Factors associated with nutritional status in liver transplant patients who survived the first year after transplantation

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dc.contributor.authorCarvalho, Luciana de [UNIFESP]
dc.contributor.authorParise, Edison Roberto [UNIFESP]
dc.contributor.authorSamuel, Didier
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.contributor.institutionUniv Paris 11
dc.date.accessioned2016-01-24T13:59:18Z
dc.date.available2016-01-24T13:59:18Z
dc.date.issued2010-02-01
dc.description.abstractBackground and Aims: Most studies published focus on the evaluation of the impact of nutritional status on the morbidity and mortality during the immediate postoperative period or on the short-term evolution of liver transplant patients. the aim of the study was to evaluate long-term trends in nutritional status.Methods: Seventy patients consecutively submitted to liver transplantation were studied. Nutritional assessment was performed the day before transplantation and the 45, 90, 180 and 365 days after transplantation, consisting of determination of dietary intake, anthropometric and biochemical analysis.Results: Sixty-nine percent of the patients presented with malnutrition on the day before liver transplantation, decreasing to 44% at end of the first year. the prevalence of protein-calorie malnutrition (PCM) was 63% at 90 days post-transplant. A significant difference of PCM was observed between patients with cirrhosis and non-cirrhotic disease (53.6% x 100%) at 90 days post-transplant. the pre-transplant nutritional diagnosis and 90-day calorie intake were identified as variables independently associated with nutritional status at 90 days post-transplant. the variables independently associated with nutritional status in the 1-year assessment were pre-transplant PCM and 365-day calorie requirements.Conclusion: No influence on nutritional status was observed for peri- or postoperative factors after 3 or 12 months of follow up. As expected, dietary factors, especially adequate calorie intake, were always associated with nutritional status during all periods analyzed.en
dc.description.affiliationUniversidade Federal de São Paulo, Div Gastroenterol & Hepatol, Dept Med, BR-04023900 São Paulo, Brazil
dc.description.affiliationUniv Paris 11, Hop Paul Brousse, Dept Liver Dis, Paris, France
dc.description.affiliationUnifespUniversidade Federal de São Paulo, Div Gastroenterol & Hepatol, Dept Med, BR-04023900 São Paulo, Brazil
dc.description.sourceWeb of Science
dc.description.sponsorshipCoordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
dc.description.sponsorshipConselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)
dc.format.extent391-396
dc.identifierhttp://dx.doi.org/10.1111/j.1440-1746.2009.06033.x
dc.identifier.citationJournal of Gastroenterology and Hepatology. Malden: Wiley-Blackwell Publishing, Inc, v. 25, n. 2, p. 391-396, 2010.
dc.identifier.doi10.1111/j.1440-1746.2009.06033.x
dc.identifier.issn0815-9319
dc.identifier.urihttp://repositorio.unifesp.br/handle/11600/32252
dc.identifier.wosWOS:000274184500030
dc.language.isoeng
dc.publisherWiley-Blackwell
dc.relation.ispartofJournal of Gastroenterology and Hepatology
dc.rightsinfo:eu-repo/semantics/restrictedAccess
dc.rights.licensehttp://olabout.wiley.com/WileyCDA/Section/id-406071.html
dc.subjectanthropometryen
dc.subjectcirrhosisen
dc.subjectliver transplantationen
dc.subjectnutritional statusen
dc.titleFactors associated with nutritional status in liver transplant patients who survived the first year after transplantationen
dc.typeinfo:eu-repo/semantics/article
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