Nutritional management in renal transplant recipients: A transplant team opportunity to improve graft survival.
Nutr Metab Cardiovasc Dis
; 29(4): 319-324, 2019 04.
Article
em En
| MEDLINE
| ID: mdl-30782507
ABSTRACT
AIMS:
The nutritional management of renal transplant recipients (RTR) represents a complex problem either because the recovery of renal function is not complete and for the appearance of "unavoidable" metabolic side effects of immunosuppressive drugs. Nevertheless, it remains a neglected problem, whereas an appropriate dietary intervention could favorably affect graft survival. DATASYNTHESIS:
Renal transplantation is associated with steroids and calcineurin inhibitors administration, liberalization of diet after dialysis restrictions, and patients' better quality of life. These factors predispose, from the first months after surgery, to body weight gain, enhanced post transplant diabetes, hyperlipidemia, metabolic syndrome, with negative consequences on graft outcome. Unfortunately, specific guidelines about this topic and nutritional counseling are scarce; moreover, beyond the low adherence of patients to any dietary plan, there is a dangerous underestimation of the problem by physicians, sometimes with inadequate interventions. A prompt and specific nutritional management of RTR can help prevent or minimize these metabolic alterations, mostly when associated with careful and repeated counseling.CONCLUSIONS:
A correct nutritional management, possibly tailored to enhance patients' motivation and adherence, represents the best preventive maneuver to increase patients' life and probably improve graft survival, at no cost and with no side effects.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Estado Nutricional
/
Transplante de Rim
/
Terapia Nutricional
/
Sobrevivência de Enxerto
/
Distúrbios Nutricionais
Tipo de estudo:
Etiology_studies
/
Risk_factors_studies
Limite:
Humans
Idioma:
En
Ano de publicação:
2019
Tipo de documento:
Article