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Dietary Diversity Score: Implications for Obesity Prevention and Nutrient Adequacy in Renal Transplant Recipients

Author

Listed:
  • I-Hsin Lin

    (Department of Medical Nutrition Therapy, Chang Gung Memorial Hospital, Linkou 33305, Taiwan
    School of Nutrition and Health Sciences, College of Nutrition, Taipei Medical University, Taipei 11031, Taiwan)

  • Tuyen Van Duong

    (School of Nutrition and Health Sciences, College of Nutrition, Taipei Medical University, Taipei 11031, Taiwan)

  • Shih-Wei Nien

    (Department of Medical Nutrition Therapy, Chang Gung Memorial Hospital, Linkou 33305, Taiwan
    School of Nutrition and Health Sciences, College of Nutrition, Taipei Medical University, Taipei 11031, Taiwan)

  • I-Hsin Tseng

    (Department of Medical Nutrition Therapy, Chang Gung Memorial Hospital, Linkou 33305, Taiwan)

  • Hsu-Han Wang

    (Department of Urology, Chang Gung Memorial Hospital, Linkou 33305, Taiwan)

  • Yang-Jen Chiang

    (Department of Urology, Chang Gung Memorial Hospital, Linkou 33305, Taiwan)

  • Chia-Yen Chen

    (Department of Nutrition and Health Sciences, Chinese Culture University, Taipei 11114, Taiwan)

  • Te-Chih Wong

    (Department of Nutrition and Health Sciences, Chinese Culture University, Taipei 11114, Taiwan)

Abstract

Obesity affects both medical and surgical outcomes in renal transplant recipients (RTRs). Dietary diversity, an important component of a healthy diet, might be a useful nutritional strategy for monitoring patients with obesity. In this cross-sectional study, the data of 85 eligible RTRs were analyzed. Demographic data, routine laboratory data, and 3-day dietary data were collected. Participants were grouped into nonobesity and obesity groups based on body mass index (BMI) (for Asian adults, the cutoff point is 27 kg/m 2 ). Dietary diversity score (DDS) was computed by estimating scores for the six food groups emphasized in the Food Guide. The mean age and BMI of participants were 49.7 ± 12.6 years and 24.0 ± 3.8 kg/m 2 , respectively. In the study population, 20.0% (n = 17) were obese. DDS was significantly lower in obese participants than in those who were not obese (1.53 ± 0.87 vs. 2.13 ± 0.98; p = 0.029). In addition, DDS was correlated with nutrition adequacy of the diet. Multivariate analysis showed that the odds of obesity decreased with each unit increase in DDS (odds ratio, 0.278; 95% confidence interval, 0.101–0.766; p = 0.013). We conclude that patients with higher dietary diversity have a lower prevalence of obesity.

Suggested Citation

  • I-Hsin Lin & Tuyen Van Duong & Shih-Wei Nien & I-Hsin Tseng & Hsu-Han Wang & Yang-Jen Chiang & Chia-Yen Chen & Te-Chih Wong, 2020. "Dietary Diversity Score: Implications for Obesity Prevention and Nutrient Adequacy in Renal Transplant Recipients," IJERPH, MDPI, vol. 17(14), pages 1-11, July.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:14:p:5083-:d:384472
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    Citations

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    Cited by:

    1. I-Hsin Lin & Tuyen Van Duong & Te-Chih Wong & Shih-Wei Nien & I-Hsin Tseng & Yang-Jen Chiang & Hsu-Han Wang & Shwu-Huey Yang, 2021. "Dietary Nutrients and Cardiovascular Risk Factors among Renal Transplant Recipients," IJERPH, MDPI, vol. 18(16), pages 1-12, August.
    2. Otilia Vanessa Cordero-Ahiman & Jorge Leonardo Vanegas & Christian Franco-Crespo & Pablo Beltrán-Romero & María Elena Quinde-Lituma, 2021. "Factors That Determine the Dietary Diversity Score in Rural Households: The Case of the Paute River Basin of Azuay Province, Ecuador," IJERPH, MDPI, vol. 18(4), pages 1-16, February.

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