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Single‐center assessment of nutritional counseling in preventing excessive weight gain in pediatric renal transplants recipients
Author(s) -
Cameron Camilla,
Krmar Rafael T.
Publication year - 2016
Publication title -
pediatric transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.457
H-Index - 69
eISSN - 1399-3046
pISSN - 1397-3142
DOI - 10.1111/petr.12668
Subject(s) - medicine , weight gain , center (category theory) , renal transplant , intensive care medicine , pediatrics , transplantation , body weight , chemistry , crystallography
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 dietary assessment/counseling had a poor effect on preventing post‐transplantation weight gain, suggesting the need for more comprehensive interventions to reduce post‐transplant obesity.