Dietary Fat Intake of Patients With Heart Transplants

A, Romaine; Hunt, Alice E.; Pope, J.; Rhoades, Paula; Tolman, Nancy M.

doi:10.1016/s0002-8223(96)00276-3

Cited by 2 publications

(11 citation statements)

References 8 publications

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“…When excluding each study in turn, pooled mean weight change ranged from 6.04 kg (95% CI, 3.50–8.57 kg) 10 to 8.00 kg (95% CI, 5.46–10.54 kg). 28 When weight change was examined by geographic location, the smallest mean weight increase in the first 12 months after heart transplant was observed in Germany (3.10 kg; 95% CI, –0.39 to 6.59 kg; p = 0.08) 28 and the greatest weight gain occurred in the United States (10.42 kg; 95% CI, 7.60 to 13.24 kg; p < 0.001) 4,10,25,32 (Figure 5A).…”

Section: Resultsmentioning

confidence: 97%

“…Of these 260, we extracted data from 25 articles, of which 19 reported mean or median body weight or BMI at peritransplantation up to 60 months posttransplantation in adult HTRs. [4][5][6][7][10][11][12][25][26][27][28][29][30][31][32][33][34][35][36] Among them, nine studies were excluded (three studies changed their study sample size between time points, 12,30,33 one study did not report SD, 26 one study included overlapping study sample and it did not report SD, 31 one study's sample 36 appeared to be partially overlapped with another study, 28 and three studies included only selected subsamples of HTRs 6,34,35 ) leaving 10 studies eligible for inclusion (Figure 1).…”

Section: Resultsmentioning

confidence: 99%

“…Included studies were published between 1988 and 2015. Four were conducted in the United States, 4,10,25,32 three studies in Europe (two in Germany, 28,29 one in Norway 11 ), two in Australia, 5,27 and one in Brazil 7 (Supplemental Table 3, http://links.lww.com/ASAIO/A704). Six were retrospective 4,5,7,10,25,27 and four were prospective.…”

Section: Resultsmentioning

confidence: 99%

“…Six were retrospective 4,5,7,10,25,27 and four were prospective. 11,28,29,32 Most studies did not state whether participants were first or single transplant recipients. Nine studies measured pretransplantation as the baseline 5,7,10,11,25,27–29,32 and one used time at transplant weight/BMI as baseline.…”

Section: Resultsmentioning

confidence: 99%

“…Seven studies reported weight change in the first 12 months posttransplant. 4,5,7,10,25,28,32 All studies found weight increases and these ranged from 3.10 kg (95% CI, -0.39 to 6.59 kg) 28 to 11.34 kg (95% CI, 4.67 to 18.01 kg). 25 The pooled weighted mean weight change was 7.11 kg (95% CI, 4.44 to 9.79 kg; p < 0.001) with no evidence of heterogeneity (I 2 = 45.6%; p = 0.08) (Figure 4A).…”

Section: Twelve Months Posttransplantationmentioning

confidence: 99%

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Weight Gain After Heart Transplantation in Adults: Systematic Review and Meta-Analysis

Miura

Sivapalan

et al. 2021

ASAIO Journal

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Gain in weight is common after heart transplantation but the magnitude of usual weight gain and whether this varies by country is unknown. We systematically reviewed all relevant studies to quantify weight change among heart transplant recipients (HTRs) in the years after transplantation and assess variation with geographic location. We searched PubMed, Cumulative Index to Nursing and Allied Health Literature, and Excerpta Medica Database databases to September 2020. Eligible studies reported adult HTRs’ mean/median weight and/or body mass index (BMI) up to time of transplantation (baseline) and posttransplantation in any language. Weighted mean differences (WMDs) (95% confidence intervals [CIs]) of weight/BMI from baseline to posttransplantation were estimated using a random-effects model. Ten studies met the inclusion criteria. Pooled analysis showed weight gain of 7.1 kg (95% CI, 4.4–9.8 kg) in HTRs 12 months posttransplant, with corresponding BMI increase of 1.69 kg/m2 (95% CI, 0.83–2.55 kg/m2). Greatest weight gain at 12 months posttransplant occurred in US HTRs (WMD weight 10.42 kg, BMI 3.25 kg/m2) and least, in European HTRs (WMD weight 3.10 kg, BMI 0.78 kg/m2). In conclusion, HTRs gain substantial weight in the years after transplantation, but varying widely by geographic location.

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Section: Resultsmentioning

confidence: 97%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Twelve Months Posttransplantationmentioning

confidence: 99%

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Weight Gain After Heart Transplantation in Adults: Systematic Review and Meta-Analysis

Miura

Sivapalan

et al. 2021

ASAIO Journal

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Association of diet quality and weight increase in adult heart transplant recipients

Miura,

Yu,

Entwistle

et al. 2023

J Human Nutrition Diet

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BackgroundUnderstanding the quality of the diet of heart transplant recipients (HTRs) is essential to developing effective dietary interventions for weight control, but relevant evidence is scarce. We investigated diet quality and its association with post‐transplant increase in weight adjusted for height (body mass index [BMI]) in Australian HTRs.MethodsWe recruited adult HTRs from Queensland's thoracic transplant clinic, 2020–2021. Study participants completed a 3‐day food diary using a smart‐phone app. Socio‐demographic information was collected by self‐administered questionnaire, and height, serial weight and clinical information were obtained from medical records. We calculated the Dietary Approaches to Stop Hypertension (DASH) index based on nine food groups and nutrients (index of 90 indicates highest possible quality), and any changes in BMI (≤ 0 kg m–2 or >0 kg m–2) post‐transplantation. Median DASH index values were assessed in relation to sex and BMI change using Mann–Whitney U test.ResultsAmong 49 consented HTRs, 25 (51%) completed the food diary (median age 48 years, 52% females). Median BMI at enrolment was 27.2 kg m–2; median BMI change since transplant was +3.7 kg m–2. Fruit, vegetable, and whole grain intakes were generally lower than recommended, giving a low overall median DASH index of 30 with no sex differences. HTRs for which the BMI increased post‐transplant had significantly lower median DASH indices than those whose BMI did not increase (30 vs. 45, p = 0.013).ConclusionsThe diet quality of HTRs appears suboptimal overall, with fruit and vegetable intakes especially low. HTRs whose BMI increased post‐transplant had substantially lower quality diets than HTRs whose BMI did not increase.

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Dietary Fat Intake of Patients With Heart Transplants

Cited by 2 publications

References 8 publications

Weight Gain After Heart Transplantation in Adults: Systematic Review and Meta-Analysis

Weight Gain After Heart Transplantation in Adults: Systematic Review and Meta-Analysis

Association of diet quality and weight increase in adult heart transplant recipients

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