Nutritional management of kidney transplantation

Chan, Maria; Chadban, Steven J.

doi:10.1016/b978-0-12-818540-7.00004-5

Cited by 1 publication

(1 citation statement)

References 146 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The multifactorial etiology of CV risk-weight change, immunosuppression, and post-transplant diabetes mellitus are known to be classic risk factors in the KTRs [ 2 , 3 , 4 ]. In addition, changes in nutritional status, which carries the risk of sarcopenia, malnutrition, and obesity exacerbated by post-transplant weight gain, as well as the side effects of polypharmacy in this population, are associated with worse outcomes [ 5 , 6 ]. Recent studies have found a nonclassical predictor of worse outcomes in this population—advanced glycation end products (AGE)—which have been associated with CV risk, renal graft failure [ 7 , 8 ], and accelerated arteriosclerosis [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

Associations between Advanced Glycation End Products, Body Composition and Mediterranean Diet Adherence in Kidney Transplant Recipients

Radić

Vučković

Gelemanović

et al. 2022

IJERPH

View full text Add to dashboard Cite

There is limited evidence on the associations between dietary patterns, body composition, and nonclassical predictors of worse outcomes such as advanced glycation end products (AGE) in kidney transplant recipients (KTRs). The aim of this cross-sectional study was to determine the level of AGE-determined cardiovascular (CV) risk in Dalmatian KTRs and possible associations between AGE, adherence to the Mediterranean diet (MeDi), and nutritional status. Eighty-five (85) KTRs were enrolled in this study. For each study participant, data were collected on the level of AGE, as measured by skin autofluorescence (SAF), Mediterranean Diet Serving Score (MDSS), body mass composition, anthropometric parameters, and clinical and laboratory parameters. Only 11.76% of the participants were adherent to the MeDi. Sixty-nine percent (69%) of KTRs had severe CV risk based on AGE, while 31% of KTRs had mild to moderate CV risk. The results of the LASSO regression analysis showed that age, dialysis type, dialysis vintage, presence of CV and chronic kidney disease, C- reactive protein level, urate level, percentage of muscle mass, and adherence to recommendations for nuts, meat, and sweets were identified as positive predictors of AGE. The negative predictors for AGE were calcium, phosphate, cereal adherence according to the MeDi, and trunk fat mass. These results demonstrate extremely low adherence to the MeDi and high AGE levels related CV risk in Dalmatian KTRs. Lifestyle interventions in terms of CV risk management and adherence to the MeDi of KTRs should be taken into consideration when taking care of this patient population.

show abstract