Adiposity and cardiovascular disease risk factors in renal transplant recipients: Are there differences between sexes?
| Autor: | Antonio Felipe Sanjuliani, Suzimar da Siveira Rioja, Julia Freitas Rodrigues Fernandes, Rachel Bregman, Márcia Regina Simas Gonçalves Torres, Priscila Mansur Leal, Maria Inês Barreto Silva |
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| Rok vydání: | 2013 |
| Předmět: |
Male
medicine.medical_specialty Endocrinology Diabetes and Metabolism Overweight Weight Gain Body Mass Index Sex Factors Risk Factors Internal medicine Diabetes mellitus Diabetes Mellitus Prevalence medicine Humans Abdominal obesity Adiposity Dyslipidemias Retrospective Studies Metabolic Syndrome Nutrition and Dietetics business.industry Middle Aged medicine.disease Kidney Transplantation Obesity Cross-Sectional Studies Adipose Tissue Cardiovascular Diseases Obesity Abdominal Cardiology Female Waist Circumference medicine.symptom Metabolic syndrome business Body mass index Weight gain Dyslipidemia |
| Zdroj: | Nutrition. 29:1231-1236 |
| ISSN: | 0899-9007 |
| DOI: | 10.1016/j.nut.2013.03.019 |
| Popis: | Objective The aim of this study was to evaluate high body adiposity and cardiovascular disease (CVD) risk factors prevalence, in renal transplant recipients (RTR), comparing men with women. Methods In this retrospective cross-sectional study, 102 patients (55 men) who were 49 ± 1.2 y and 114.3 ± 9 mo post-transplant (post-tx) were evaluated. Pretransplant (pre-tx) period data and weight gain during the first year post-tx were obtained from patient charts and post-tx data were collected during a routine visit at nephrology clinic. Body mass index (BMI) ≥ 25 kg/m 2 defined overweight and BMI ≥ 30 kg/m 2 defined obesity. Results Pre-tx overweight prevalence was low and similar between men and women (26%), whereas only women showed obesity (11%). Post-tx body weight increased significantly in the entire group, leading to an increase in overweight (to 38% in men and 51% in women) and obesity (to 11% in men and 23% in women) prevalence. Post-tx comparisons between men and women showed that women had higher (women versus men; P 2 ), weight gain during first year post-tx (9.2 ± 1.1 versus 5.5 ± 1 kg), abdominal obesity (57% versus 23%) and diabetes (34% versus 16%) prevalence. The associations between adiposity and CVD risk factors showed that pre-tx overweight increased the risk for diabetes in post-tx; pos-tx high BMI and abdominal obesity increased the risk for metabolic syndrome; abdominal obesity increased the risk for dyslipidemia in women. Conclusions High body adiposity prevalence was high after transplantation and increased the risk for metabolic syndrome, an important CVD risk factor. Women showed higher total body adiposity values, abdominal obesity, and diabetes prevalence than men. Abdominal obesity increased the risk for dyslipidemia in women. |
| Databáze: | OpenAIRE |
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