Dietary Compliance Among Renal Transplant Recipients: A Single-Center Study in Taiwan

I. Hsin Lin, Te Chih Wong, Shih Wei Nien, Yu Ting Chou, Yang Jen Chiang, Hsu Han Wang, Shwu Huey Yang

研究成果: 雜誌貢獻文章

摘要

Background: Extensive food and lifestyle changes are the major issues in renal transplant recipients (RTRs). Poor adherence to diet can contribute to increased health problems such as obesity, cardiovascular disease, and graft failure; however, comparative data regarding dietary compliance with the national recommendations has rarely been investigated, especially among RTRs in Taiwan. Methods: In this descriptive analytical study, we compared patients’ reported dietary intake of macronutrients and micronutrients with evidence-based guidelines developed for the nutritional management of adult kidney transplant recipients (NMAKTR)by the Dietitians Association of Australia. A total of 90 maintenance-phase RTRs were recruited from September 2016 to June 2018. All patients completed a 3-day dietary record (2 weekdays and 1 day on the weekend). In addition, routine anthropometric and laboratory data were obtained. Results: The mean age, post-transplant years, and estimated glomerular filtration rate of participants were 49.7 ± 12.5 years, 9.1 ± 6.1 years, and 55.5 ± 20.8 mL/min/1.73 m2, respectively. Daily energy and protein intakes were 1869.1 ± 383.5 kcal (30.4 ± 7.2 kcal/kg/d)and 66.9 ± 14.4 g (1.1 ±.2 g/kg/d), respectively. The percentage of energy intake from fat and saturated fat exceeded recommendations, whereas dietary fibers and calcium remained less than the recommended levels. At our center, a large percentage of RTRs did not meet NMAKTR dietary recommendations. Conclusion: The low degree of dietary compliance calls for a continued effort to deliver effective nutritional advice in this population.

原文英語
頁(從 - 到)1325-1330
頁數6
期刊Transplantation Proceedings
51
發行號5
DOIs
出版狀態已發佈 - 六月 1 2019

指紋

Taiwan
Kidney
Energy Intake
Fats
Transplants
Diet Records
Dietary Calcium
Nutritionists
Micronutrients
Dietary Fiber
Glomerular Filtration Rate
Transplant Recipients
Life Style
Cardiovascular Diseases
Obesity
Maintenance
Guidelines
Diet
Food
Health

ASJC Scopus subject areas

  • Surgery
  • Transplantation

引用此文

Dietary Compliance Among Renal Transplant Recipients : A Single-Center Study in Taiwan. / Lin, I. Hsin; Wong, Te Chih; Nien, Shih Wei; Chou, Yu Ting; Chiang, Yang Jen; Wang, Hsu Han; Yang, Shwu Huey.

於: Transplantation Proceedings, 卷 51, 編號 5, 01.06.2019, p. 1325-1330.

研究成果: 雜誌貢獻文章

Lin, I. Hsin ; Wong, Te Chih ; Nien, Shih Wei ; Chou, Yu Ting ; Chiang, Yang Jen ; Wang, Hsu Han ; Yang, Shwu Huey. / Dietary Compliance Among Renal Transplant Recipients : A Single-Center Study in Taiwan. 於: Transplantation Proceedings. 2019 ; 卷 51, 編號 5. 頁 1325-1330.
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abstract = "Background: Extensive food and lifestyle changes are the major issues in renal transplant recipients (RTRs). Poor adherence to diet can contribute to increased health problems such as obesity, cardiovascular disease, and graft failure; however, comparative data regarding dietary compliance with the national recommendations has rarely been investigated, especially among RTRs in Taiwan. Methods: In this descriptive analytical study, we compared patients’ reported dietary intake of macronutrients and micronutrients with evidence-based guidelines developed for the nutritional management of adult kidney transplant recipients (NMAKTR)by the Dietitians Association of Australia. A total of 90 maintenance-phase RTRs were recruited from September 2016 to June 2018. All patients completed a 3-day dietary record (2 weekdays and 1 day on the weekend). In addition, routine anthropometric and laboratory data were obtained. Results: The mean age, post-transplant years, and estimated glomerular filtration rate of participants were 49.7 ± 12.5 years, 9.1 ± 6.1 years, and 55.5 ± 20.8 mL/min/1.73 m2, respectively. Daily energy and protein intakes were 1869.1 ± 383.5 kcal (30.4 ± 7.2 kcal/kg/d)and 66.9 ± 14.4 g (1.1 ±.2 g/kg/d), respectively. The percentage of energy intake from fat and saturated fat exceeded recommendations, whereas dietary fibers and calcium remained less than the recommended levels. At our center, a large percentage of RTRs did not meet NMAKTR dietary recommendations. Conclusion: The low degree of dietary compliance calls for a continued effort to deliver effective nutritional advice in this population.",
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AB - Background: Extensive food and lifestyle changes are the major issues in renal transplant recipients (RTRs). Poor adherence to diet can contribute to increased health problems such as obesity, cardiovascular disease, and graft failure; however, comparative data regarding dietary compliance with the national recommendations has rarely been investigated, especially among RTRs in Taiwan. Methods: In this descriptive analytical study, we compared patients’ reported dietary intake of macronutrients and micronutrients with evidence-based guidelines developed for the nutritional management of adult kidney transplant recipients (NMAKTR)by the Dietitians Association of Australia. A total of 90 maintenance-phase RTRs were recruited from September 2016 to June 2018. All patients completed a 3-day dietary record (2 weekdays and 1 day on the weekend). In addition, routine anthropometric and laboratory data were obtained. Results: The mean age, post-transplant years, and estimated glomerular filtration rate of participants were 49.7 ± 12.5 years, 9.1 ± 6.1 years, and 55.5 ± 20.8 mL/min/1.73 m2, respectively. Daily energy and protein intakes were 1869.1 ± 383.5 kcal (30.4 ± 7.2 kcal/kg/d)and 66.9 ± 14.4 g (1.1 ±.2 g/kg/d), respectively. The percentage of energy intake from fat and saturated fat exceeded recommendations, whereas dietary fibers and calcium remained less than the recommended levels. At our center, a large percentage of RTRs did not meet NMAKTR dietary recommendations. Conclusion: The low degree of dietary compliance calls for a continued effort to deliver effective nutritional advice in this population.

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