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2 results on '"Domenica Pesola"'

1. Role of dietary intervention and nutritional follow-up in heart transplant recipients

Author

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

2. Body composition and cardiovascular risk factors in pretransplant hemodialysis patients

Author

Roberta Laccetti, Rossella Trio, Serena Torraca, Domenica Pesola, Bruno Memoli, Annamaria Nastasi, Brunella Guida, Bruno Cianciaruso, Guida, Bruna, Trio, R, Nastasi, Annamaria, Laccetti, Roberta, Pesola, Domenica, Torraca, S, Memoli, Bruno, and Cianciaruso, Bruno

Subjects
Male, medicine.medical_specialty, medicine.medical_treatment, Population, Overweight, Critical Care and Intensive Care Medicine, Body Mass Index, Postoperative Complications, Renal Dialysis, Risk Factors, Internal medicine, Electric Impedance, medicine, Humans, Obesity, Risk factor, education, Prospective cohort study, Cardiovascular risk factors, Triglycerides, education.field_of_study, Nutrition and Dietetics, business.industry, Patient Selection, Middle Aged, Kidney Transplantation, Surgery, Transplantation, Cholesterol, Bioelectrical Impedance Analysi, Cardiovascular Diseases, Body Composition, Kidney Failure, Chronic, Female, Hemodialysi, Hemodialysis, medicine.symptom, business, Bioelectrical impedance analysis, Body mass index
Abstract

BACKGROUND: Obesity, hyperlipemia and cardiovascular complications contribute to a significant proportion of morbidity and mortality of renal transplant patients and have negative effects on renal survival. Aim of the present study was to evaluate the main abnormalities in body composition and the prevalence of some cardiovascular risk factors in a population of hemodialyzed (HD) patients awaiting renal transplantation. METHODS: We studied 151 HD patients, all included in a waiting list for renal transplantation, 97 males and 54 females, with mean age 47.4+/-12 years. Patients were divided into three groups according to their body mass index (BMI) (kg/m2): 18.5 to 24.9 (normoweight, NW); 25.0 to 29.9 (overweight, OW); > or =30 (obese, OB). The body composition measurements were obtained the day after the mid-week HD session using bioelectrical impedance analysis (BIA). RESULTS: We found that 47 patients were NW (31%), while 56 were OW (37%), and 48 were OB (32%). BIA-measured body cell mass was (BCM) significantly increased in the OW as compared with the NW group (P

Published
2004

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