ATC Abstracts

American Transplant Congress abstracts

  • Home
  • Meetings Archive
    • 2022 American Transplant Congress
    • 2021 American Transplant Congress
    • 2020 American Transplant Congress
    • 2019 American Transplant Congress
    • 2018 American Transplant Congress
    • 2017 American Transplant Congress
    • 2016 American Transplant Congress
    • 2015 American Transplant Congress
    • 2013 American Transplant Congress
  • Keyword Index
  • Resources
    • 2021 Resources
    • 2016 Resources
      • 2016 Welcome Letter
      • ATC 2016 Program Planning Committees
      • ASTS Council 2015-2016
      • AST Board of Directors 2015-2016
    • 2015 Resources
      • 2015 Welcome Letter
      • ATC 2015 Program Planning Committees
      • ASTS Council 2014-2015
      • AST Board of Directors 2014-2015
      • 2015 Conference Schedule
  • Search

Measurement of Physical Activity and Frailty in the Early Post-Operative Period After Liver Transplant Surgery: Single-Center Pilot Study Using Fitbit Watch

T. Shamaa, L. Allenspach, O. Shamaa, S. Shimada, C. Crombez, O. Hage-Hassan, T. Kitajima, S. Yeddula, I. Bajjoka, K. Collins, M. Rizzari, A. Yoshida, M. Abouljoud, S. Nagai

Henry Ford Transplant Institute, Detroit, MI

Meeting: 2022 American Transplant Congress

Abstract number: 426

Keywords: Liver transplantation, Monitoring, Morbidity, Surgery

Topic: Clinical Science » Liver » 55 - Liver: Recipient Selection

Session Information

Session Name: Recipient Selection

Session Type: Rapid Fire Oral Abstract

Date: Tuesday, June 7, 2022

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

 Presentation Time: 4:50pm-5:00pm

Location: Hynes Room 312

*Purpose: Robust physical activity after liver transplant (LT) is an important determinant of long-term health. Patient and providers assessments of perioperative physical activity do not reliably indicate actual performance. This pilot study aimed to evaluate the utility of a physical activity monitor (PAM) in tracking postoperative biophysical data after LT.

*Methods: 41 adult LT candidates were enrolled since February 2021. LT candidates were excluded if they underwent multi-organ transplant, were intubated, had severe hepatic encephalopathy prior to transplant. Liver Frailty Index (LFI) was performed in the pre-and post-operative period. All patients were provided with a PAM (Fitbit® Inspire 2 watch) and were instructed to wear it continuously for 30-60 postoperative days (POD). Biophysical data obtained from PAM included: daily steps and exercise intensity duration/distance.

*Results: 24 patients with complete frailty and PAM data were included in the final cohort with baseline characteristics described in Table 1. The mean daily steps during the LT admission, POD 1-30 days, and POD 30-60 were 963 steps (Standard Deviation [SD] 877; n=24), 2584 (SD:2052; n=24), and 4477 steps (SD:3437; n=15) respectively (Figure 1). The number of steps during the first 30 days after surgery and POD 30-60 correlated negatively with increasing age (POD 1-30: r -0.57, p=0.003; POD 30-60: r -0.59, p=0.021) and longer hospital length of stay (POD 1-30: r -0.49, p=0.015; POD 30-60: r -0.59, p=0.022). Patients who were “frail” at baseline (per LFI; n=9) had a trend towards lower steps compared to “non-frail” (n=14) patients (Mean steps [SD]: 4408 [1605] vs. 2365 [872] respectively; p=0.08) (Figure 2).

*Conclusions: This is the first study to demonstrate the utility of a PAM for tracking a patient’s physical activity after LT. The post-operative data from the PAM can be used as an objective measure to guide early aggressive physical therapy to allow patients to return to their baseline physical activity.

  • Tweet
  • Click to email a link to a friend (Opens in new window) Email
  • Click to print (Opens in new window) Print

To cite this abstract in AMA style:

Shamaa T, Allenspach L, Shamaa O, Shimada S, Crombez C, Hage-Hassan O, Kitajima T, Yeddula S, Bajjoka I, Collins K, Rizzari M, Yoshida A, Abouljoud M, Nagai S. Measurement of Physical Activity and Frailty in the Early Post-Operative Period After Liver Transplant Surgery: Single-Center Pilot Study Using Fitbit Watch [abstract]. Am J Transplant. 2022; 22 (suppl 3). https://atcmeetingabstracts.com/abstract/measurement-of-physical-activity-and-frailty-in-the-early-post-operative-period-after-liver-transplant-surgery-single-center-pilot-study-using-fitbit-watch/. Accessed May 30, 2025.

« Back to 2022 American Transplant Congress

Visit Our Partner Sites

American Transplant Congress (ATC)

Visit the official site for the American Transplant Congress »

American Journal of Transplantation

The official publication for the American Society of Transplantation (AST) and the American Society of Transplant Surgeons (ASTS) »

American Society of Transplantation (AST)

An organization of more than 3000 professionals dedicated to advancing the field of transplantation. »

American Society of Transplant Surgeons (ASTS)

The society represents approximately 1,800 professionals dedicated to excellence in transplantation surgery. »

Copyright © 2013-2025 by American Society of Transplantation and the American Society of Transplant Surgeons. All rights reserved.

Privacy Policy | Terms of Use | Cookie Preferences