Can low-fat/cholesterol nutrition counseling improve food intake habits and hyperlipidemia of renal transplant patients?

Hines, Linda M.

doi:10.1016/s1051-2276(00)90020-7

Cited by 16 publications

(2 citation statements)

References 15 publications

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“…Hines was found that serum lipids levels can improve after nutritional counselling and depends from patient's food habits after counselling. Diets high in saturated fatty acids and trans fatty acids increase S-LDL-cholesterol [17].…”

Section: Dietary Fat and Cholesterolmentioning

confidence: 96%

Nutritional research and intensive nutritional counselling of the chronic kidney disease patients after kidney transplantation

Kiisk

Kaarma

Ots-Rosenberg

2015

PoA

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Background: Dietology treatment is the one of the foundation stones in the complex treatment of the chronic kidney disease (CKD) patients together with all other treatments. The dietary intervention plays an important role to determine the effects to a decrease of metabolic abnormalities. Aim: The aim of the long-term study was to monitor nutritional parameters in the post-transplant period. Subjects and methods: We studied 28 clinically stable consecutive nondiabetic kidney transplant patients: 12 males at the age of 42.8 ± 16.1 years, and 16 females at the age of 47.0 ± 14.9 years. Intensive nutritional counselling and dietary consultation by a dietitian were carried out for all the studied patients during one and a half years after the kidney transplantation. Initial data were compared with the results obtained at the end of the study. During the 3-days dietary records analysis and counselling of CKD patients, giving answers to their questions about their food and portion sizes, the dietitian used the standards portion book with many photographs. Results: The consumption of vegetables and fruit was modest compared to Estonian food and nutrition recommendations. The food frequency questionnaire revealed that the patients consumed different foodstuffs at different frequencies, but there was a tendency to excessive consumption of foodstuffs rich in proteins and carbohydrates. To consumption of fat-rich foodstuffs a tendency of decrease was found.

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Section: Dietary Fat and Cholesterolmentioning

confidence: 96%

Nutritional research and intensive nutritional counselling of the chronic kidney disease patients after kidney transplantation

Kiisk

Kaarma

Ots-Rosenberg

2015

PoA

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“…Several studies found beneficial effects of dietary inter-vention on posttransplant hyperlipidemia [48,49], which is improved in patients who achieve weight reduction [49]. However, in cyclosporin-treated patients, dietary interventions are often insufficient to completely normalize cholesterol levels [50,51]. However, apart from its effect on the lipid profile, dietary interventions may prevent excessive weight gain after renal transplantation.…”

Section: Dietary Interventions In Renal Transplant Patientsmentioning

confidence: 99%

Nutritional Considerations in Renal Transplant Patients

2002

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In renal transplant patients, weight gain generally increases after renal transplantation, which will be influenced by improved appetite and a reversal of the uremic state. However, at least in the early posttransplant period, the increase in body weight is mainly due to an increase in body fat mass. This phenomenon may be partly due to relatively high doses of steroids in the early period after renal transplantation, possibly mediated by their inhibiting effect on lipid peroxidation, but also appears to be related to physical inactivity. The increase in body fat mass may contribute to posttransplant hyperlipidemia, which is improved but not completely normalized by dietary intervention. Current dietary recommendations in stable renal transplant patients do not generally differ from those of the general population, although intense dietary counselling may be indicated in patients with excessive posttransplant weight gain. The effect of supervised exercise training on body composition is currently under investigation.

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