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Dietary Nutrients and Cardiovascular Risk Factors among Renal Transplant Recipients

Author

Listed:
  • I-Hsin Lin

    (Department of Medical Nutrition Therapy, Linkou 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)

  • Te-Chih Wong

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

  • Shih-Wei Nien

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

  • Yang-Jen Chiang

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

  • Hsu-Han Wang

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

  • Shwu-Huey Yang

    (School of Nutrition and Health Sciences, College of Nutrition, Taipei Medical University, Taipei 11031, Taiwan
    Research Center of Geriatric Nutrition, College of Nutrition, Taipei Medical University, Taipei 11031, Taiwan
    Nutrition Research Center, Taipei Medical University Hospital, Taipei 11031, Taiwan)

Abstract

Cardiovascular disease (CVD) is the leading cause of mortality in post-renal transplant recipients (RTRs). Adequate nutrient intake is a protective factor for CVD. We examined the associations of macronutrients and micronutrients with traditional and nontraditional CVD risk factors. Conducted from September 2016 to June 2018, this cross-sectional study included 106 RTRs aged ≥18 years with a functioning allograft. Dietary intake data from 3-day dietary records were collected. Nutrient intake adequacy was defined using various instruments, including the National Kidney Foundation Kidney Disease Outcomes Quality Initiative (K/DOQI) guidelines. CVD risk factors were defined according to the K/DOQI guidelines. Bivariate and multivariate logistic regression models were used to analyze the associations. CVD risk was present in all patients; the lowest proportions of adequate intake were 2.8% for dietary fiber and 0.9% for calcium. Adequate nutrient intake was associated with a lower likelihood of the occurrence of traditional CVD risk factors (specifically, 1.9–31.3% for hyperlipidemia and 94.6% for diabetes mellitus). It was also associated with a lower likelihood of the occurrence of nontraditional CVD risk by 0.8% for hypophosphatemia and 34% for hyperuricemia. Adherence to dietary guidelines should be promoted among RTRs to decrease CVD risk.

Suggested Citation

  • 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.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:16:p:8448-:d:611866
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    References listed on IDEAS

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    1. 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.
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