{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T18:19:52Z","timestamp":1787681992804,"version":"build-2784847793"},"reference-count":17,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T00:00:00Z","timestamp":1786320000000},"content-version":"vor","delay-in-days":9,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Transplantation"],"published-print":{"date-parts":[[2026,8]]},"abstract":"ABSTRACT<\/jats:title>\n \n Background<\/jats:title>\n Regular physical activity (PA) improves clinical outcomes and quality of life after solid organ transplantation, yet many recipients remain inactive during early recovery. Health literacy (HL) may influence posttransplant health behaviors.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n In this prospective observational study, consecutive adult kidney, liver, and lung transplant recipients at the Centre hospitalier de l'Universit\u00e9 de Montr\u00e9al (CHUM) between March 1 and December 1, 2023 were assessed approximately two months after discharge. Functional HL was measured using the Short Test of Functional Health Literacy in Adults (S\u2010TOFHLA). Weekly moderate to vigorous PA was assessed using face\u2010to\u2010face interview during outpatient visits and categorized according to World Health Organization recommendations (<150\u00a0vs. \u2265150 min\/week). Multivariable logistic regression evaluated the association between HL and PA, adjusting for age, sex, body mass index, history of depression and\/or current antidepressant treatment, education level, and transplant type.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Eighty\u2010five recipients were included; Thirty\u2010two patients were not eligible for inclusion (language barrier, re\u2010transplantation, refusal, or death). Thirty\u2010nine participants (45.8%) met recommended PA levels. Higher HL was independently associated with achieving PA recommendations (OR per 1\u2010point increase: 1.09; 95% CI 1.02\u20131.17;\n p<\/jats:italic>\n = 0.01). PA engagement was not associated with age, sex, education level, history of depression and\/or current antidepressant treatment, or transplant type.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Nearly half of recipients achieved guideline\u2010recommended PA approximately two months after transplantation, indicating that meaningful activity is feasible during early recovery. Higher functional HL was independently associated with PA engagement, supporting the integration of literacy\u2010sensitive approaches into posttransplant rehabilitation.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/ctr.70623","type":"journal-article","created":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T12:21:11Z","timestamp":1786364471000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Health Literacy and Early Physical Activity After Solid Organ Transplantation: A Prospective Observational Study"],"prefix":"10.1111","volume":"40","author":[{"given":"Astrid","family":"Bacle","sequence":"first","affiliation":[{"name":"Univ Rennes CHU Rennes EHESP Irset (Institut De Recherche en Sant\u00e9, Environnement et Travail)\u2010UMR_S 1085 Inserm Rennes France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elouan","family":"Demay","sequence":"additional","affiliation":[{"name":"Univ Rennes CHU Rennes EHESP Irset (Institut De Recherche en Sant\u00e9, Environnement et Travail)\u2010UMR_S 1085 Inserm Rennes France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pauline","family":"Blanc\u2010Petitjean","sequence":"additional","affiliation":[{"name":"Univ Rennes CHU Rennes EHESP Irset (Institut De Recherche en Sant\u00e9, Environnement et Travail)\u2010UMR_S 1085 Inserm Rennes France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Pelletier","sequence":"additional","affiliation":[{"name":"Department of Pharmacy Centre Hospitalier de L'universit\u00e9 De Montr\u00e9al Montr\u00e9al Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,10]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/TP.0000000000001651"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.transproceed.2020.03.015"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/heapro\/15.3.259"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-12-80"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-155-2-201107190-00005"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/jorc.12314"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1123\/jpah.2020-0161"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/lt.25742"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0162725"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0738-3991(98)00116-5"},{"key":"e_1_2_11_12_1","first-page":"391","article-title":"Rapid Estimate of Adult Literacy in Medicine: A Shortened Screening Instrument","volume":"25","author":"Davis T. C.","year":"1993","journal-title":"Family Medicine"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/2050312118801250"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-030-89289-0_5"},{"key":"e_1_2_11_15_1","unstructured":"World Health Organization.Physical Activity.2024."},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1249\/01.MSS.0000078924.61453.FB"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40273-019-00876-4"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/TP.0000000000000901"}],"container-title":["Clinical Transplantation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ctr.70623","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ctr.70623","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ctr.70623","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T17:31:34Z","timestamp":1787679094000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ctr.70623"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8]]},"references-count":17,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2026,8]]}},"alternative-id":["10.1111\/ctr.70623"],"URL":"https:\/\/doi.org\/10.1111\/ctr.70623","archive":["Portico"],"relation":{},"ISSN":["0902-0063","1399-0012"],"issn-type":[{"value":"0902-0063","type":"print"},{"value":"1399-0012","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8]]},"assertion":[{"value":"2026-02-27","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-08","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-10","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70623"}}