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Changes in dietary patterns and body composition within 12 months of liver transplantation
Hepatobiliary Surgery and Nutrition
  • McCoy Simone, Princess Alexandra Hospital Brisbane
  • Katrina Campbell, Bond University
  • Annie-Claude Lassemillante, Princess Alexandra Hospital Brisbane
  • Matthew P Wallen, University of Queensland
  • Jonathan Fawcett, Queensland Liver Transplant Service
  • Maree Jarrett, Queensland Liver Transplant Service
  • Graeme A Macdonald, University of Queensland
  • Ingrid J Hickman, Princess Alexandra Hospital Brisbane
Date of this Version
1-1-2017
Document Type
Journal Article
Publication Details

Published version

McCoy, S. M., Campbell, K. L., Lassemillante, A-C. M., Wallen, M. P., Fawcett, J., Jarrett, M., Macdonald, G. A., & Hickman, I. J. (2017, in press). Changes in dietary patterns and body composition within 12 months of liver transplantation. Hepatobiliary Surgery and Nutrition. doi: 10.21037/hbsn.2017.01.12

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HepatoBiliary Surgery and Nutrition; HBSN is an open access journal

Abstract

Background:

Cardiometabolic risk factors are increasing in liver transplant recipients (LTR). Influencing dietary factors have not been assessed. The aim of this observational study was to assess changes in weight, metabolic function, dietary intake and eating behaviours in the first year after orthotopic liver transplantation (OLT).

Methods:

Consecutive recruitment of 17 patients (14 males) awaiting OLT at a single tertiary hospital. Dietary intake, food behaviours and anthropometry were recorded at baseline, and 6 and 12 months post-transplant.

Results:

By 12 months, patients had gained on average 7.3% of body weight. The prevalence of overweight or obesity increased from baseline 53% to 77% (P=0.001). By 6 months, 65% (n=11/17) of patients had altered glucose metabolism. Dietary intake was consistent with a Western-style dietary pattern with high saturated fat. Over half of the patients (69%, n=11/16) reported low to no depressive feelings and rated their self-esteem as good (53%, n=9/16). The Power of Food Scale increased between pre and post-transplant, indicating a stronger appetitive drive.

Conclusions:

Weight gain occurs early post-transplant, with significant metabolic dysfunction present within 6 months, however is not associated with significant psychological distress. Early dietary intervention designed to limit weight gain and target cardiometabolic health is recommended for this unique patient population.

Citation Information
McCoy Simone, Katrina Campbell, Annie-Claude Lassemillante, Matthew P Wallen, et al.. "Changes in dietary patterns and body composition within 12 months of liver transplantation" Hepatobiliary Surgery and Nutrition (2017) ISSN: 2304-3881
Available at: http://works.bepress.com/katrina-campbell/24/