21 May 2009
Obesity in patients after kidney transplantation
K Mucha, B Foroncewicz, M Ryter, J Ziółkowski, D Porowski, A Chmura, J Szmidt, L PączekAnn Transplant 2009; 14(1): 35-35 :: ID: 880324
Abstract
Background: Obesity is a well known risk factor of cardiovascular events and
was proven to affect both patient and graft survival of kidney transplant
recipients. The aim of the study was to analyze the incidence of obesity and the outcomes of obese renal transplant recipients. Additionally, the awareness of
their body mass index (BMI) and obesity-related risks were evaluated.
Material/Methods: In the randomly selected 60 renal transplant recipients we conducted a survey with 26 questions addressed. We analyzed patients with regard to: demographics, immunosuppression, incidence of obesity hypertension, co-incidence of diabetes mellitus (DM) and quality of life. The data obtained from the questionnaire was compared to the patient's medical history and lab results. BMI and serum creatinine concentrations were compared 3-months after transplantation (point-T) and at the moment of survey (point-S).
Results: The time elapsed between T and S-points ranged from 1-20 years
(46% <5 y.; 44% 5-10 y.; 8% 10-15 y. and 2% 15-20 y.). Percentage of obese
and overweighed patients increased after transplantation. At the point-T, obesity was found in 9%, overweight in 27% of recipients in comparison to 17% and 38% at point-S, respectively (p<0.05 for both comparisons). Serum creatinine between T and S-points, increased non-significantly in all patients regardless of BMI. Interestingly, DM type 2 was found in 9.6% of patients only with BMI=25-29.9. On the contrary, type 1 DM was observed in 3.9% of patients with BMI=19-24.9 and 5.7% with BMI=30-39.9. 98.2% of patients knew their body mass, however 61.8% of them cannot assess it with the use of BMI formula.
Conclusions: BMI over 25 was found to be associated with higher risk of DM. Unfortunately, majority of renal transplant recipients are not aware of their BMI. Therefore, authors proposed educational program dedicated to such population of patients.
Keywords: Kidney Transplantation, clinical outcome, Poland
In Press
08 Mar 2024 : Original article
Association of Coronary Calcium Score on Cardiac PET During Pre-Kidney Transplant Assessment with Persisten...Ann Transplant In Press; DOI: 10.12659/AOT.943532
14 Mar 2024 : Original article
Impact of Blood Products Transfusion on Patients in the Immediate Post-Lung Transplant Period: A Cohort StudyAnn Transplant In Press; DOI: 10.12659/AOT.943652
14 Mar 2024 : Case report
Treatment of Cavernous Transformation of Portal Vein Caused by Hepatic Cystic Echinococcosis Using Ex Vivo ...Ann Transplant In Press; DOI: 10.12659/AOT.942358
15 Mar 2024 : Review article
Approaches and Challenges in the Current Management of Cytomegalovirus in Transplant Recipients: Highlighti...Ann Transplant In Press; DOI: 10.12659/AOT.941185
Most Viewed Current Articles
05 Apr 2022 : Original article
Impact of Statins on Hepatocellular Carcinoma Recurrence After Living-Donor Liver TransplantationDOI :10.12659/AOT.935604
Ann Transplant 2022; 27:e935604
12 Jan 2022 : Original article
Risk Factors for Developing BK Virus-Associated Nephropathy: A Single-Center Retrospective Cohort Study of ...DOI :10.12659/AOT.934738
Ann Transplant 2022; 27:e934738
22 Nov 2022 : Original article
Long-Term Effects of Everolimus-Facilitated Tacrolimus Reduction in Living-Donor Liver Transplant Recipient...DOI :10.12659/AOT.937988
Ann Transplant 2022; 27:e937988
15 Mar 2022 : Case report
Combined Liver, Pancreas-Duodenum, and Kidney Transplantation for Patients with Hepatitis B Cirrhosis, Urem...DOI :10.12659/AOT.935860
Ann Transplant 2022; 27:e935860