Author(s): Vieira, Nayane Maria [UNESP] ; Silva, Maryanne Zilli Canedo [UNESP] ; Costa, Fabiana Lourenço [UNESP] ; Presti, Paula Torres [UNESP] ; Silva, Tabata Marinda [UNESP] ; Silveira, Luiza Moraes [UNESP] ; Oliveira, Rogério Carvalho [UNESP] ; Barretti, Pasqual [UNESP] ; de Andrade, Luís Gustavo Modelli [UNESP]
Date: 2022
Persistent ID: http://hdl.handle.net/11449/229384
Origin: Oasisbr
Made available in DSpace on 2022-04-29T08:32:12Z (GMT). No. of bitstreams: 0 Previous issue date: 2021-09-01
Background: Kidney transplantation (KT) has the advantage of providing a better quality of life and freedom for the patient. However, nutritional changes can occur, with clinical repercussions. The aim of the study was to compare the nutritional status in the initial and late post-KT period. Methods: A cross-sectional study was conducted involving 169 outpatients post-KT. Clinical, demographic, biochemical, food intake, handgrip strength (HGS), and anthropometric data were collected from medical records for the first nutritional care after KT. Statistical tests were performed to compare the groups according to the time of KT: early (≤1 year) and late (>1 year). The level of significance adopted was 5%. Results: The median age of the patients was 46 years (range, 38-57), 50.3% were men, and it was observed that 66.9% underwent KT with a deceased donor. There was a higher prevalence of diabetes mellitus (42.6% vs 23.5%; P =.011), and higher body mass index (28.80 ± 7.26 vs 26.51 ± 6.62 kg/m2; P =.046), arm muscle circumference (25.84 ± 4.63 vs 24.09 ± 3.36 cm; P =.019), and HGS (26.97 ± 10.70 vs 20.21 ± 10.83 kg; P =.010) in patients with late KT. Linear regression analysis showed that at each log of time, there was an increase of 1.90 kg in HGS (P =.045) and 0.48 cm (P =.036) in mid-arm muscle circumference. Conclusion: The present study demonstrated that late kidney transplantation was associated with higher values of body mass index, mid-arm muscle circumference, and HGS.
Specialization in Health Sciences Botucatu Medical School São Paulo State University UNESP
Dialysis Unit Clinical Hospital Botucatu Medical School São Paulo State University UNESP
Internal Medicine Department Botucatu Medical School São Paulo State University UNESP
Specialization in Health Sciences Botucatu Medical School São Paulo State University UNESP
Dialysis Unit Clinical Hospital Botucatu Medical School São Paulo State University UNESP
Internal Medicine Department Botucatu Medical School São Paulo State University UNESP
