Mediterranean Diet Adherence and Nutritional Status in Dalmatian Kidney Transplant Recipients—Are They Related?

Vučković, Marijana; Radić, Josipa; Gelemanović, Andrea; Raos, H.; Nenadić, Dora Bučan; Kolak, Ela; Radić, Mislav

doi:10.3390/nu13093246

Cited by 8 publications

(7 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Adherence to the MeDi among all study participants was an exceptionally low (8.9%), with an MDSS score of 8.32 ± 3.45, which is consistent with the results obtained on a healthy population from Kolčić et al [44], underlying poor adherence to the MeDi in southern Dalmatia. Furthermore, similar results were determined in our recent study conducted on kidney transplant recipients from the Dalmatia region, indicating poor adherence to the MeDi principles in this specific population [18].…”

Section: Discussionsupporting

confidence: 87%

“…Adherence to the MeDi, especially for those suffering from T2DM and CKD, has proven to be associated with reduction of cardiovascular risk, lower mortality risk, lower risk of CKD progression and lower levels of oxidative stress [ 10 ]. According to Gomes-Neto et al, greater adherence to the MeDi is associated with better kidney function outcomes in kidney transplant recipients (KTRs) [ 17 ], but low compliance to the MeDi principles was found in Dalmatian KTRs as demonstrated in our recent research [ 18 ].…”

Section: Introductionmentioning

confidence: 85%

See 1 more Smart Citation

Mediterranean Diet Adherence and Nutritional Status in Dalmatian Diabetic Hypertensive Patients Regarding Presence of Chronic Kidney Disease—Is There Any Difference?

Nenadić

Radić

Kolak

et al. 2022

IJERPH

Self Cite

View full text Add to dashboard Cite

In recent years, the Mediterranean diet has emerged as one of the dietary patterns that could have positive effects on overall health as well in the treatment of non-communicable chronic diseases. The aim of this cross-sectional study was to determine differences in adherence to the Mediterranean diet (MeDi) and nutritional status in patients with type 2 diabetes mellitus (T2DM) and arterial hypertension (AH) regarding the presence of chronic kidney disease (CKD). Two hundred and forty-eight Dalmatian diabetic hypertensive patients (DDHP) were included, and 164 (66.1%) of them had CKD. Data about anthropometric parameters, clinical and laboratory parameters, as well as lifestyle questionnaire and Mediterranean Diet Serving Score (MDSS) were collected for each study participant. Furthermore, body composition was assessed using MC-780 Multi Frequency Segmental Body Mass Analyzer (Tanita). Body mass index (BMI) as well as waist-to-hip ratio (WHR) and waist-to-height ratio (WHtR) were calculated. Results showed that only 8.9% of DDHP were adherent to the MeDi without significant differences regarding the presence of CKD. Therefore, only 9.1% of participants with CKD were adherent to the MeDi. Dietary recommendations were received by 52.8% of DDHP and 49.4% with CKD, while only 12.8% of those with CKD were adherent to the given recommendations. The results showed that 88.3% of DDHP and 87.8% of the DDHP with CKD were overweight or obese. Statically significant lower frequency of nut intake suggested by the MeDi was found in those participants with CKD (p = 0.02). Therefore, the significant associations between adherence to each MeDi component as well as MDSS score with the development of CKD among all study subjects were not found. In conclusion, the results showed a low level of nutritional care in our region and low adherence to MeDi among DDHP. According to the results, there is an urgent need to improve nutritional care in our region, with a special focus on the MeDi for this especially vulnerable population of patients.

show abstract

Section: Discussionsupporting

confidence: 87%

Section: Introductionmentioning

confidence: 85%

Mediterranean Diet Adherence and Nutritional Status in Dalmatian Diabetic Hypertensive Patients Regarding Presence of Chronic Kidney Disease—Is There Any Difference?

