Evidence map›Paper›PMID 40677336›Full record

ArticleKidney international reports2025

Effect of Exercise or Combined Exercise and Diet Intervention on Sleep and Fatigue in Kidney Transplant Recipients.

Tim J Knobbe, Daan Kremer, Monica L van der Meulen, Frederike J Bemelman, Stefan P Berger, Gerjan Navis, Stephan J L Bakker, Eva Corpeleijn, ACTx Collaborators

Registry-linked trialAbstract read
In one paragraph

Article in Kidney international reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01047410 (ACtive Care After Transplantation, a Lifestyle Intervention in Renal Transplant Recipients), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01047410 nacompletednot on this map

ACtive Care After Transplantation, a Lifestyle Intervention in Renal Transplant Recipients

TypeinterventionalSponsorUniversity Medical Center GroningenRan2010 to 2017Enrolled221ConditionsPost-transplant Weight Gain, Kidney Transplant, Metabolic SyndromeArmsExercise intervention, Exercise intervention and dietary advice
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Tim J KnobbeDepartment of Internal Medicine, Division of Nephrology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Daan KremerDepartment of Internal Medicine, Division of Nephrology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Monica L van der MeulenDepartment of Internal Medicine, Division of Nephrology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Frederike J BemelmanDepartment of Internal Medicine, Division of Nephrology, University of Amsterdam, Amsterdam University Medical Center, Amsterdam, The Netherlands.
Stefan P BergerDepartment of Internal Medicine, Division of Nephrology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Gerjan NavisDepartment of Internal Medicine, Division of Nephrology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Stephan J L BakkerDepartment of Internal Medicine, Division of Nephrology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Eva CorpeleijnDepartment of Epidemiology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
ACTx Collaborators

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Physical functioning and diet may be promising targets to improve sleep and reduce fatigue among kidney transplant recipients (KTRs). We investigated whether a lifestyle intervention consisting of exercise or exercise combined with diet improve self-reported sleep and fatigue among KTRs. Methods: A predefined analysis of the Dutch multicenter randomized controlled Active Care after Transplantation (ACT) study (NCT01047410) was performed. Participants were allocated to control, exercise or exercise plus diet. The exercise group received 3 months supervised exercise with 15 months lifestyle coaching. This was supplemented with 15 months dietary counseling for the exercise plus diet group. Sleep and fatigue were assessed using the Kidney Disease Quality of Life-Short Form (KDQOL-SF) and the checklist of individual strength 20 (CIS20). Results: We included 146 KTRs (36% female, mean age: 54 ± 1 yr); 44 received usual care, 57 exercise intervention, and 45 exercise plus diet intervention. Mixed model analyses showed comparable sleep and fatigue trajectories across groups. At 15 months, no effects of the exercise intervention were observed for sleep (-2.5 arbitrary units [AU], 95% confidence interval [CI]: -9.1 to 4.2) and fatigue (-1.4 AU, 95% CI: -7.0 to 4.2). Similarly, at 15 months, no effects of the exercise plus diet intervention were observed for sleep (-1.4 AU, 95% CI: -8.4 to 5.6) and fatigue (-0.2 AU, 95% CI: -6.2 to 5.8). Fatigue improved compared with baseline at all time points ( Conclusion: Although patient-reported fatigue improves in the first year posttransplantation, (severe) fatigue remains highly prevalent and persisting among KTRs. Participation in a lifestyle rehabilitation program is feasible for KTRs with severe fatigue, but it neither improves nor worsens sleep or fatigue.

Indexed as

dietexercisefatiguelifestylephysical activitysleep

Identifiers

PMID40677336
PMCPMC12266161

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.