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Journal of Nephrology

, Volume 31, Issue 4, pp 613–620 | Cite as

Assessment of physical performance and body composition in male renal transplant patients

  • Andrea Petronio Rossi
  • Gianluigi Zaza
  • Marina Zanardo
  • Francesco Pedelini
  • Laura Dalla Verde
  • Chiara Caletti
  • Alessia D’Introno
  • Antonio Lupo
  • Mauro Zamboni
Original Article

Abstract

Background

Renal transplant (RTX) recipients seem to experience a better quality of life compared to dialysis patients. However, the factors responsible for this positive effect are not completely defined. Conceivably, a change in the physical performance of these patients could play a role.

Methods

To assess this, we measured: (1) waist circumference, fat mass and appendicular fat-free mass (aFFM) by dual-energy X-ray densitometry, (2) physical performance with the Short Physical Performance Battery, and (3) muscle strength with the handgrip test, in 59 male RTX, 11 chronic kidney disease in conservative treatment (CKD) and 10 peritoneal dialysis (PD) patients.

Results

Surprisingly, anthropometric characteristics and body composition were similar among the three groups. However, despite a low aFFM, muscle strength was higher in stable RTX recipients > 5 years after transplantation than in dialyzed patients. Instead, CKD (wait-listed for RTX) had similar muscle strength to RTX patients. Waist circumference in RTX recipients showed a redistribution of body fat with increased central adipose tissue allocation compared to PD. At linear regression analysis, age, weight, height, aFFM, hemoglobin and transplant age were independent predictors of handgrip strength, explaining about 37% of the variance. Age and transplant age accounted for 18 and 12% of variance, respectively.

Conclusions

Our study demonstrates, for the first time, that clinically stable RTX recipients have greater muscle strength than dialyzed patients and suggests that the handgrip test could be an effective and easy-to-perform tool to assess changes in physical performance in this large patient population.

Keywords

Renal transplantation Physical performance Body composition Chronic kidney disease Handgrip strength 

Notes

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Informed consent

Informed consent was obtained from all individual participants included in the study.

Research involving human participants and/or animals

All procedures were in accordance with the ethical standards of the institutional and 1964 Helsinki declaration.

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Copyright information

© Italian Society of Nephrology 2018

Authors and Affiliations

  • Andrea Petronio Rossi
    • 1
  • Gianluigi Zaza
    • 2
    • 4
  • Marina Zanardo
    • 1
  • Francesco Pedelini
    • 1
  • Laura Dalla Verde
    • 1
  • Chiara Caletti
    • 2
  • Alessia D’Introno
    • 3
  • Antonio Lupo
    • 2
  • Mauro Zamboni
    • 1
  1. 1.Division of Geriatrics, Department of MedicineUniversity of VeronaVeronaItaly
  2. 2.Renal Unit, Department of MedicineUniversity of VeronaVeronaItaly
  3. 3.Division of Geriatrics, Department of MedicineUniversity of BariBariItaly
  4. 4.Renal Unit, Department of MedicineUniversity of VeronaVeronaItaly

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