Dietary Nutrients and Cardiovascular Risk Factors among Renal Transplant Recipients

I-Hsin Lin, Tuyen Van Duong, Te Chih Wong, Shih-Wei Nien, I-Hsin Tseng , Yang Jen Chiang, Hsu-Han Wang, Shwu-Huey Yang

Research output: Contribution to journalArticlepeer-review

Abstract

Cardiovascular disease (CVD) is the leading cause of mortality in post-renal transplant recipients (RTRs). Adequate nutrient intake is a protective factor for CVD. We examined the associations of macronutrients and micronutrients with traditional and nontraditional CVD risk factors. Conducted from September 2016 to June 2018, this cross-sectional study included 106 RTRs aged ≥18 years with a functioning allograft. Dietary intake data from 3-day dietary records were collected. Nutrient intake adequacy was defined using various instruments, including the National Kidney Foundation Kidney Disease Outcomes Quality Initiative (K/DOQI) guidelines. CVD risk factors were defined according to the K/DOQI guidelines. Bivariate and multivariate logistic regression models were used to analyze the associations. CVD risk was present in all patients; the lowest proportions of adequate intake were 2.8% for dietary fiber and 0.9% for calcium. Adequate nutrient intake was associated with a lower likelihood of the occurrence of traditional CVD risk factors (specifically, 1.9–31.3% for hyperlipidemia and 94.6% for diabetes mellitus). It was also associated with a lower likelihood of the occurrence of nontraditional CVD risk by 0.8% for hypophosphatemia and 34% for hyperuricemia. Adherence to dietary guidelines should be promoted among RTRs to decrease CVD risk.
Original languageEnglish
JournalInternational Journal of Environmental Research and Public Health
Volume18
Issue number16
DOIs
Publication statusPublished - 2021

Keywords

  • dietary nutrient intake
  • kidney transplant
  • renal transplant recipients
  • cardiovascular disease
  • cardiovascular disease risk factor

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