Nutrition for the post–renal transplant recipients

Martins, Cristina; Pecoits‐Filho, Roberto; Riella, Miguel C.

doi:10.1016/j.transproceed.2004.06.065

Cited by 55 publications

(59 citation statements)

References 19 publications

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“…14 There also exists a change in the nutrient needs following kidney transplantation with different dietary recommendations for the early, later and maintenance phases post transplant. [15][16][17] Several dietary-related factors may contribute to weight gain following kidney transplantation including the transition from a restricted renal diet to one that is unrestricted, increased food intake resulting from feelings of well-being, and increased appetite and body fat composition from corticosteroids. 2,16 Little is reported in the literature regarding the relationship of dietary intake to weight gain in post-kidney transplant recipients.…”

Section: List Of Tablesmentioning

confidence: 99%

“…[15][16][17] Several dietary-related factors may contribute to weight gain following kidney transplantation including the transition from a restricted renal diet to one that is unrestricted, increased food intake resulting from feelings of well-being, and increased appetite and body fat composition from corticosteroids. 2,16 Little is reported in the literature regarding the relationship of dietary intake to weight gain in post-kidney transplant recipients. Researchers in Mexico report significantly higher ingestion of proteins and fats than recommended dietary reference intakes (DRIs (p ≤ 0.05) in kidney transplant recipients in eight states in Mexico.…”

Section: List Of Tablesmentioning

confidence: 99%

“…With functioning allograft, kilocalorie requirements are specified as 30-35 kcal/kg body weight/day and protein 1.3-2.0g/kg/body weight/day. 16,25 Meeting adequate needs for energy and protein to prevent post operative complications of infection, decreased wound healing and loss of muscle mass is a goal of nutritional intervention. These recommendations would also promote calcium and phosphorus balance to minimize bone loss in these recipients.…”

Section: Dietary Recommendations Following Kidney Transplantationmentioning

confidence: 99%

“…These recommendations would also promote calcium and phosphorus balance to minimize bone loss in these recipients. 15 Percent calories from fat are recommended at 30-35%, 16 and percent calories from carbohydrates at 50%. 16,76 In this early transplant period, normal kidney functioning is supported and continues to be established and maintained.…”

Section: Dietary Recommendations Following Kidney Transplantationmentioning

confidence: 99%

“…15 Percent calories from fat are recommended at 30-35%, 16 and percent calories from carbohydrates at 50%. 16,76 In this early transplant period, normal kidney functioning is supported and continues to be established and maintained. During this time, kidney transplant recipients have certain dietary recommendations to support their hemodynamic and electrolyte balance.…”

Section: Dietary Recommendations Following Kidney Transplantationmentioning

confidence: 99%

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Characterizing Dietary Intake and Physical Activity Affecting Weight Gain in Kidney Transplant Recipients

Cupples¹

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Section: List Of Tablesmentioning

confidence: 99%

Section: List Of Tablesmentioning

confidence: 99%

Section: Dietary Recommendations Following Kidney Transplantationmentioning

confidence: 99%

Section: Dietary Recommendations Following Kidney Transplantationmentioning

confidence: 99%

Section: Dietary Recommendations Following Kidney Transplantationmentioning

confidence: 99%

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Characterizing Dietary Intake and Physical Activity Affecting Weight Gain in Kidney Transplant Recipients

Cupples¹

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Decreased abdominal wall muscle mass defined by muscle ultrasound is associated with malnutrition according to Global Leadership Initiative on Malnutrition criteria in renal transplant recipients: A cross‐sectional study

Güner,

Girgin,

Yıldırım

et al. 2024

J Parenter Enteral Nutr

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BackgroundChanged body composition with increased fat content and decreased muscle mass is seen in renal transplantation recipients (RTRs). Increased fat mass might mask underlying muscle mass loss; measuring low body mass index and weight reduction alone may not be sensitive enough to diagnose malnutrition in RTRs. We aimed to determine the prevalence of malnutrition in stable RTRs using the Global Leadership Initiative on Malnutrition (GLIM) criteria and to assess the use of muscle ultrasonography (US) to compare the performance of various muscle US measurements in the diagnosis of reduced muscle mass.MethodsNinety‐one patients who had renal transplantation >6 months ago were enrolled in the study. GLIM criteria were performed for all patients, but not those at risk of malnutrition. Bioelectrical impedance analysis and muscle US were performed to identify reduced muscle mass.ResultsThe prevalence of malnutrition according to GLIM criteria was 25.3% (n = 23). All muscle US measurements were lower in the malnourished group than the well‐nourished group; however, the malnourished group had substantially lower muscle thicknesses in abdominal muscles, specifically the external oblique (EO) and internal oblique (IO) muscles, than the well‐nourished group (P = 0.001 and P = 0.007, respectively). There was a significant association between malnutrition and EO (odds ratio [OR] = 0.338, 95% CI = 0.163–0.699; P = 0.003) and IO (OR = 0.620, 95% CI = 0.427–0.900; P = 0.012) regardless of age and sex.ConclusionOne in four RTRs experience malnutrition. Muscle US could be used effectively for the diagnosis of reduced muscle mass and malnutrition in RTRs according to GLIM criteria.

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Nutrition support management of organ transplant recipients in the acute posttransplant phase

Hahn,

Wood,

Hasse

2023

Nut in Clin Prac

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Patients who undergo solid organ transplant can have an extensive and challenging postoperative course. The chronicity of the disease state prior to transplant in combination with transplant‐specific complications and immunosuppressant medications can lead to distinct challenges that are not observed in other critically ill patients. Although the manifestation of posttransplant complications may be specific to the organ being transplanted, there are common transplant challenges that affect nutrition therapy in these patients. Effects of malnutrition, metabolic aberrations, and posttransplant organ dysfunction should be considered when developing a nutrition care plan for patients in the immediate posttransplant phase. This article addresses the various complications that can arise in the immediate posttransplant phase among patients undergoing solid organ transplant and the appropriate nutrition interventions or considerations for this specialized patient population.

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Nutrition for the post–renal transplant recipients

Cited by 55 publications

References 19 publications

Characterizing Dietary Intake and Physical Activity Affecting Weight Gain in Kidney Transplant Recipients

Characterizing Dietary Intake and Physical Activity Affecting Weight Gain in Kidney Transplant Recipients

Decreased abdominal wall muscle mass defined by muscle ultrasound is associated with malnutrition according to Global Leadership Initiative on Malnutrition criteria in renal transplant recipients: A cross‐sectional study

Nutrition support management of organ transplant recipients in the acute posttransplant phase

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