BACKGROUND: Dietary interventions are one approach for reduction of the chronic-disease burden in the general and transplant populations. However, scanty information is available on the nutritional intake of liver transplant (L.T.) recipients. MATERIALS AND METHODS: This was a single-center, cross-sectional study in 268 LT recipients between 6 months and 5 years from transplantation ( mean age 54,4 years; males 77,2 %; mean follow-up 33,9 ± 13,1 months). The nutritional intake was tested with a modified version of the Dietary Guidelines for Americans Adherence Index (DGAI) score for the 1800-Kcal food pattern and assessing patients’ compliance with the recommended intake of 9 different nutrients (dark green vegetables; orange vegetables; legumes; other vegetables; starchy vegetables; fruit; meat/beans; milk/dairy, and all grains). Overeating was assessed for starch, meat/beans, dairy, and all grains. The dietary intake was checked against patients’ demographic and clinical records. RESULTS: Noncompliance with dietary recommendations was reported for all nutrient items, and ranged from a low of 33,2% for fruit to 86% for dairy. Overeating was reported for starchy vegetables (50,5%), dairy (41,2%), all grains (7,1%) and meat/beans (5,1%). On multivariate analysis, the only variable that was associated with compliance to dietary recommendations wasbeing married or cohabiting with partner (p=0,008). CONCLUSIONS: Maintenance L.T. recipients show a high rate of noncmpliance with the DGAI recommendations for all dietary items (mean 70,9% ± 17,5% per item) and noncompliance is associated with living alone. These data call for educational strategies to be implemented to reduce the burden of long-term chronic disease in the population of patients.
The dietary habits of liver transplant recipients: results of a single-center, cross-sectional analysis
De Simone P;Filipponi F
2011-01-01
Abstract
BACKGROUND: Dietary interventions are one approach for reduction of the chronic-disease burden in the general and transplant populations. However, scanty information is available on the nutritional intake of liver transplant (L.T.) recipients. MATERIALS AND METHODS: This was a single-center, cross-sectional study in 268 LT recipients between 6 months and 5 years from transplantation ( mean age 54,4 years; males 77,2 %; mean follow-up 33,9 ± 13,1 months). The nutritional intake was tested with a modified version of the Dietary Guidelines for Americans Adherence Index (DGAI) score for the 1800-Kcal food pattern and assessing patients’ compliance with the recommended intake of 9 different nutrients (dark green vegetables; orange vegetables; legumes; other vegetables; starchy vegetables; fruit; meat/beans; milk/dairy, and all grains). Overeating was assessed for starch, meat/beans, dairy, and all grains. The dietary intake was checked against patients’ demographic and clinical records. RESULTS: Noncompliance with dietary recommendations was reported for all nutrient items, and ranged from a low of 33,2% for fruit to 86% for dairy. Overeating was reported for starchy vegetables (50,5%), dairy (41,2%), all grains (7,1%) and meat/beans (5,1%). On multivariate analysis, the only variable that was associated with compliance to dietary recommendations wasbeing married or cohabiting with partner (p=0,008). CONCLUSIONS: Maintenance L.T. recipients show a high rate of noncmpliance with the DGAI recommendations for all dietary items (mean 70,9% ± 17,5% per item) and noncompliance is associated with living alone. These data call for educational strategies to be implemented to reduce the burden of long-term chronic disease in the population of patients.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.