HN-02520283_Nutritional Status of Patients with Functioning Graft and Hemodialysis Assessed by Clinical Examination, Anthropometry, and Bioimpedance

Introduction: Kidney transplantation is an important therapeutic approach in kidney failure that can improve physical condition, health and quality of life of patients. This study determined and compared nutritional status and dietary intake of renal transplant patients before and 6 months after kidney transplantation with healthy individuals.Methods: A total of 40 renal transplant recipients who were referred to the nephrology clinics of Montaserieh Hospital, Mashhad and Sina Hospital, Tehran in 1397 were selected through purposive non-probability sampling. Forty healthy adults were included as the control group. Biochemical tests, anthropometric indices, recurrence and dietary intakes were collected through a 3-day dietary frequency and dietary regimen were compared between groups. Statistical analysis was performed using SPSS 16 software.Results: The intake of calories, fat, carbohydrates, proteinand micronutrients increased significantly in cases compared to controls. Income, gender, and education were the predictors of carbohydrate and fatty acid intake. Body mass index, lean tissue, adipose tissue, and waist circumference were significantly higher in cases compared to controls (p <0.05). Total body water, plasma nitrogen was significantly lower in cases compared to controls (p <0.05). Mean malnutrition index score was (A = 42.5%), (B = 52.5%) and (C = 5%) before transplantation that improved (A = 75%), (B = 20%) and (C = 5%) respectively after transplantation (p <0.05).Conclusion: Adherence to these dietary guidelines may increase fat tissue and BMI in the long run. High intake of fat and carbohydrates, which are associated with increased kidney transplant complications, were seen among patients.