Nicholas Bourgeois, Catherine M Tansey, Tania Janaudis-Ferreira
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引用次数: 0
Abstract
Purpose of review: Exercise training programs are an integral part of the management of solid organ transplantation (SOT) candidates and recipients. Despite this, they are not widely available and specific guidelines on exercise parameters for each type of organ are not currently provided. A review of this topic could help clinicians to prescribe appropriate exercise regimens for their patients.
Recent findings: In this narrative review, we discuss the physical impairments of SOT candidates and recipients and how these affect their physical function and transplant outcomes. We examine recent systematic reviews, statements, and randomized controlled trials on exercise training in SOT candidates and recipients and present the current available evidence while providing some practical recommendations for clinicians based on the frequency, intensity, time, and type principle.
Summary: While randomized controlled trials of better methodology quality are needed to strengthen the evidence for the effects of exercise training and for the optimal training characteristics, the available evidence points to beneficial effects of many different types of exercise. The current evidence can provide some guidance for clinicians on the prescription of exercise training for transplant candidates and recipients.
审查目的:运动训练计划是实体器官移植(SOT)候选者和受者管理不可或缺的一部分。尽管如此,运动训练计划并不普及,目前也没有针对每种器官类型的运动参数提供具体指导。对这一主题的综述有助于临床医生为患者制定适当的运动方案:在这篇叙述性综述中,我们讨论了 SOT 候选者和受者的身体缺陷,以及这些缺陷如何影响他们的身体功能和移植结果。我们研究了最近关于 SOT 候选者和受者运动训练的系统综述、声明和随机对照试验,并介绍了当前可用的证据,同时根据频率、强度、时间和类型原则为临床医生提供了一些实用建议。总结:虽然需要方法质量更高的随机对照试验来加强运动训练效果和最佳训练特征的证据,但现有证据表明许多不同类型的运动都有益处。目前的证据可以为临床医生为移植候选者和受者开具运动训练处方提供一些指导。
期刊介绍:
Current Opinion in Organ Transplantation is an indispensable resource featuring key, up-to-date and important advances in the field from around the world. Led by renowned guest editors for each section, every bimonthly issue of Current Opinion in Organ Transplantation delivers a fresh insight into topics such as stem cell transplantation, immunosuppression, tolerance induction and organ preservation and procurement. With 18 sections in total, the journal provides a convenient and thorough review of the field and will be of interest to researchers, surgeons and other healthcare professionals alike.