Nutritional status in kidney transplant patients before and 6-month after transplantation: Result of PNSI study

Zarifi, Sudiyeh Hejri; Shadnoush, Mahdi; Pahlavani, Naseh; Malekahmadi, Mahsa; Firouzi, Safieh; Sabbagh, Mahin Ghorban; Rezaiyan, Majid Khadem; Islam, Sheikh Mohammed Shariful; Yahyapoor, Farveh; Arabi, Seyed Mostafa; Norouzy, Abdolreza

doi:10.1016/j.clnesp.2020.11.024

Cited by 7 publications

(5 citation statements)

References 20 publications

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“…However, improvement in clinical and nutritional status has been demonstrated in kidney transplant patients [26]. In one study, it was determined that malnutrition index score decreased in kidney transplant patients six months after transplantation compared to that before transplantation [26]. In this study, the patients' malnutrition status was evaluated with the MIS, and following the literature, it was found that the MIS score was high in the HD group and low in TX patients.…”

Section: Discussionmentioning

confidence: 93%

“…The prevalence of malnutrition among patients treated with dialysis is reported to be between 52.9% and 61.2% [24,25]. However, improvement in clinical and nutritional status has been demonstrated in kidney transplant patients [26]. In one study, it was determined that malnutrition index score decreased in kidney transplant patients six months after transplantation compared to that before transplantation [26].…”

Section: Discussionmentioning

confidence: 99%

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Association of Serum Adropin Levels with Nutritional Status and Lipid Profile in Patients with Kidney Failure with Replacement Therapy

Yurtdaş Depboylu,

Acar Tek,

Deniz Güneş

et al. 2023

Galician med. j.

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Objective. This study aimed to determine serum adropin levels and to examine the relationship of serum adropin levels with nutritional status and lipid profile in patients with kidney failure with replacement therapy (KFRT). Methods. The study consisted of 88 subjects, including 30 patients treated with hemodialysis (HD), 29 patients treated with peritoneal dialysis (PD), and 29 patients who had undergone kidney transplantation (TX). The study included assessing anthropometric measurements, handgrip strength, bioelectrical impedance analysis, malnutrition-inflammation score, dietary intake, resting energy expenditure, and biochemical parameters. The patients’ food consumption was recorded for three days. The malnutrition-inflammation score (MIS) was calculated to assess the patients’ nutritional status. Blood samples were collected for serum adropin and other biochemical parameters. Results. Adropin levels were significantly higher in the TX group when compared to the HD group. Patients with low adropin levels had higher MIS, serum ferritin, and lower low-density lipoprotein-cholesterol (LDL-C) and total cholesterol (total-C) levels. Serum adropin levels were negatively correlated with the MIS and positively correlated with total-C, LDL-C, and HDL-C levels. Multiple linear regression analyses showed that the MIS (β=-0.25 p=0.038) and LDL-C level (β=0.29, p=0.007) were associated with serum adropin. Conclusions. Adropin may be considered as a new marker of nutritional status and possibly plays a role in the pathophysiological mechanisms and complications of patients with KFRT.

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Section: Discussionmentioning

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Association of Serum Adropin Levels with Nutritional Status and Lipid Profile in Patients with Kidney Failure with Replacement Therapy

Yurtdaş Depboylu,

Acar Tek,

Deniz Güneş

et al. 2023

Galician med. j.

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“…However, it is important to remember that only a small percentage of KTxs are preemptively performed; most recipients are treated before KTx with maintenance HD or rarely with PD. Moreover, most recipients present with chronic kidney graft disease long-term after KTx, usually from stages G2–G3T [ 10 ]. Hence, prior to transplantation, recipients often present with mild to advanced nutrition disturbances [ 10 ]; potential recipients rarely present with obesity, since a BMI > 35kg/m 2 is considered a modifiable exclusion criterion for KTx in most transplantation centers [ 11 ].…”

Section: Etiology Of Nutrition Disturbances In Chronic Kidney Diseasementioning

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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“…Poor nutritional status due to protein-energy wasting (PEW), malnutrition, and sarcopenia are frequent complications associated with increased mortality in patients with CKD [ 4 ]. However, kidney transplantation (KT), championed as the best treatment for CKD, can also contribute to malnutrition and muscle weakness [ 5 ]. To date, the effects of KT on ED are very contradictory, ranging from recovery of potency to minimal effects on ED following KT [ 6 , 7 ].…”

Section: Introductionmentioning

confidence: 99%

The Impact of Nutritional Status on Sexual Function in Male Kidney Transplant Recipients

2023

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Background and Objectives: Sexual function and nutritional status assessment are relevant topics in chronic kidney disease patients. This study was designed to investigate whether bioelectrical impedance analysis-derived nutritional parameters, nutritional biomarkers, and handgrip strength influence sexual function and to analyze the changes in sexual function after kidney transplantation in men. Materials and Methods: Fifty-four men with kidney failure who had undergone replacement therapy entered the study. In addition, sexual function and nutritional status were evaluated before kidney transplantation and 12 months after. We used the International Index of Erectile Function, bioelectrical impedance analysis, three different malnutrition screening tools, handgrip strength, and anthropometric measurements. The demographic profiles and biochemical nutritional markers were collected. Results: Sexual inactivity was associated with a lower phase angle (6 (1) vs. 7 (1), p < 0.05) and a higher fat mass index (7 (5) vs. 3 (4), p < 0.05). Normal erectile function before kidney transplantation was significantly related to higher fat-free mass (67 (11) vs. 74 (7), p < 0.05) and lean mass (64 (10) vs. 70 (7), p < 0.05). The improvement in erectile function after kidney transplantation was nonsignificant (44% vs. 33%, p = 0.57). Only a weak association between muscle mass and sexual desire 12 months after kidney transplantation was found (rS = 0.36, p = 0.02). Further, linear regression revealed that higher muscle mass could predict better sexual desire after kidney transplantation following adjustment for age, estimated glomerular filtration rate, and diabetes mellitus. Conclusions: Kidney transplantation did not significantly improve erectile dysfunction in our study population. Sexual desire and intercourse satisfaction are the most affected domains in patients with chronic kidney disease. Higher muscle mass predicts higher sexual desire after kidney transplantation. Higher levels of fat-free and lean mass are associated with normal erectile function before kidney transplantation.

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Nutritional status in kidney transplant patients before and 6-month after transplantation: Result of PNSI study

Cited by 7 publications

References 20 publications

Association of Serum Adropin Levels with Nutritional Status and Lipid Profile in Patients with Kidney Failure with Replacement Therapy

Association of Serum Adropin Levels with Nutritional Status and Lipid Profile in Patients with Kidney Failure with Replacement Therapy

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

The Impact of Nutritional Status on Sexual Function in Male Kidney Transplant Recipients

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