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Dietary Nutrients and Cardiovascular Risk Factors among Renal Transplant Recipients

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 S...

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Autores principales: Lin, I-Hsin, Duong, Tuyen Van, Wong, Te-Chih, Nien, Shih-Wei, Tseng, I-Hsin, Chiang, Yang-Jen, Wang, Hsu-Han, Yang, Shwu-Huey
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8391485/
https://www.ncbi.nlm.nih.gov/pubmed/34444197
http://dx.doi.org/10.3390/ijerph18168448
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author Lin, I-Hsin
Duong, Tuyen Van
Wong, Te-Chih
Nien, Shih-Wei
Tseng, I-Hsin
Chiang, Yang-Jen
Wang, Hsu-Han
Yang, Shwu-Huey
author_facet Lin, I-Hsin
Duong, Tuyen Van
Wong, Te-Chih
Nien, Shih-Wei
Tseng, I-Hsin
Chiang, Yang-Jen
Wang, Hsu-Han
Yang, Shwu-Huey
author_sort Lin, I-Hsin
collection PubMed
description 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.
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spelling pubmed-83914852021-08-28 Dietary Nutrients and Cardiovascular Risk Factors among Renal Transplant Recipients Lin, I-Hsin Duong, Tuyen Van Wong, Te-Chih Nien, Shih-Wei Tseng, I-Hsin Chiang, Yang-Jen Wang, Hsu-Han Yang, Shwu-Huey Int J Environ Res Public Health Article 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. MDPI 2021-08-10 /pmc/articles/PMC8391485/ /pubmed/34444197 http://dx.doi.org/10.3390/ijerph18168448 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Lin, I-Hsin
Duong, Tuyen Van
Wong, Te-Chih
Nien, Shih-Wei
Tseng, I-Hsin
Chiang, Yang-Jen
Wang, Hsu-Han
Yang, Shwu-Huey
Dietary Nutrients and Cardiovascular Risk Factors among Renal Transplant Recipients
title Dietary Nutrients and Cardiovascular Risk Factors among Renal Transplant Recipients
title_full Dietary Nutrients and Cardiovascular Risk Factors among Renal Transplant Recipients
title_fullStr Dietary Nutrients and Cardiovascular Risk Factors among Renal Transplant Recipients
title_full_unstemmed Dietary Nutrients and Cardiovascular Risk Factors among Renal Transplant Recipients
title_short Dietary Nutrients and Cardiovascular Risk Factors among Renal Transplant Recipients
title_sort dietary nutrients and cardiovascular risk factors among renal transplant recipients
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8391485/
https://www.ncbi.nlm.nih.gov/pubmed/34444197
http://dx.doi.org/10.3390/ijerph18168448
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