Recent Advances in TransplantationKidney transplantationWalking, Sedentary Time and Health-Related Quality Life Among Kidney Transplant Recipients: An Exploratory Study

- For kidney transplant recipients, greater participation in walking, overall physical activity, and lower engagement in sedentary activity, was associated with better HRQoL.
- We have demonstrated an association between objective walking behavior and self-reported MVPA with physical functioning. Additionally, sedentary behavior was associated with mental functioning.
- To our knowledge, this is the first study to examine associations between pedometer derived daily steps and HRQoL within a sample of kidney transplant recipients. It extends on previous research by using objective assessments as opposed to self-report.

ObjectivesThe primary objectives of this study were to: 1) establish walking and physical activity prevalence and sedentary time estimates; and 2) determine associations of health-related quality of life (HRQoL) with objectively assessed walking, self-reported physical activity, and sedentary time among kidney transplant recipients.MethodsUsing a cross-sectional design, kidney transplant recipients received a survey package containing measures of sedentary time, moderate-to-vigorous physical activity, and HRQoL, and a step pedometer.ResultsThirty-two participants returned a completed survey, for a response rate of 82% (32 of 39 interested participants). The average steps per day were 9752 steps (SD = 3685) and 59% achieved public health guidelines of at least 150 minutes of moderate-to-vigorous physical activity per week. Total sedentary time during the week was 11.6 h/d whereas total sedentary time during the weekend was 8.9 h/d. Compared to those not achieving at least 10,000 steps/d, respondents who were achieving at least 10,000 steps/d had a significantly higher physical component score for HRQoL (Mdiff = 7.8, P = .018). Similar patterns emerged for meeting physical activity guidelines and sedentary time.ConclusionFor kidney transplant recipients, greater participation in walking, overall physical activity, and lower engagement in sedentary activity, was associated with better HRQoL.