Dietary Nutrients and Cardiovascular Risk Factors among Renal Transplant Recipients

Lin, I-Hsin; Duong, Tuyen Van; Wong, Te-Chih; Nien, Shih-Wei; Tseng, I-Hsin; Chiang, Yi‐Hsuan; Wang, Hsu-Han; Yang, Shumei

doi:10.3390/ijerph18168448

Cited by 4 publications

(4 citation statements)

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“…In kidney transplant recipients in the USA for example, diet quality before transplantation, at 3 months and at 12 months post‐transplantation was low at all time points, and body weight increased during the same period 11 . Other studies of kidney transplant recipients' diets and body weight have reported similar findings 12,13 …”

Section: Introductionmentioning

confidence: 64%

“…11 Other studies of kidney transplant recipients' diets and body weight have reported similar findings. 12,13 Understanding the dietary habits of contemporary HTRs is essential for the conduct of effective dietary interventions to control weight and slow progression of other metabolic dysfunctions. We therefore aimed to assess dietary intake and diet quality, as well as to explore any association between diet quality and increase in post-transplant weight adjusted for height, termed body mass index (BMI), among adult HTRs in the Australian state of Queensland.…”

Section: Introductionmentioning

confidence: 99%

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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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Section: Introductionmentioning

confidence: 64%

Section: Introductionmentioning

confidence: 99%

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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“…Dietary food and nutrient intakes were calculated using nutrition analysis software (CofitPro version 1.0.0. Cofit HealthCare Inc., Taipei, Taiwan), according to Taiwan’s Ministry of Health and Welfare Food and Drug Administration database as described previously ( 19 ).…”

Section: Methodsmentioning

confidence: 99%

Dietary quality indices and recurrent chronic kidney disease in Taiwanese post-renal transplant recipients

Lin

Wong²,

Duong³

et al. 2023

Front. Nutr.

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BackgroundThis study investigated the association between dietary quality indices and recurrent chronic kidney disease (rCKD) in Taiwanese post-renal transplant recipients (RTRs).MethodsThis prospective study recruited RTRs aged >18 years with a functioning allograft and without any acute rejection in the past 3 months from September 2016 to June 2018. Dietary quality indices included the Alternative Healthy Eating Index (AHEI) and AHEI-2010, and the Taiwanese version of the AHEI (AHEI-Taiwan) was calculated using 3-day dietary records, and calculated scores were divided into quartiles. Laboratory data were collected from medical records. rCKD was defined as an estimated glomerular filtration rate (eGFR) of <60 mL/min/1.73 m2. Logistic regression analysis was performed to analyze the associations.ResultsThis study included 102 RTRs. The RTRs with higher AHEI, AHEI-Taiwan, and AHEI-2010 scores were older and had higher eGFRs and lower odds of rCKD. As compared with the lowest quartile, patients with the highest quartiles of the AHEI [odds ratio (OR), 0.10; 95% confidence interval (95% CI): 0.02, 0.49; p-trend = 0.004), AHEI-2010 (OR, 0.17; 95% CI: 0.04, 0.72; p-trend = 0.016], and AHEI-Taiwan (OR, 0.13; 95% CI: 0.03–0.59; p-trend = 0.008) had lower odds of rCKD, respectively. As compared with the lowest quartile, patients who consumed the highest quartiles of red and processed meat had 11.43 times higher odds of rCKD (OR, 11.43; 95% CI: 2.30–56.85; p for trend <0.01).ConclusionHigher dietary quality indices are associated with lower odds of rCKD in Taiwanese RTRs. Particularly, a positive association between a higher intake of red meat and processed meat and higher odds of rCKD remained exists after transplantation in Taiwanese RTRs. Further dietary guidelines and individualized dietary education were necessary for RTRs to prevent graft function deterioration.

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“…Dietary data were collected through a 3-day dietary records (by self-reported and including 2 weekdays and 1 day on the weekend) and were assessed by a well-trained registered dietitian during regular followed clinics. Dietary food and nutrient intake were calculated according to Taiwan's Ministry of Health and Welfare Food and Drug Administration database and analyzed by using CofitPro nutrition analysis software (version 1.0.0, Cofit HealthCare, Taipei, Taiwan), as described previously 6 .…”

Section: Data Collection and Definitions Of Abnormal Lipid Profilesmentioning

confidence: 99%

High diet quality indices associated with lower risk of lipid profile abnormalities in Taiwanese kidney transplant recipients

Lin,

Van Duong,

Nien

et al. 2023

Sci Rep

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Cardiovascular disease (CVD) and its risk factors seem to be linked with deteriorated graft function and persists as the major cause of mortality in kidney transplant recipients (KTRs). Diet quality is associated with CVD prevention in the healthy population, however, less study focuses on KTRs. The study aimed to determine the association between diet quality indices and lipid profile abnormalities as risk factors for CVD in KTRs. This prospective study enrolled 106 KTRs who had functioning allografts from September 2016. Lipid profiles included low-density lipoprotein cholesterol (LDL-C), high-density lipoprotein cholesterol (HDL-C), total cholesterol (TC), and triglyceride (TG) and were based on the National Cholesterol Education Program Adult Treatment Panel III recommendations. Three-day dietary data were collected by a well-trained registered dietitian. The Alternative Healthy Eating Index-Taiwan (AHEI-Taiwan), Alternative Healthy Eating Index-2010 (AHEI-2010), and Healthy Eating Index-2015 (HEI-2015) scores were calculated and divided into quartiles and compared accordingly. KTRs’ mean LDL-C, HDL-C, TC, and TG levels were 119.8 ± 36.6 mg/dL, 52.0 ± 17.9 mg/dL, 205.8 ± 43.9 mg/dL, and 160.2 ± 121.6 mg/dL, respectively. Compared with the lowest quartile, only the highest quartile of AHEI-Taiwan had lower TC and LDL-C levels. After adjustment for age, gender, energy, Charlson comorbidity index, transplant duration, and dialysis duration, logistic regression analysis revealed that the highest quartile of AHEI-Taiwan had 82% (odds ratio [OR], 0.18; 95% confidence interval [CI] 0.04–0.72, p < 0.05) lower odds of high TC and 88% (OR 0.12; 95% CI 0.03–0.58, p < 0.05) lower odds of high LDL-C, and the highest quartile of HEI-2015 had 77% (OR 0.23; 95% CI 0.05–0.95, p < 0.05) lower odds of high LDL-C. Higher adherence to a healthy diet as per AHEI-Taiwan and HEI-2015 guidelines associated with lower risk of lipid profile abnormalities in KTRs.

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Dietary Nutrients and Cardiovascular Risk Factors among Renal Transplant Recipients

Cited by 4 publications

References 46 publications

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

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

Dietary quality indices and recurrent chronic kidney disease in Taiwanese post-renal transplant recipients

High diet quality indices associated with lower risk of lipid profile abnormalities in Taiwanese kidney transplant recipients

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