Body composition in 98 patients awaiting kidney transplantation

Recent data suggest that the nutritional status of patients who are on the waiting list for kidney transplantation, influence outcomes after renal transplantation. Body composition (BC) analysis is rarely included in pretransplant evaluation. The aim of this study was to determine how alteration of...

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Veröffentlicht in:Nutrition (Burbank, Los Angeles County, Calif.) Jg. 30; H. 2; S. 186 - 191
Hauptverfasser: Moreau, Karine, Desseix, Aurélie, Germain, Christine, Barthe, Nicole, Bachelet, Thomas, Morel, Delphine, Merville, Pierre, Couzi, Lionel, Thiebaut, Rodolphe, Chauveau, Philippe
Format: Journal Article
Sprache:Englisch
Veröffentlicht: New York, NY Elsevier Inc 01.02.2014
Elsevier
Elsevier Limited
Schlagworte:
Absorptiometry, Photon
Absorptiometry, Photon - methods
Adipose Tissue
Adipose Tissue - metabolism
Adult
Aged
Biological and medical sciences
Body Composition
Body Mass Index
Case-Control Studies
Cholesterol
Cholesterol, HDL
Cholesterol, HDL - blood
Cholesterol, LDL
Cholesterol, LDL - blood
dual-energy X-ray absorptiometry
DXA
Fat mass
Fat-free mass
Feeding. Feeding behavior
Female
France
Fundamental and applied biological sciences. Psychology
Gastroenterology and Hepatology
Humans
kidney transplant
Kidney Transplantation
Kidney transplantation candidates
kidneys
lean body mass
Life Sciences
Longitudinal Studies
Male
men
Middle Aged
Mortality
Nutrition Assessment
Nutritional Status
patients
Postoperative Period
Preoperative Period
Prospective Studies
Reference Values
risk
Santé publique et épidémiologie
surveys
Transplants & implants
Triglycerides
Triglycerides - blood
Vertebrates: anatomy and physiology, studies on body, several organs or systems
Waiting Lists
women
France
United States > US
Fat-free mass
DXA
Fat mass
Body composition
Kidney transplantation candidates
Human
Urinary system
Nutrition
Lean body mass
Transplantation
Kidney
ISSN:0899-9007, 1873-1244, 1873-1244
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Zusammenfassung:Recent data suggest that the nutritional status of patients who are on the waiting list for kidney transplantation, influence outcomes after renal transplantation. Body composition (BC) analysis is rarely included in pretransplant evaluation. The aim of this study was to determine how alteration of the BC of these patients could influence pretransplant and post-transplant care. We compared the BC of French patients on a waiting list for kidney transplantation to a sex- and age-matched healthy, European control population. Patients were included when listed for kidney grafting in a prospective longitudinal study (CORPOS). Biological nutritional parameters, fat free mass (FFM) and fat mass (FM) estimated by dual-energy x-ray absorptiometry (DXA) were assessed on the day of wait-list registration. FFM and FM index (FFMi - FMi) are the ratio of FFM and FM to height squared. Results are expressed as median (range). These indexes were compared with previous study values used as a normal range in nutritional assessment and clinical practice. The study included 28 women and 70 men aged 25.3 to 65.9 y. Body mass index ranged from 16.8 kg/m² to 39.4 kg/m². Compared with controls, FMi was higher in women (10.6 kg/m² [3.7–18.6 kg/m²]) than in men (8.1 kg/m² [3.5–13.3 kg/m²] in M) and FFMi was lower in women (14.3 kg/m² [11.8–21.4 kg/m²]) than in men (17.9 kg/m² [13.9-24.2 kg/m²]) (P < 0.01), reflecting an abnormal distribution of body compartments. All biological parameters were within the normal range. BC abnormalities, which can only be detected with the use of DXA, are present in patients on a kidney transplantation waiting list. Detection of these abnormalities could influence the post-transplantation survey in order to prevent the frequent risk for developing metabolic complications after the procedure.
Bibliographie:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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ISSN:0899-9007
1873-1244
1873-1244
DOI:10.1016/j.nut.2013.07.018