Nutrition Trends in Patients Over the Long Term After Kidney Transplantation

Kluch, Małgorzata; Kurnatowska, Ilona; Matera, Katarzyna; Łokieć, Katarzyna; Puzio, Tomasz; Czkwianianc, Elżbieta; Grzelak, Piotr

doi:10.1016/j.transproceed.2019.12.055

Cited by 9 publications

(4 citation statements)

References 46 publications

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“…The patients ingested excessive food with a high energy density, especially with large amounts of saturated fatty acids. The authors speculate that the rigorous dietary habits followed by these patients while they had kidney disease were lost after KT [54].…”

Section: Nutritional Behaviormentioning

confidence: 99%

The Impact and Effectiveness of Weight Loss on Kidney Transplant Outcomes: A Narrative Review

et al. 2023

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Obesity is a worldwide epidemic that leads to several non-communicable illnesses, including chronic kidney disease (CKD). Diet and lifestyle modifications have shown a limited impact in the treatment of obesity. Because the group of end-stage renal disease (ESRD) patients examined in this study had limited access to kidney transplantation (KT), patients with obesity were thought to be at an increased risk of intraoperative and postoperative KT complications. Although bariatric surgery (BS) is now recognized as the gold standard treatment for morbid obesity, its role in ESRD or kidney transplant patients remains unknown. It is critical to know the correlation between weight loss and complications before and after KT, the impact of the overall graft, and patients’ survival. Hence, this narrative review aims to present updated reports addressing when to perform surgery (before or after a KT), which surgical procedure to perform, and again, if strategies to avoid weight regain must be specific for these patients. It also analyzes the metabolic alterations produced by BS and studies its cost-effectiveness pre- and post-transplantation. Due to the better outcomes found in KT recipients, the authors consider it more convenient to perform BS before KT. However, more multicenter trials are required to provide a solid foundation for these recommendations in ERSD patients with obesity.

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Section: Nutritional Behaviormentioning

confidence: 99%

The Impact and Effectiveness of Weight Loss on Kidney Transplant Outcomes: A Narrative Review

et al. 2023

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“…Moreover, saturated fatty acids accounted for over half of their total fat intake. KTx recipients exceeded the general population recommendations of protein, cholesterol, sugar, phosphorus, and sodium, while consuming insufficient amounts of fiber, potassium, and magnesium [ 73 ]. Another research group linked nutritional patterns and the associated changes in body composition to gender, steroid doses, delayed graft function, and the occurrence of acute rejection.…”

Section: Macronutrients: Recommendations For Ktxmentioning

confidence: 99%

Nutrition Disturbances and Metabolic Complications in Kidney Transplant Recipients: Etiology, Methods of Assessment and Prevention—A Review

Górska

Kurnatowska

2022

Nutrients

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Nutrition disturbances occur at all stages of chronic kidney disease and progress with the decrease of the kidney filtration rate. Kidney transplantation (KTx) as the best form of kidney replacement therapy poses various nutritional challenges. Prior to transplantation, recipients often present with mild to advanced nutrition disturbances. A functioning allograft not only relieves uremia, acidosis, and electrolyte disturbances, but also resumes other kidney functions such as erythropoietin production and vitamin D3 metabolism. KTx recipients represent a whole spectrum of undernutrition and obesity. Since following transplantation, patients are relieved of most dietary restrictions and appetite disturbances; they resume old nutrition habits that result in weight gain. The immunosuppressive regimen often predisposes them to dyslipidemia, glucose intolerance, and hypertension. Moreover, most recipients present with chronic kidney graft disease at long-term follow-ups, usually in stages G2–G3T. Therefore, the nutritional status of KTx patients requires careful monitoring. Appropriate dietary and lifestyle habits prevent nutrition disturbances and may improve kidney graft function. Despite many nutritional guidelines and recommendations targeted at chronic kidney disease, there are few targeted at KTx recipients. We aimed to provide a brief review of nutrition disturbances and known nutritional recommendations for kidney transplant recipients based on the current literature and dietary trends.

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“…Especially after transplantation, the nutritional behavior of patients can be negatively affected in the long term. Generally, increases in protein, saturated fat, sugar, and salt intake occurred[ 4 ]. Post-transplantation obesity increases the risk of graft failure and mortality[ 1 ].…”

Section: Introductionmentioning

confidence: 99%

Medical nutritional therapy for renal transplantation in the COVID-19 pandemic

Akbulut

Gencer-Bingol

2021

WJT

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Nutritional therapy is very important at renal transplantation. Nutrition has become more vital for transplantation patients owing to the coronavirus disease 2019 (COVID-19) pandemic. Inadequate nutrition can negatively affect the immune system. For this reason, adequate protein and energy intake should be provided to the patients. Also, overconsumption of saturated fat, sugar, and refined carbohydrates can both negatively affect the immune system and trigger chronic diseases in transplantation patients. In addition, vitamins and minerals should be monitored and inadequacy should be prevented due to immunomodulatory effects. Applying nutritional therapy suitable for the symptoms of renal transplantation patients and preventing comorbidities may reduce the risk and severity of COVID-19 infection.

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Nutrition Trends in Patients Over the Long Term After Kidney Transplantation

Cited by 9 publications

References 46 publications

The Impact and Effectiveness of Weight Loss on Kidney Transplant Outcomes: A Narrative Review

The Impact and Effectiveness of Weight Loss on Kidney Transplant Outcomes: A Narrative Review

Nutrition Disturbances and Metabolic Complications in Kidney Transplant Recipients: Etiology, Methods of Assessment and Prevention—A Review

Medical nutritional therapy for renal transplantation in the COVID-19 pandemic

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