Associated Factors to Physical Inactivity of Kidney Transplant Patients: Subproject of ADHERE Brazil Multicenter Study

E. S. Sertorio¹, F. A. Colugnati¹, K. Denhaerynck², S. De Smet³, J. O. Medina⁴, M. M. Reboredo⁵, S. De Geest², H. Sanders-Pinheiro¹, T. ADHERE BRAZIL Study team¹

¹Nephrology, Federal University of Juiz de Fora, Juiz de Fora, Brazil, ²Department of Public Health, Institute of Nursing Science, University of Basel, Basel, Switzerland, ³Transplant Research Group, Department of Microbiology, Immunology and Transplantation, KU Leuven, Leuven, Belgium, ⁴Nephrology, Hsopital do Rim, Federal University of São Paulo, São Paulo, Brazil, ⁵Pneumology, Federal University of Juiz de Fora, Juiz de Fora, Brazil

Meeting: 2022 American Transplant Congress

Abstract number: 17

Keywords: Kidney transplantation, Multicenter studies, Multivariate analysis, Risk factors

Topic: Clinical Science » Kidney » 33 - Kidney Psychosocial

Session Information

Session Name: Kidney Psychosocial

Session Type: Rapid Fire Oral Abstract

Date: Sunday, June 5, 2022

Session Time: 3:30pm-5:00pm

Presentation Time: 4:00pm-4:10pm

Location: Hynes Ballroom A

*Purpose: Even though regular physical activity is a current recommendation for kidney transplant recipients (KTR), results from ADHERE Brazil study revealed a high prevalence of physical inactivity (PInact) (69.1%). The design of strategies for tackling this behavior depends on a broader identification of barriers in this population. We identified multilevel (patient, health professional, transplant center, health care system) factors associated with PInact in KTR.

*Methods: Crossectional and multicenter design, a subproject of ADHERE Brazil study which included 20 kidney transplant centers and 1,105 KT patients (data collection: Dec/15 to Jun/17). Using a multistage sampling method, based on the geographical region (South/Southeast and North/Northeast/Mid-West) and transplant activity of the centers, patients were proportionally and randomly selected. Physical activity was assessed by questionnaire (WHO 2010) to classify KTR as inactive (<150 min/week) or active (>150 min/week). Following Bronfenbrenner´s ecological model, we analyzed multilevel factors associated with PInact by sequential logistic regression.

*Results: We studied 1,105 patients, 58.5% males, with a mean age of 47.6±12.6 years. Obesity was present in 18.7% and 78.6% were unemployed. Factors associated with PInact were, at patient level: familiar income >1 reference wage (OR 0.66; CI 0.48-0.90; p=0.01), student (OR 0.58; CI 0.37-0.92; p=0.019), smoking (OR 2.43; CI 0.97-6.06; p=0.058), obesity (OR 1.79; CI 1.26-2.55; p<0.001), peripheral vascular disease (OR 3.18; CI 1.20-8.42; p=0.021), post-transplant hospitalizations >3 (OR 1.58; CI 1.17-2.13; p=0.003); at center level: physical educator as part of the team (OR 0.54; CI 0.46-0.64; p<0.001), teaching hospital (graduation students) (OR 1.47; CI 1.01-2.13; p=0.041).

*Conclusions: This is the first multicenter study evaluating PInact and associated multilevel factors in Brazilian KTR. Our results suggest we need multilevel strategies for reducing PInact after kidney transplantation.

To cite this abstract in AMA style:

Sertorio ES, Colugnati FA, Denhaerynck K, Smet SDe, Medina JO, Reboredo MM, Geest SDe, Sanders-Pinheiro H. Associated Factors to Physical Inactivity of Kidney Transplant Patients: Subproject of ADHERE Brazil Multicenter Study [abstract]. Am J Transplant. 2022; 22 (suppl 3). https://atcmeetingabstracts.com/abstract/associated-factors-to-physical-inactivity-of-kidney-transplant-patients-subproject-of-adhere-brazil-multicenter-study/. Accessed May 18, 2025.

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