HFZ for the PACER test. No improvement in any measures were observed from pre- to post-TX in the nine subjects tested, except for a significant increase in percent fat, which negatively affected the change in muscle strength and VO(2peak). All subjects were physically inactive, with less than 10% of nonschool time being physical activity participation. Pediatric patients with CKD had low exercise capacity, were physically inactive, and gained significant fat weight following TX. Counseling and encouragement for more physical activity is warranted as a part of routine medical care in these children.

Exercise capacity and physical fitness in pediatric dialysis and kidney transplant patients. Publishing Authors By Initials

P Painter,J Krasnoff,R Mathias,

For similar surgical procedures, operative: postoperative period research abstracts see: surgical procedures, operative: postoperative period research

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Exercise capacity and physical fitness in pediatric dialysis and kidney transplant patients. Journal Published:

PUBLICATION TYPE: Research Support, Non-U.S. Gov

Journal: Pediatric nephrology (Berlin, Germany)

VOLUME: 22

Page Numbers: 1030-9

Journal Abbreviation: Pediatr. Nephrol.

ISSN: 0931-041X

DAY: 20

MONTH: 03

YEAR: 2007

Exercise capacity and physical fitness in pediatric dialysis and kidney transplant patients. Information

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LANGUAGE: eng

NlmUniqueID: 8708728

Exercise capacity and physical fitness in pediatric dialysis and kidney transplant patients. Keywords Mesh Terms:

KEYWORDS: Postoperative Period

MESH TERMS: physiology

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Grant and Affiliation Information for Exercise capacity and physical fitness in pediatric dialysis and kidney transplant patients.

AFFILIATION: Department of Medicine, Division of Renal Diseases, University of Minnesota, MMC 736 Room 14-136 PWB, 516 Delaware St SE, Minneapolis, MN, 55455, USA. tpainter@umn.edu

Country: Germany

AGENCY: United States NCRR

GRANT: M01 RR-0079

ACRONYM: RR

MEDLINETA: Pediatr Nephrol

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