Obesity and Lifestyle Habits among Kidney Transplant Recipients
Background: Obesity may negatively impact clinical outcomes in kidney transplant (KT) recipients. Limited information is available on the prevalence of obesity in this population, and on the lifestyle habits associated with obesity. Methods: we conducted an online, anonymous survey to assess of the...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2022-07-01
|
| Series: | Nutrients |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2072-6643/14/14/2892 |
| _version_ | 1797416523152752640 |
|---|---|
| author | Maria Grazia Tarsitano Gabriele Porchetti Rossana Caldara Antonio Secchi Caterina Conte |
| author_facet | Maria Grazia Tarsitano Gabriele Porchetti Rossana Caldara Antonio Secchi Caterina Conte |
| author_sort | Maria Grazia Tarsitano |
| collection | DOAJ |
| description | Background: Obesity may negatively impact clinical outcomes in kidney transplant (KT) recipients. Limited information is available on the prevalence of obesity in this population, and on the lifestyle habits associated with obesity. Methods: we conducted an online, anonymous survey to assess of the proportion of KT recipients with obesity, adherence to the Mediterranean diet (i.e., a dietary regimen with proven renal and cardiovascular outcomes) using the MEDI-Lite questionnaire, and level of physical activity using the International Physical Activity Questionnaire (IPAQ) short form among KT recipients. Results: 255 KT recipients participated. Median (25th–75th quartile) age was 56.0 (48.0; 62.0) years, 43.9% female, median BMI 23.9 (21.6; 26.5) kg/m<sup>2</sup>. The proportion of KT recipients with obesity was 9.8% (95% confidence interval, 6.4 to 14.1%). Adequate adherence to the Mediterranean diet (Medi-Lite score >9) was overall low (44.7%; 40.0 vs. 45.2% in those with or without obesity, respectively; <i>p</i> = 0.618). In participants with obesity the Medi-Lite score inversely correlated with BMI (R = −0.45; <i>p</i> < 0.025). Overall, 30.6% of participants had a low level of physical activity (44.0 vs. 29.1% of those with or without obesity, respectively; <i>p</i> = 0.125). The amount of energy expended walking was significantly lower among participants with obesity (462 (0.0; 1436) vs. 1056 (433; 2005) METs/week, <i>p</i> = 0.017). Conclusions: the burden of obesity among KT recipients is similar to that of the general population. Adherence to the Mediterranean diet was generally low, and nearly one-third of participants had a low level of physical activity. Building specialized multidisciplinary teams to manage obesity in KT recipients is urgently needed. |
| first_indexed | 2024-03-09T06:05:26Z |
| format | Article |
| id | doaj.art-76d0f4bf58eb412a9e20e6245868341f |
| institution | Directory Open Access Journal |
| issn | 2072-6643 |
| language | English |
| last_indexed | 2024-03-09T06:05:26Z |
| publishDate | 2022-07-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Nutrients |
| spelling | doaj.art-76d0f4bf58eb412a9e20e6245868341f2023-12-03T12:04:25ZengMDPI AGNutrients2072-66432022-07-011414289210.3390/nu14142892Obesity and Lifestyle Habits among Kidney Transplant RecipientsMaria Grazia Tarsitano0Gabriele Porchetti1Rossana Caldara2Antonio Secchi3Caterina Conte4Nutrition Unit, Department of Medical and Surgical Science, University Magna Grecia, 88100 Catanzaro, ItalyDepartment of Human Sciences and Promotion of the Quality of Life, San Raffaele Roma Open University, Via di Val Cannuta 247, 00166 Rome, ItalyDivision of Immunology, Transplantation and Infectious Diseases, IRCCS San Raffaele Hospital, Via Olgettina 60, 20132 Milan, ItalyDivision of Immunology, Transplantation and Infectious Diseases, IRCCS San Raffaele Hospital, Via Olgettina 60, 20132 Milan, ItalyDepartment of Human Sciences and Promotion of the Quality of Life, San Raffaele Roma Open University, Via di Val Cannuta 247, 00166 Rome, ItalyBackground: Obesity may negatively impact clinical outcomes in kidney transplant (KT) recipients. Limited information is available on the prevalence of obesity in this population, and on the lifestyle habits associated with obesity. Methods: we conducted an online, anonymous survey to assess of the proportion of KT recipients with obesity, adherence to the Mediterranean diet (i.e., a dietary regimen with proven renal and cardiovascular outcomes) using the MEDI-Lite questionnaire, and level of physical activity using the International Physical Activity Questionnaire (IPAQ) short form among KT recipients. Results: 255 KT recipients participated. Median (25th–75th quartile) age was 56.0 (48.0; 62.0) years, 43.9% female, median BMI 23.9 (21.6; 26.5) kg/m<sup>2</sup>. The proportion of KT recipients with obesity was 9.8% (95% confidence interval, 6.4 to 14.1%). Adequate adherence to the Mediterranean diet (Medi-Lite score >9) was overall low (44.7%; 40.0 vs. 45.2% in those with or without obesity, respectively; <i>p</i> = 0.618). In participants with obesity the Medi-Lite score inversely correlated with BMI (R = −0.45; <i>p</i> < 0.025). Overall, 30.6% of participants had a low level of physical activity (44.0 vs. 29.1% of those with or without obesity, respectively; <i>p</i> = 0.125). The amount of energy expended walking was significantly lower among participants with obesity (462 (0.0; 1436) vs. 1056 (433; 2005) METs/week, <i>p</i> = 0.017). Conclusions: the burden of obesity among KT recipients is similar to that of the general population. Adherence to the Mediterranean diet was generally low, and nearly one-third of participants had a low level of physical activity. Building specialized multidisciplinary teams to manage obesity in KT recipients is urgently needed.https://www.mdpi.com/2072-6643/14/14/2892obesitykidney transplantMediterranean dietphysical activitylifestyle |
| spellingShingle | Maria Grazia Tarsitano Gabriele Porchetti Rossana Caldara Antonio Secchi Caterina Conte Obesity and Lifestyle Habits among Kidney Transplant Recipients Nutrients obesity kidney transplant Mediterranean diet physical activity lifestyle |
| title | Obesity and Lifestyle Habits among Kidney Transplant Recipients |
| title_full | Obesity and Lifestyle Habits among Kidney Transplant Recipients |
| title_fullStr | Obesity and Lifestyle Habits among Kidney Transplant Recipients |
| title_full_unstemmed | Obesity and Lifestyle Habits among Kidney Transplant Recipients |
| title_short | Obesity and Lifestyle Habits among Kidney Transplant Recipients |
| title_sort | obesity and lifestyle habits among kidney transplant recipients |
| topic | obesity kidney transplant Mediterranean diet physical activity lifestyle |
| url | https://www.mdpi.com/2072-6643/14/14/2892 |
| work_keys_str_mv | AT mariagraziatarsitano obesityandlifestylehabitsamongkidneytransplantrecipients AT gabrieleporchetti obesityandlifestylehabitsamongkidneytransplantrecipients AT rossanacaldara obesityandlifestylehabitsamongkidneytransplantrecipients AT antoniosecchi obesityandlifestylehabitsamongkidneytransplantrecipients AT caterinaconte obesityandlifestylehabitsamongkidneytransplantrecipients |