Changes in dietary patterns and body composition within 12 months of liver transplantation

Simone M. McCoy, Katrina Louise Campbell, Annie-Claude Lassemillante, Matthew P. Wallen, Jonathan Fawcett, Maree Jarrett, Graeme A. Macdonald, Ingrid J. Hickman

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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.
Original languageEnglish
Pages (from-to)317-326
Number of pages10
JournalHepatobiliary Surgery and Nutrition
Volume6
Issue number5
DOIs
Publication statusE-pub ahead of print - 2017

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Body Composition
Liver Transplantation
Transplants
Weight Gain
Anthropometry
Feeding Behavior
Tertiary Care Centers
Self Concept
Patient Selection
Observational Studies
Emotions
Obesity
Eating
Fats
Body Weight
Psychology
Weights and Measures
Glucose
Food
Liver

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McCoy, S. M., Campbell, K. L., Lassemillante, A-C., Wallen, M. P., Fawcett, J., Jarrett, M., ... Hickman, I. J. (2017). Changes in dietary patterns and body composition within 12 months of liver transplantation. Hepatobiliary Surgery and Nutrition, 6(5), 317-326. https://doi.org/10.21037/hbsn.2017.01.12
McCoy, Simone M. ; Campbell, Katrina Louise ; Lassemillante, Annie-Claude ; Wallen, Matthew P. ; Fawcett, Jonathan ; Jarrett, Maree ; Macdonald, Graeme A. ; Hickman, Ingrid J. / Changes in dietary patterns and body composition within 12 months of liver transplantation. In: Hepatobiliary Surgery and Nutrition. 2017 ; Vol. 6, No. 5. pp. 317-326.
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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.",
author = "McCoy, {Simone M.} and Campbell, {Katrina Louise} and Annie-Claude Lassemillante and Wallen, {Matthew P.} and Jonathan Fawcett and Maree Jarrett and Macdonald, {Graeme A.} and Hickman, {Ingrid J.}",
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McCoy, SM, Campbell, KL, Lassemillante, A-C, Wallen, MP, Fawcett, J, Jarrett, M, Macdonald, GA & Hickman, IJ 2017, 'Changes in dietary patterns and body composition within 12 months of liver transplantation' Hepatobiliary Surgery and Nutrition, vol. 6, no. 5, pp. 317-326. https://doi.org/10.21037/hbsn.2017.01.12

Changes in dietary patterns and body composition within 12 months of liver transplantation. / McCoy, Simone M.; Campbell, Katrina Louise; Lassemillante, Annie-Claude; Wallen, Matthew P.; Fawcett, Jonathan; Jarrett, Maree; Macdonald, Graeme A.; Hickman, Ingrid J.

In: Hepatobiliary Surgery and Nutrition, Vol. 6, No. 5, 2017, p. 317-326.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - Changes in dietary patterns and body composition within 12 months of liver transplantation

AU - McCoy, Simone M.

AU - Campbell, Katrina Louise

AU - Lassemillante, Annie-Claude

AU - Wallen, Matthew P.

AU - Fawcett, Jonathan

AU - Jarrett, Maree

AU - Macdonald, Graeme A.

AU - Hickman, Ingrid J.

PY - 2017

Y1 - 2017

N2 - 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.

AB - 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.

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EP - 326

JO - Hepatobiliary Surgery and Nutrition

JF - Hepatobiliary Surgery and Nutrition

SN - 2304-389X

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ER -