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Role of dietary intervention and nutritional follow-up in heart transplant recipients
- Source :
- Clinical Transplantation. 23:101-107
- Publication Year :
- 2009
- Publisher :
- Wiley, 2009.
-
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.
- 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
Subjects
Details
- ISSN :
- 13990012 and 09020063
- Volume :
- 23
- Database :
- OpenAIRE
- Journal :
- Clinical Transplantation
- Accession number :
- edsair.doi.dedup.....87653ffb745378bbbef65dbdb1c0c43e