Abstract
Background
Kidney transplantation is a critical treatment for end-stage renal disease (ESRD), with health-promoting lifestyle (HPL) significantly impacting patient outcomes. HPL involves behaviors like regular exercise, balanced nutrition, stress management, and habit modification. However, few studies have analyzed the HPL of renal transplant recipients, addressing a significant gap in current research.
Objective
This study aimed to determine the predictors of HPL in renal transplant recipients using the Chinese Health Promoting Lifestyle Profile (HPLP).
Methods
This cross-sectional study enrolled renal transplant recipients completing the revised Chinese HPLP at organ transplant center in a tertiary hospital in Hunan Province of China between May 2022 and July 2022.
Results
A total of 450 patients were included, comprising 256 males (56.9%), with a mean age of 44.85 ± 10.57 years. The mean score of self-actualization, health responsibility, interpersonal support, physical activity, stress management, nutrition, and overall HPLP were 15.27 ± 5.03 (possible range: 0–24), 11.41 ± 4.18 (possible range: 0–24), 11.61 ± 3.13 (possible range: 0–18), 7.53 ± 3.79 (possible range: 0–18), 12.68 ± 3.61 (possible range: 0–21), 11.17 ± 2.41 (possible range: 0–15), and 69.66 ± 16.98 (possible range: 0–120), respectively. Multivariate logistic regression analysis showed that urban residence (OR = 2.061, 95% CI: 1.350–3.148, P = 0.001), non-smoking after transplantation (OR = 2.010, 95% CI: 1.123–3.600, P = 0.019) and two post-transplant complications (OR=0.387, 95% CI: 0.218–0.689, P = 0.001).
Conclusion
Although renal transplant recipients exhibit a moderate level of HPL, targeted interventions are essential to improve these behaviors. These interventions should focus especially on individuals from rural households, post-transplant smokers, and those experiencing post-transplant complications, to enhance their quality of life and clinical outcomes.
Data Sharing Statement
Data were available from the corresponding author upon reasonable request.
Ethics Approval and Consent to Participate
This study was approved by the Institutional Review Board of Xiangya Hospital, Central South University (registration number: 2021101000). All kidneys were donated voluntarily with written informed consent, and that this was conducted in accordance with the Declaration of Istanbul.Citation35 All the procedures were followed in accordance with the Declaration of Helsinki.Citation36 Each participant was informed of the purpose of the study and signed a written informed consent.
Acknowledgments
We are grateful to all the staff involved in the data collection. We also appreciate the linguistic editing of our manuscript by B. Meiser and J. Jones.
Author Contributions
All authors made a significant contribution to the work reported, whether that is in the conception, study design, execution, acquisition of data, analysis and interpretation, or in all these areas; took part in drafting, revising or critically reviewing the article; gave final approval of the version to be published; have agreed on the journal to which the article has been submitted; and agree to be accountable for all aspects of the work.
Disclosure
The authors declare that they have no competing interest in this work.