Nenadić

Radić

Kolak

et al. 2022

IJERPH

Self Cite

View full text Add to dashboard Cite

show abstract

“…More recently, a study involving 632 KT recipients followed-up for a median of 5.4 years showed that an increasing adherence to Mediterranean diet was associated with a lower risk of graft failure and kidney function decline, as well as graft loss [ 39 ]. Finally, adherence to Mediterranean diet was associated with better nutritional status (greater albumin levels and skeletal muscle mass) in Dalmatian KT recipients [ 40 ].…”

Section: Discussionmentioning

confidence: 99%

Obesity and Lifestyle Habits among Kidney Transplant Recipients

et al. 2022

View full text Add to dashboard Cite

Background: Obesity may negatively impact clinical outcomes in kidney transplant (KT) recipients. Limited information is available on the prevalence of obesity in this population, and on the lifestyle habits associated with obesity. Methods: we conducted an online, anonymous survey to assess of the proportion of KT recipients with obesity, adherence to the Mediterranean diet (i.e., a dietary regimen with proven renal and cardiovascular outcomes) using the MEDI-Lite questionnaire, and level of physical activity using the International Physical Activity Questionnaire (IPAQ) short form among KT recipients. Results: 255 KT recipients participated. Median (25th–75th quartile) age was 56.0 (48.0; 62.0) years, 43.9% female, median BMI 23.9 (21.6; 26.5) kg/m2. The proportion of KT recipients with obesity was 9.8% (95% confidence interval, 6.4 to 14.1%). Adequate adherence to the Mediterranean diet (Medi-Lite score >9) was overall low (44.7%; 40.0 vs. 45.2% in those with or without obesity, respectively; p = 0.618). In participants with obesity the Medi-Lite score inversely correlated with BMI (R = −0.45; p < 0.025). Overall, 30.6% of participants had a low level of physical activity (44.0 vs. 29.1% of those with or without obesity, respectively; p = 0.125). The amount of energy expended walking was significantly lower among participants with obesity (462 (0.0; 1436) vs. 1056 (433; 2005) METs/week, p = 0.017). Conclusions: the burden of obesity among KT recipients is similar to that of the general population. Adherence to the Mediterranean diet was generally low, and nearly one-third of participants had a low level of physical activity. Building specialized multidisciplinary teams to manage obesity in KT recipients is urgently needed.

show abstract

“…This study was conducted using the protocol described in our previously published study [25], where the methods have been described in detail.…”

Section: Methodsmentioning

confidence: 99%

“…A thorough examination of medical records, analysis of blood samples and 24 h urine samples was performed as previously described [25].…”

Section: Medical History and Clinical And Laboratory Parametersmentioning

confidence: 99%

Associations between Depression, Nutritional Status and Mediterranean Diet in Dalmatian Kidney Transplant Recipients

et al. 2021

Self Cite

View full text Add to dashboard Cite

Depression has been addressed as a predictor of worse outcomes in kidney transplant recipients (KTRs). Nutritional status plays a great role in treatment of this population. The Mediterranean diet (MeDi) has been associated with lower levels of depressive symptoms. The aim of this cross-sectional study was to determine the rate of depression and its correlations to nutritional status and dietary habits according to the MeDi in Dalmatian KTRs. We included 115 KTRs, and data about body composition and anthropometric, laboratory and clinical parameters were obtained for each study participant. The Beck Depression Inventory-II (BDI-II) questionnaire was used to assess depressive symptoms and the Mediterranean Diet Serving Score (MDSS) was used to assess adherence to the MeDi. We found the presence of depressive symptoms in 21.73% of the Dalmatian KTRs. BDI-II score was reciprocally associated with fat mass, trunk visceral fat, anthropometric parameters of obesity, triglyceride levels and olive oil consumption. Inverse associations were found between BDI-II score and skeletal muscle mass, handgrip strength, MCV, hemoglobin levels and consumption of fish and white meat, as suggested by the MeDi. Our results showed the interconnections between nutritional status, dietary habits and depression in Dalmatian KTRs.

show abstract

Mediterranean Diet Adherence and Nutritional Status in Dalmatian Kidney Transplant Recipients—Are They Related?

Cited by 8 publications

References 30 publications

Mediterranean Diet Adherence and Nutritional Status in Dalmatian Diabetic Hypertensive Patients Regarding Presence of Chronic Kidney Disease—Is There Any Difference?

Mediterranean Diet Adherence and Nutritional Status in Dalmatian Diabetic Hypertensive Patients Regarding Presence of Chronic Kidney Disease—Is There Any Difference?

Obesity and Lifestyle Habits among Kidney Transplant Recipients

Associations between Depression, Nutritional Status and Mediterranean Diet in Dalmatian Kidney Transplant Recipients

Contact Info

Product

Resources

About