Timeline for Resuming Physical Activlties After Renal Transplantation: A Mid West Pediatric Nephrology Consortium Study
Baddi P, Patel H, Janjua H, Kim DY, and Jajn A. Timeline for Resuming Physical Activlties After Renal Transplantation: A Mid West Pediatric Nephrology Consortium Study. Am J Transplant 2019; 19:980.
Am J Transplant
Purpose: To assess the practice patterns of the timeline for safely resuming various physical activities after pediatric kidney transplant. Methods: An anonymous web-based survey was distributed via email to members of the Midwest Pediatric Nephrology Consortium. Questions included 55 different activities grouped in order of increasing intensity. Respondents had to select a time-period post kidney transplant when the patient could safely start participating in each of the activities (Table). Results: Results of 73 respondents from 34 centers were analyzed. 68 (93%) were practicing pediatric nephrologists and 5 (7%) were transplant coordinators. 58 (79%) had > 5 years experience of caring of children with kidney transplant. Walking (90%) and climbing stairs (70%) were approved activity in the first post transplant month. The activities reported to be safe starting 1-3 months post transplant period were: going to school (71%), jogging (69%), attendsocial gatherings (640/0), hiking (59%), visit movie theaters (53%), swimming (53%), golf (53%) and bicycle riding (520/c), For 33 other activities, a clear majority (more than SO"/,) was not reported in any of the timeline categories. 68%reported that tackle or competitive football was never safe, whereas 73% reported boxing to be an unsafe sport for renal transplant patients. According to 63 (86%) respondents, the primaty concern for limiting a particular physical activity was trauma to the allograft. 53 (73%) recommended use ofakidney guard during activities or sports with increased risk oftrauma. 42(57. 5%) responded that presence of urinary stoma does not change their recommendation. Conclusions: There is lack of consensus on the timeline for safely resuming physical activities after a renal transplant and practice patterns differ based on comfort level of the clinician. Further studies are required to establish clinical practice guidelines.