Single-center assessment of nutritional counseling in preventing excessive weight gain in pediatric renal transplants recipients

Pediatric Transplantation
Camilla Cameron, Rafael T Krmar

Abstract

Post-transplantation obesity is a common complication that is associated with a higher risk for decreased allograft function and hypertension. However, the role of diet intervention on reducing post-transplantation obesity is relatively unknown. We investigated the clinical relevance of dietary counseling on the prevalence of overweight/obesity during the first two yr following renal transplantation. The computerized patient records of 42 recipients (31 males) aged 6.3 ± 4.8 yr at transplantation were reviewed. All patients systematically underwent yearly dietary assessment/counseling (motivational interviewing technique) and measurement of renal function and ABPM. At transplantation, 14.2% of patients were overweight/obese, which increased to 42.8% by two yr post-transplantation (p = 0.004). The majority of patients experienced a significant increase in BMI SDS during the first six months post-transplantation that remained sustained throughout the duration of the follow-up period (p = 0.001). By two yr post-transplantation, there were no observable differences between patients classified as having normal BMI or being overweight/obese with regard to renal function and controlled hypertension. The application of yearly tailored ...Continue Reading

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Citations

May 17, 2017·Frontiers in Pediatrics·Olga Charnaya, Asha Moudgil
Jan 31, 2017·Pediatric Transplantation·Rafael T Krmar
Dec 16, 2020·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Christina L NelmsBradley A Warady

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