Promotion of Pre- and Post-Transplant Physical Exercise in the Emilia-Romagna Region: The Network of the Program "Transplantation, Physical Activity, and Sport".


Journal

Transplantation proceedings
ISSN: 1873-2623
Titre abrégé: Transplant Proc
Pays: United States
ID NLM: 0243532

Informations de publication

Date de publication:
Nov 2019
Historique:
received: 05 02 2019
accepted: 17 02 2019
pubmed: 14 10 2019
medline: 28 1 2020
entrez: 14 10 2019
Statut: ppublish

Résumé

Following the positive experience of the national project "A transplant...and now it's time for sport," the Transplant Reference Center of the Emilia-Romagna Region has pursued the promotion of pre- and post-transplant physical exercise by developing a network. The path involved the transplant centers and operative units (UU.OO) who wanted to target transplant and waiting list patients, who are clinically stable, to perform personalized exercise through a program (supervised or not) prescribed by a specialist in sports medicine. With the collaboration of the Collective Prevention and Public Health Service, the network was established, consisting of the sports medicine centers and the gyms that promote health for adapted physical activity (PS-AMA). To implement the network, training courses for all the professionals involved (doctors, nurses, exercise specialists) and operational meetings in the transplant centers-nephrology units with patients' associations have been organized. To date, there are 14 transplant centers and UU.OO, 9 sports medicine centers, and 45 PS-AMA involved in this network. Seven training courses were organized with the participation of 193 health professionals. Since January 2016, there have been 65 transplanted patients and 5 patients on the waiting list who practice the prescribed exercise. Of these, 45 carry out supervised exercise in PS-AMA; 25 perform autonomous exercise. Each patient is monitored every 6 months. No problems related to the exercise performance were recorded. The development of a network of professionals and associations is the key element to raise awareness of physical activity among transplanted and waiting-for-transplant patients, reducing the pathologies associated with a sedentary lifestyle.

Sections du résumé

BACKGROUND BACKGROUND
Following the positive experience of the national project "A transplant...and now it's time for sport," the Transplant Reference Center of the Emilia-Romagna Region has pursued the promotion of pre- and post-transplant physical exercise by developing a network.
METHODS METHODS
The path involved the transplant centers and operative units (UU.OO) who wanted to target transplant and waiting list patients, who are clinically stable, to perform personalized exercise through a program (supervised or not) prescribed by a specialist in sports medicine. With the collaboration of the Collective Prevention and Public Health Service, the network was established, consisting of the sports medicine centers and the gyms that promote health for adapted physical activity (PS-AMA). To implement the network, training courses for all the professionals involved (doctors, nurses, exercise specialists) and operational meetings in the transplant centers-nephrology units with patients' associations have been organized.
RESULTS RESULTS
To date, there are 14 transplant centers and UU.OO, 9 sports medicine centers, and 45 PS-AMA involved in this network. Seven training courses were organized with the participation of 193 health professionals. Since January 2016, there have been 65 transplanted patients and 5 patients on the waiting list who practice the prescribed exercise. Of these, 45 carry out supervised exercise in PS-AMA; 25 perform autonomous exercise. Each patient is monitored every 6 months. No problems related to the exercise performance were recorded.
CONCLUSIONS CONCLUSIONS
The development of a network of professionals and associations is the key element to raise awareness of physical activity among transplanted and waiting-for-transplant patients, reducing the pathologies associated with a sedentary lifestyle.

Identifiants

pubmed: 31606183
pii: S0041-1345(19)30204-0
doi: 10.1016/j.transproceed.2019.02.074
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

2902-2905

Informations de copyright

Copyright © 2019 Elsevier Inc. All rights reserved.

Auteurs

Valentina Totti (V)

Department of Biomedical & Neuromotor Sciences, University of Bologna, Italy; Associazione Nazionale Emodializzati, Dialisi e Trapianto, Milano, Italy.

Tiziana Campione (T)

Transplants Reference Center of the Emilia-Romagna Region, Bologna, Italy.

Giovanni Mosconi (G)

Nephrology and Dialysis, Morgagni-Pierantoni Hospital, Forlì, Italy.

Mariarosa Tamè (M)

Department of Gastrointestinal Diseases, Gastroenterology Division, Sant'Orsola-Malpighi University-Hospital, Bologna, Italy.

Paola Todeschini (P)

Department of Nephrology and Dialysis, Sant'Orsola-Malpighi University-Hospital, Bologna, Italy.

Gianluigi Sella (G)

Sports Medicine Unit, Regional Hospital of Ravenna, Italy.

Giulio Sergio Roi (GS)

Isokinetic Medical Group, Education and Research Department, Bologna, Italy.

Alessandra Spazzoli (A)

Nephrology and Dialysis, Morgagni-Pierantoni Hospital, Forlì, Italy.

Maria Laura Angelini (ML)

Nephrology and Dialysis, Morgagni-Pierantoni Hospital, Forlì, Italy.

Gabriela Sangiorgi (G)

Transplants Reference Center of the Emilia-Romagna Region, Bologna, Italy.

Adriana Giannini (A)

Collective Prevention and Public Health Service of Emilia-Romagna Region, Bologna, Italy.

Lia Bellis (L)

Italian National Transplant Center, Rome, Italy.

Alessandro Nanni Costa (A)

Italian National Transplant Center, Rome, Italy. Electronic address: lia.bellis@iss.it.

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