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[Kidney transplanted child and sport practices]
G Daudet1, J M Dupuis, D Jocteur-Monrozier
1Unité de médecine du sport, service de pédiatrie, pneumologie-allergologie-mucoviscidose , hôpital Debrousse, 29, rue Soeur-Bouvier, 69005 Lyon, France. gilles.daudet@wanadoo.fr
Summary
Kidney transplant recipients show good physical capacity for sports. Most children had normal cardiorespiratory function, allowing safe participation after a thorough evaluation.
Area of Science:
- Pediatric Nephrology
- Sports Medicine
- Transplantation
Background:
- Assessing physical capacity is crucial for kidney transplant recipients.
- Determining sport practice adequacy requires understanding their physiological responses to exercise.
Purpose of the Study:
- To evaluate the physical capacity of pediatric kidney transplant recipients.
- To assess their suitability for regular sports participation.
Main Methods:
- Retrospective study of 32 children transplanted over one year prior.
- Evaluated auxology, respiratory function, cardiovascular parameters (rest/exercise), and aerobic capacity via effort testing.
Main Results:
- Transplanted children were smaller with higher BMI; most had normal breathing and cardiac function.
- Four children required blood pressure medication adjustments post-exercise.
- Maximal aerobic power and oxygen uptake were reduced, particularly in girls.
Conclusions:
- Pediatric kidney transplant recipients demonstrate good physical exercise tolerance.
- They can generally participate in sports, provided a normal effort test and consideration of transplant trauma risks.