Home About us Current issue Ahead of Print Back issues Submission Instructions Advertise Contact Login   

Search Article 
  
Advanced search 
 
Saudi Journal of Kidney Diseases and Transplantation
Users online: 1226 Home Bookmark this page Print this page Email this page Small font sizeDefault font size Increase font size 

ORIGINAL ARTICLE Table of Contents   
Year : 2007  |  Volume : 18  |  Issue : 3  |  Page : 382-386
Nutritional Status in Renal Transplant Recipients


1 Sri Ramachandra Medical College and Research Institute, Chennai, India
2 Madras Medical Mission Hospital, Chennai, India

Correspondence Address:
Georgi Abraham
Sri Ramachandra Medical College and Research Institute, Chennai - 600 116
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


PMID: 17679750

Rights and PermissionsRights and Permissions

We performed this study to observe the nutritional status in our renal transplant recipients using serum parameters, body mass index (BMI), and dual energy x-ray absorptiometry (DEXA) that measured the fat distribution. We studied 109 patients who had chronic kidney disease due to different etiologies, and received mean hemodialysis before they underwent successful renal transplantation. The body mass index and the prevalence of type 2 diabetes mellitus revealed a significantly positive correlation with older age (p<0.05). The mean values of serum sodium, chloride, potassium, calcium, and phosphorous were found to be within the normal range. There were no significant differences in these parameters according to age distribution. However, the mean serum creatinine was elevated, 154 ± 18 µmol/L, which was compatible with a significant but stable renal dysfunction. iPTH levels in most of our patients were within two times the normal values (101± 81 pg/ml). The mean hemoglobin levels were low in all our patients (91.6 ± 19.4 g/L). The mean bicarbonate levels were within normal limits (23 ± 3.5 mmol/L), however there were some patients below normal. The plasma proteins and albumin were lower than normal; 62.2 ± 8.6 g/L, and 36.1 ± 5.1gms/L, respectively. We conclude that the BMI, fat distribution and percentage as measured by DEXA scan, as well as the prevalence of type 2 diabetes mellitus in our transplant population revealed a significantly positive correlation with older age. The elevated mean plasma iPTH levels, decreased mean serum bicarbonate, albumin, and hemoglubin levels are most likely related to renal allograft dysfunction which is usually inherent with the grafts and may eventually affect the nutritional status of the patients. Subsequently, the initial weight gain may be hampered by the graft dysfunction. Prospective long-term studies are required to confirm our findings on larger transplant populations.


[FULL TEXT] [PDF]*
Print this article  Email this article
    

  Similar in PUBMED
    Search Pubmed for
    Search in Google Scholar for
  Related articles
   Citation Manager
  Access Statistics
   Reader Comments
   Email Alert *
   Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed4372    
    Printed75    
    Emailed0    
    PDF Downloaded610    
    Comments [Add]    
    Cited by others 2    

Recommend this journal