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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| Vydané v: | Nutrition (Burbank, Los Angeles County, Calif.) Ročník 30; číslo 2; s. 186 - 191 |
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| Hlavní autori: | , , , , , , , , , |
| Médium: | Journal Article |
| Jazyk: | English |
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New York, NY
Elsevier Inc
01.02.2014
Elsevier Elsevier Limited |
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| ISSN: | 0899-9007, 1873-1244, 1873-1244 |
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| Abstract | 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. |
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| AbstractList | 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.OBJECTIVERecent 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.METHODSWe 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.RESULTSThe 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.CONCLUSIONBC 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. 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. 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. Abstract Objective 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. Methods 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. Results 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. Conclusion 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. Objective 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. Methods 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. Results 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. Conclusion 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. |
| Author | Couzi, Lionel Desseix, Aurélie Barthe, Nicole Thiebaut, Rodolphe Morel, Delphine Chauveau, Philippe Merville, Pierre Germain, Christine Moreau, Karine Bachelet, Thomas |
| Author_xml | – sequence: 1 givenname: Karine surname: Moreau fullname: Moreau, Karine email: karine.moreau@chu-bordeaux.fr organization: Renal Transplant Unit, Pellegrin Hospital, Bordeaux, France – sequence: 2 givenname: Aurélie surname: Desseix fullname: Desseix, Aurélie organization: Renal Transplant Unit, Pellegrin Hospital, Bordeaux, France – sequence: 3 givenname: Christine surname: Germain fullname: Germain, Christine organization: Clinical Epidemiology Unit, Bordeaux University Hospital, France – sequence: 4 givenname: Nicole surname: Barthe fullname: Barthe, Nicole organization: Laboratory of Nuclear Medicine, Pellegrin Hospital, Bordeaux, France – sequence: 5 givenname: Thomas surname: Bachelet fullname: Bachelet, Thomas organization: Renal Transplant Unit, Pellegrin Hospital, Bordeaux, France – sequence: 6 givenname: Delphine surname: Morel fullname: Morel, Delphine organization: Renal Transplant Unit, Pellegrin Hospital, Bordeaux, France – sequence: 7 givenname: Pierre surname: Merville fullname: Merville, Pierre organization: Renal Transplant Unit, Pellegrin Hospital, Bordeaux, France – sequence: 8 givenname: Lionel surname: Couzi fullname: Couzi, Lionel organization: Renal Transplant Unit, Pellegrin Hospital, Bordeaux, France – sequence: 9 givenname: Rodolphe surname: Thiebaut fullname: Thiebaut, Rodolphe organization: Clinical Epidemiology Unit, Bordeaux University Hospital, France – sequence: 10 givenname: Philippe surname: Chauveau fullname: Chauveau, Philippe organization: AURAD Aquitaine, Gradignan, France |
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| Keywords | Fat-free mass DXA Fat mass Body composition Kidney transplantation candidates Human Urinary system Nutrition Lean body mass Transplantation Kidney |
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| PublicationYear | 2014 |
| Publisher | Elsevier Inc Elsevier Elsevier Limited |
| Publisher_xml | – name: Elsevier Inc – name: Elsevier – name: Elsevier Limited |
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| Snippet | Recent data suggest that the nutritional status of patients who are on the waiting list for kidney transplantation, influence outcomes after renal... Abstract Objective Recent data suggest that the nutritional status of patients who are on the waiting list for kidney transplantation, influence outcomes after... Objective Recent data suggest that the nutritional status of patients who are on the waiting list for kidney transplantation, influence outcomes after renal... |
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| StartPage | 186 |
| SubjectTerms | 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 |
| Title | Body composition in 98 patients awaiting kidney transplantation |
| URI | https://www.clinicalkey.com/#!/content/1-s2.0-S0899900713003717 https://www.clinicalkey.es/playcontent/1-s2.0-S0899900713003717 https://dx.doi.org/10.1016/j.nut.2013.07.018 https://www.ncbi.nlm.nih.gov/pubmed/24377453 https://www.proquest.com/docview/1475131680 https://www.proquest.com/docview/1490782874 https://www.proquest.com/docview/2101367664 https://inria.hal.science/hal-01108163 |
| Volume | 30 |
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