Prevalence and determinants of physical activity and fluid intake in kidney transplant recipients

Elisa J. Gordon*, Thomas R. Prohaska, Mary P. Gallant, Ashwini R. Sehgal, David Strogatz, David Conti, Laura A. Siminoff

*Corresponding author for this work

Research output: Contribution to journalArticle

23 Scopus citations

Abstract

and significance: Self-care for kidney transplantation is recommended to maintain kidney function. Little is known about levels of self-care practices and demographic, psychosocial, and health-related correlates. Aim: To investigate patients' self-reported exercise and fluid intake, demographic and psychosocial factors associated with these self-care practices, and health-related quality of life. Methods: Eighty-eight of 158 kidney recipients from two academic medical centers completed a semi-structured interview and surveys 2 months post-transplant. Results: Most patients were sedentary (76%) with a quarter exercising either regularly (11%) or not at current recommendations (13%). One-third (35%) reported drinking the recommended 3 L of fluid daily. Multivariate analyses indicated that private insurance, high self-efficacy, and better physical functioning were significantly associated with engaging in physical activity (p < 0.05); while male gender, private insurance, high self-efficacy, and not attributing oneself responsible for transplant success were significant predictors of adherence to fluid intake (p < 0.05). Despite the significance of these predictors, models for physical activity and fluid intake explained 10-15% of the overall variance in these behaviors. Multivariate analyses indicated that younger age, high value of exercise, and higher social functioning significantly (p < 0.05) predicted high self-efficacy for physical activity, while being married significantly (p < 0.05) predicted high self-efficacy for fluid intake. Conclusion: Identifying patients at risk of inadequate self-care practice is essential for educating patients about the importance of self-care.

Original languageEnglish (US)
Pages (from-to)E69-E81
JournalClinical Transplantation
Volume24
Issue number3
DOIs
StatePublished - May 2010

Keywords

  • Exercise
  • Health-related quality of life
  • Kidney transplantation
  • Oral rehydration
  • Physical activity
  • Self-care
  • Self-efficacy
  • Self-management
  • Self-regulation theory

ASJC Scopus subject areas

  • Transplantation

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