Abstract
Background
Kidney transplantation may release the patient receiving dialysis therapy in their life style, especially in restriction of dietary intake. However, their renal functions are not enough to take daily diet without any restriction. In Japan, we have neither standard of diet intake for them, nor data to build it.
Methods
Dietary intake and its satisfaction were surveyed in 62 outpatients who received kidney transplantation in Keio University Hospital using brief-type self-administered diet history questionnaire.
Results
Cross-sectional research was carried out in 2013. Estimated GFR of the object was 42 ± 16 ml/min/1.73 m2. One patient was CKD G1 stage, five in G2, 17 in G3a, 24 in G3b, 14 in G4, and one in G5. Urinary protein was shown in 30 % of patients. Their daily intake was 29 ± 8 kcal/kg of energy, 1.1 ± 0.4 g/kg of protein, 9.9 ± 3.6 g of salt. Protein and salt intakes were over comparing the respective standards for CKD in Japan. The patient who have dissatisfaction for their daily diet was significantly decreased from 79 to 4 % after their kidney transplantation. Attentions to overtake were significantly reduced after kidney transplantation from 56 to 8 % for potassium, 55 to 21 % for salt, 50 to 16 % for protein, 35 to 3 % for calcium/phosphate.
Conclusions
Changes in daily diet of the patients with dialysis and kidney transplantation were recognized. The patients who received kidney transplantation would take daily diet according to their renal function although they do not have specific standards.
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References
Butt Z, Yount SE, Caicedo JC, Abecassis MM, Cella D. Quality of life assessment in renal transplant: review and future directions. Clin Transpl. 2008;22(3):292–303.
Matas AJ, Halbert RJ, Barr ML, Helderman JH, Hricik DE, Pirsch JD, et al. Life satisfaction and adverse effects in renal transplant recipients: a longitudinal analysis. Clin Transpl. 2002;16(2):113–21.
Marcen R. Dal Canton A. Glomerular filtration rate: utility for assessing long-term renal allograft outcomes in kidney allograft recipients. J Nephrol. 2013;26(6):1009–24.
Ichimaru N, Kakuta Y, Abe T, Okumi M, Imamura R, Isaka Y, et al. Treatment adherence in renal transplant recipients: a questionnaire survey on immunosuppressants. Transpl Proc. 2008;40(5):1362–5.
Fry K, Patwardhan A, Ryan C, Trevillian P, Chadban S, Westgarth F, et al. Development of evidence-based guidelines for the nutritional management of adult kidney transplant recipients. J Ren Nutr. 2009;19(1):101–4.
Japanese Society for Clinical Renal Transplantation. The clinical guideline for medical and pediatric complications after kidney transplantation: Nihon Igakuka; 2011.
Kobayashi S, Murakami K, Sasaki S, Okubo H, Hirota N, Notsu A, et al. Comparison of relative validity of food group intakes estimated by comprehensive and brief-type self-administered diet history questionnaires against 16 d dietary records in Japanese adults. Publ Health Nutr. 2011;14(7):1200–11.
Murakami K, Sasaki S, Takahashi Y, Okubo H, Hirota N, Notsu A, et al. Reproducibility and relative validity of dietary glycaemic index and load assessed with a self-administered diet-history questionnaire in Japanese adults. Br J Nutr. 2008;99(3):639–48.
Suzuki T, Shimada H, Gunji Y, Ochiai T. A study of quolity of life in the patients who have previously experienced the failure of a cadaveric kidney transplantation. Jpn J Transpl. 1992;27(4):524–9.
Evidence-based clinical practice guideline for CKD 2013. Clin Exp Nephrol. 2014;18(3):346–423.
Japanese Society for Transplantation. Factbook for organ transplantations in Japan: Japanese Society for transplantation; 2011.
Papachristou E, Provatopoulou S, Savvidaki E, Kaplanis N, Kalliakmani P, Papasotiriou M, et al. Outcome of transplantation in renal allograft recipients from cadaveric donors with standard and expanded criteria: a single-center experience. Transpl Proc. 2014;46(9):3172–4.
Kosaka S, Tanaka M, Kazuma K. Survey of self-management in kidney transplant recipients and its association with their post-transplantation period. Jpn J Transpl. 2011;47(1):60–6.
Nishi S, Gejyo F, Saito K, Takahashi K. Kidney transplantation and life-style related diseases. Nihon Jinzo Gakkai shi. 2004;46(8):792–7.
Tabata I, Ebine N, Kawashima Y, Ishikawa-Takata K, Tanaka S, Higuchi M, et al. Dietary reference intakes for Japanese 2010: energy. J Nutr Sci Vitaminol. 2012;59(Supplement):S26–35.
Uenishi K, Ishimi Y, Nakamura K, Kodama H, Esashi T. Dietary reference intakes for Japanese 2010: macrominerals. J Nutr Sci Vitaminol. 2012;59(Supplement):S83–90.
Nishi S, Gejyo F, Saito K, Nakagawa Y, Takahashi K. Diet therapy after kidney transplantation: a comparative debate between Japan and western countries. Contrib Nephrol. 2007;155:82–9.
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An erratum to this article is available at http://dx.doi.org/10.1007/s10157-016-1250-3.
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Nagaoka, Y., Onda, R., Sakamoto, K. et al. Dietary intake in Japanese patients with kidney transplantation. Clin Exp Nephrol 20, 972–981 (2016). https://doi.org/10.1007/s10157-016-1233-4
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DOI: https://doi.org/10.1007/s10157-016-1233-4