scholarly journals Dietary Diversity Score: Implications for Obesity Prevention and Nutrient Adequacy in Renal Transplant Recipients

Author(s):  
I-Hsin Lin ◽  
Tuyen Van Duong ◽  
Shih-Wei Nien ◽  
I-Hsin Tseng ◽  
Hsu-Han Wang ◽  
...  

Obesity affects both medical and surgical outcomes in renal transplant recipients (RTRs). Dietary diversity, an important component of a healthy diet, might be a useful nutritional strategy for monitoring patients with obesity. In this cross-sectional study, the data of 85 eligible RTRs were analyzed. Demographic data, routine laboratory data, and 3-day dietary data were collected. Participants were grouped into nonobesity and obesity groups based on body mass index (BMI) (for Asian adults, the cutoff point is 27 kg/m2). Dietary diversity score (DDS) was computed by estimating scores for the six food groups emphasized in the Food Guide. The mean age and BMI of participants were 49.7 ± 12.6 years and 24.0 ± 3.8 kg/m2, respectively. In the study population, 20.0% (n = 17) were obese. DDS was significantly lower in obese participants than in those who were not obese (1.53 ± 0.87 vs. 2.13 ± 0.98; p = 0.029). In addition, DDS was correlated with nutrition adequacy of the diet. Multivariate analysis showed that the odds of obesity decreased with each unit increase in DDS (odds ratio, 0.278; 95% confidence interval, 0.101–0.766; p = 0.013). We conclude that patients with higher dietary diversity have a lower prevalence of obesity.

2013 ◽  
Vol 1 (4) ◽  
pp. 383 ◽  
Author(s):  
Jaime A. Wong ◽  
Joseph Lawen ◽  
Bryce Kiberd ◽  
Waleed K. Alkhudair

Introduction: The purpose of this study was to determine the prevalence of erectiledysfunction (ED) at our institution in the postrenal transplant populationand to compare those patients who had ED with those who did not have ED, with respect to several patient characteristics.Methods: We conducted a cross-sectional study of male renal transplant recipientswho were in attendance at the transplant clinic from April 1, 2004, toMarch 31, 2006. Erectile function was evaluated using the International Indexof Erectile Function short form questionnaire. Patients were also screened fordepression using the Beck Depression Inventory. We performed a chart reviewto obtain various patient characteristics.Results: This study involved 55 patients. Their average age was 50 years oldand the mean duration of the current transplant was 7.9 years. ED was identifiedin 28 of the patients (51%). More patients with ED were over age 50 years(64% v. 26%, p = 0.004). There was a higher prevalence of diabetes mellitus(39% v. 11%, p = 0.02) in patients with ED compared with those patients withoutED. More patients with ED were depressed compared with those patientswho did not have ED (29% v. 7%, p = 0.04). These 3 factors were significantlyassociated with ED and this relationship was confirmed on multivariateanalysis.Conclusion: ED remains a common problem in the renal transplant population.The cause of ED is multifactorial, with increasing age and the presenceof diabetes mellitus and depression increasing the risk of ED.


2021 ◽  
Vol 10 ◽  
Author(s):  
Getahun Fentaw Mulaw ◽  
Fentaw Wassie Feleke ◽  
Kusse Urmale Mare

Abstract Maternal dietary feeding practice is one of the proxy indicators of maternal nutrient adequacy and it improves outcomes for both mothers and their offspring. The minimum maternal dietary diversity score of lactating women is defined as when the mother ate at least four and above food groups from the nine food groups 24 h preceding the survey regardless of the portion size. Therefore, the present study aimed to determine the minimum dietary diversity score (MDDS) and its predictors among lactating mothers in the Pastoralist community, Ethiopia. A community-based cross-sectional study design was employed on 360 lactating mothers using a multi-stage sampling technique from 5 January 2020 to 10 February 2020. Data were collected using questionnaires and anthropometry measurements. Data were entered using EPI-data 4.6.02 and exported into SPSS version 25. Statistical significance was declared at P-value <0⋅05 at multivariable logistic regression. Only one in four lactating mothers met the MDDS. The majority of them consumed cereals in the preceding 24 h of data collection. The most important predictors were maternal meal frequency (adjusted odds ratio (AOR) 6⋅26; 95 % confidence interval (CI) (3⋅51, 11⋅15)), antenatal care (ANC) follow-up one to three times and four and above times (AOR: 2⋅58; 95 % CI (1⋅24, 5⋅36), 4⋅77 (1⋅90, 11⋅95), respectively) and secondary paternal education (AOR 2⋅97; 95 % CI (1⋅44, 6⋅11)). The MDDS among lactating mothers was low. Paternal education, maternal meal frequency and ANC follow-up were the significant predictors. Therefore, to improve maternal dietary diversity score emphasis should be given to those predictors.


