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Factors Affecting Exercise Test Performance in Patients After Liver Transplantation
Katarzyna Kotarska1, Ewa Wunsch2, Lukasz Jodko3
1Department of Physical Culture and Health Promotion, University of Szczecin, Szczecin, Poland.
Lower physical activity and reduced quality of life negatively impact exercise test performance in liver transplant recipients. These factors are crucial for assessing cardiovascular health post-transplantation.
Area of Science:
- Cardiology
- Transplant Medicine
- Rehabilitation Science
Background:
- Cardiovascular diseases pose significant risks for solid organ transplant recipients.
- Low physical activity is a known risk factor for cardiovascular and cerebrovascular events.
Purpose of the Study:
- To investigate the relationship between physical activity, health-related quality of life (HRQoL), cardiovascular disease risk factors, and exercise test outcomes in liver transplant recipients.
- To identify factors influencing exercise capacity and cardiovascular health in this patient population.
Main Methods:
- 107 liver transplant recipients (≥6 months post-transplant) underwent assessment of physical activity (three questionnaires), HRQoL (SF-36), and health behaviors (HBI).
- Standardized exercise testing was performed on all participants.
Main Results:
- A negative exercise test was associated with higher physical activity levels and improved HRQoL (SF-36 domains).
- Older age was linked to positive exercise tests.
- No significant correlations were found between physical activity, exercise test results, and health behaviors (HBI).
Conclusions:
- Exercise test performance in liver transplant recipients is influenced by reduced quality of life and lower physical activity.
- Hypertension was the only traditional coronary artery disease risk factor that impacted exercise test results.
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