1. Role of dietary intervention and nutritional follow-up in heart transplant recipients
- Author
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Annamaria Nastasi, Ciro Maiello, Domenica Pesola, Luca Salvatore De Santo, Bruna Guida, C. Marra, Nunzia Ruggiero Perrino, Roberta Laccetti, Rossella Trio, Maurizio Cotrufo, Guida, Bruna, Perrino, Nr, Laccetti, R, Trio, R, Nastasi, Annamaria, Pesola, Domenica, Maiello, C, Marra, C, De Santo, L, Cotrufo, M., B, Guida, Nr, Perrino, R, Laccetti, R, Trio, A, Nastasi, D, Pesola, C, Maiello, C, Marra, DE SANTO, L., and M, Cotrufo
- Subjects
Male ,medicine.medical_specialty ,Diet therapy ,medicine.medical_treatment ,Body Mass Index ,Coronary artery disease ,Metabolic Diseases ,dietary intervention ,Weight loss ,Internal medicine ,Diabetes mellitus ,Weight Loss ,medicine ,Humans ,Prospective Studies ,heart transplant ,Triglycerides ,Heart transplantation ,Transplantation ,business.industry ,Middle Aged ,medicine.disease ,Diet ,Surgery ,nutritional status ,Cholesterol ,Nutrition Assessment ,Heart Transplantation ,Patient Compliance ,Female ,metabolic abnormalitie ,medicine.symptom ,business ,Body mass index ,Dyslipidemia ,bioelectrical impedance analysi ,Follow-Up Studies - Abstract
Background: Obesity, dyslipidemia, hypertension, and diabetes mellitus are common features after heart transplantation and they lead to coronary artery disease and graft loss. Aim: To determine the effects of a dietary intervention on nutritional status and metabolic outcome of two groups enrolled during or after the first year from the transplant. Methods: Forty two subjects (mean age 51.36±12.4 yr) were studied; 20 were enrolled during the first year by the transplant, 22 were enrolled after the first year from the transplant (7.9±3.86 and 56.86±38.6 months after surgery, respectively). According to diet compliance both groups were divided into two subgroups and they were prospectively followed for 4 years. Anthropometric measurements, biochemical nutritional markers, and dietary records were collected at baseline (T0) and after a 12-month follow-up period (T12) and a 48-month follow-up period (T48). Body composition was performed at T0 and T12. Results: Diet compliance was associated with a decrease in total cholesterol, triglycerides and glucose plasma level and with a weight loss mainly due to a decrease in fat mass. Conclusion: Our study shows the efficacy of dietary intervention to obtain an early and late weight and metabolic control after heart transplant.
- Published
- 2009