Author(s):  
Sedigheh Pakseresht ◽  
Arezoo Monfared ◽  
Azadeh Zebhi ◽  
Nasrin Mokhtari Lake ◽  
Marjan Mahdavi-Roshan

Introduction Poor nutrition causes many chronic diseases in developed and developing countries. Dietary diversity is one indicator that reflects the state of the whole diet. Aim The study aimed to determine the diet diversity and supplement usage of nursing students of Guilan University of Medical Sciences, Iran. Material and methods In this cross-sectional study, 185 nursing students of Guilan University of Medical Sciences, Iran, participated, and the classification (relative) method was used. Information was collected through questionnaires completed in interviews. The questionnaires had three parts: demographic data, dietary diversity score (DDS; food frequency questionnaire), and supplement usage. Data was analyzed using descriptive statistics and inferential statistics. Results and discussion The results indicated that the average consump­tion rates of items from the five main food groups were 0.91 ± 0.24 scores (bread and cereals), 1.3 ± 0.49 (meat), 0.84 ± 0.59 (dairy), 0.53 ± 0.35 (cereals and vegetables), and 1.01 ± 0.58 (fruits). The findings showed that the average consumption rates of the different food categories were not similar. According to an evaluation by Kant (maximum score of 10), the average overall DDS of students was 4.60 ± 1.37 scores, which is undesirable. The highest percentage of deficiency was related to vegetables (73.67), while the lowest percentage of deficiency was related to meats (34.73). Conclusions Using DDSs is a good way to determine the diet of various communities in terms of nutritional value, and it can help predict diet adequacy. In cases of insufficient dietary diversity and supplement usage, educating people on how to follow a healthy diet is critically important for disease prevention


2020 ◽  
Vol 17 (2) ◽  
pp. 61-63
Author(s):  
Md Habibur Rahman ◽  
Tohid Mohammad Saiful Hossain ◽  
AKM Khurshidul Alam ◽  
Shahidul Islam Selim ◽  
Nilima Barman ◽  
...  

Objectives: Proteinurea is one of the major causes of early graft rejection and high degree mortality in renal transplant patients. Our objective was to assess risk in post transplant patient for proteinurea and it’s appropriate management. Methods: This cross sectional study includes fifty adult kidney allograft recipients, transplanted in kidney transplant unit of Urology Department, Bangabandhu Sheikh Mujib Medical University in the period of January 2012 to December 2012. Results: In our series, proteinuria was detected in 44% of the renal transplant recipients in variant amount. In this study the male and female ratio was 7:3. There was a highly significant level of proteinuria in proteinuric group than that of non-proteinuric group [538.09 (313.36) mg/24 hr vs. 44.48 (23.39) mg/24 hr; p value <0.0001]. Acute rejection and death was found in 22% and 8% recipients respectively, which were more observed in proteinuric group. Conclusion: Based on these data, proteinuria should be monitored periodically at posttransplant period and investigation of the cause should be pursued vigorously. Bangladesh Journal of Urology, Vol. 17, No. 2, July 2014 p.61-63


2009 ◽  
Vol 87 (9) ◽  
pp. 1340-1346 ◽  
Author(s):  
Roberto Marcén ◽  
Domingo del Castillo ◽  
Luis Capdevila ◽  
Gema Fernandez-Fresnedo ◽  
Emilio Rodrigo ◽  
...  

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