Factors Influencing Weight Gain in Patients with Post-renal Transplantation

Main Article Content

Piyanuch Kaewsang
Wimolrat Puwarawuttipanit
Kanaungnit Pongthavornkamol
Natavudh Townamchai

Abstract

           Purpose: To determine the influences of age, time post-renal transplantation, eating behavior and physical activity on weight gain in patients with post-renal transplantation.


          Design: Correlational predictive design.


          Methods: The sample was 126 patients who received first-time renal transplantation at 18 years of age and were continuously followed-up post-renal transplantation at tertiary hospital in Bangkok. The sample was selected according to the eligible criteria. Data collection was performed using a demographic data questionnaire, a food consumption behaviour questionnaire, a physical activity questionnaire and a Thai cognitive test form for screening subjects aged over 60 years. The data were analyzed by using descriptive statistics and multiple regression analysis


    Main findings: The study factors including age, time post-renal transplantation, eating behavior and physical activity could together explain 16% of the variance of weight gain among post-renal transplantation patients (R2 = .16). The factors influencing weight gain post-renal transplantation with statistical significance were age (β = - .20, t = -2.33, p = .021) and time post-renal transplantation (β = .38, t = 4.47, p < .001).


                    Conclusion and recommendations: Health care professionals should pay attention to the assessment of body weight in patients post-renal transplantation for at least 3 months and under 45 years of age and provide information to the patients about the adverse effects of weight gain to help them adjust appropriately to prevent weight gain and abnormal body mass index post-renal transplantation.

Article Details

How to Cite
Kaewsang, P., Puwarawuttipanit, W. ., Pongthavornkamol, K. ., & Townamchai, N. . (2021). Factors Influencing Weight Gain in Patients with Post-renal Transplantation. Nursing Science Journal of Thailand, 39(4), 13–26. Retrieved from https://he02.tci-thaijo.org/index.php/ns/article/view/247442
Section
Research Papers

References

Ndemera H, Bhengu B. Factors Contributing to kidney allograft loss and associated consequences among post kidney transplantation patients. Health Science Journal. 2017;11(3):504. doi: 10.21767/1791-809X.1000504.

Murphy F. The role of the nurse in pre-renal transplantation. Br J Nurs. 2007;16(10):582-7. doi: 10.12968/bjon.2007.16.10.23502.

van den Ham ECH, Kooman JP, van Hooff JP. Nutritional considerations in renal transplant patients. Blood Purif. 2002;20(2):139-44. doi: 10.1159/000046999.

Sundus AL, Neema S. Long-term outcomes after kidney transplantation. In Kirk AD, Knechtle SJ, Larsen CP, Madsen JC, Pearson TC, Webber SA, editors. Textbook organ transplantation. Chichester: Wiley-Blackwell; 2014. p.1257-66.

Williams JJ, Lund LH, LaManca J, Kunavarapu C, Cohen DJ, Heshka S, et al. Excessive weight gain in cardiac transplant recipients. J Heart Lung Transplant. 2006;25(1):36-41. doi: 10.1016/j.healun.2005.06.016.

Potluri K, Hou S. Obesity in kidney transplant recipients and candidates. Am J Kidney Dis. 2010;56(1):143-56. doi: 10.1053/j.ajkd.2010.01.017.

Srinivas TR, Meier-Kriesche H-U. Obesity and kidney transplantation. Semin Nephrol. 2013;33(1):34-43. doi: 10.1016/j.semnephrol.2012.12.007.

Moreira TR, Bassani T, de Souza G, Manfro RC, Goncalves LF. Obesity in kidney transplant recipients: association with decline in glomerular filtration rate. Ren Fail. 2013;35(9):1199-203. doi: 10.3109/0886022X.2013.819735.

Sancho A, Avila A, Gavela E, Beltrán S, Fernández-Nájera JE, Molina P, et al. Effect of overweight on kidney transplantation outcome. Transplant Proc. 2007;39(7):2202-04. doi: 10.1016/j.transproceed.2007.07.014.

Roy C. Introduction to nursing: an adaptation model. Englewood Cliffs: NJ; Prentice Hall; 1984. 402 p.

Cashion AK , Hathaway DK, Stanfill A, Thomas F, Ziebarth JD, Cui Y, et al. Pre-transplant Predictors of One Year Weight Gain After Kidney Transplantation. Clin Transplant. 2014;28(11):1271-8. doi: 10.1111/ctr.12456.

Clunk JM, Lin CY, Curtis JJ. Variables affecting weight gain in renal transplant recipients. Am J Kidney Dis. 2001;38(2):349-53. doi: 10.1053/ajkd.2001.26100.

Cofan F, Vela E, Cleries M. Obesity in renal transplantation: analysis of 2691 patients. Transplant Proc. 2005;37(9):3695-97. doi: 10.1016/j.transproceed.2005.10.069.

Mucha K , Foroncewicz B , Ryter M, Florczak M, Krajewska M, Gierek MM, et al. Weight gain in renal transplant recipients in a Polish single centre. Ann Transplant. 2015;20:16-20. doi: 10.12659/AOT.892754.

Krongyuth S. Effects of nutritional promoting program on nutritional health promoting behaviors in chronic renal failure patients [master’s thesis]. Bangkok: Mahidol University; 2004. 108 p.

Al-Zalabani AH, Al-Hamdan NA, Saeed AA. The prevalence of physical activity and its socioeconomic correlates in Kingdom of Saudi Arabia: a cross-sectional population-based national survey. J Taibah Univ Med Sci. 2015;10(2):208-15. doi: 10.1016/j.jtumed.2014.11.001.

Department of Health, Ministry of Public Health. Manual for global physical activity surveillance among general population in province by cross-sectional survey [Internet]. Nonthaburi: Department of Health, Ministry of Public Health; 2009 [cited 2020 Oct 15]. Available from: http://203.157.7.40/exercise/tiki-download_file.php?fileId=20. (In Thai).

Nazemian F, Naghibi M. Weight-gain-related factors in renal transplantation. Exp Clin Transplant. 2005;3(1):329-32.

Unaphak P, Rattanamanee K. The correlation factors of self-care behaviors to prevent complications among patients with chronic kidney disease at Somdetphraphutthalertla hospital in Samutsongkhram Province. The Public Health Journal of Burapha University. 2015;10(2):44-54. (in Thai).

Ruangkanchanasetr P, Satirapoj B, Bunnag S, Vongwiwatana A, Premasathian N, Avihingsanon Y. High prevalence of obesity in Thai renal transplant recipients: a multicenter study. Transplant Proc. 2014;46(2):546-51. doi: 10.1016/j.transproceed.2013.11.057.

White C, Akbari A, Hussain N, Dinh L, Filler G, Lepage N, et al. Chronic kidney disease stage in renal transplantation classification using cystatin C and creatinine-based equations. Nephrol Dial Transplant. 2007;22(10):3013-20. doi: 10.1093/ndt/gfm318.

Guida B, Cataldi M, Maresca ID, Germano R, Trio R, Nastasi AM, et al. Dietary intake as a link between obesity, systemic inflammation, and the assumption of multiple cardiovascular and antidiabetic drugs in renal transplant recipients. Biomed Res Int. 2013;2013:363728. doi: 10.1155/2013/363728.

Lin IH, Wong TC, Nien SW, Chou YT, Chiang YJ, Wang HH, et al. Dietary compliance among renal transplant recipients: a single-center study in Taiwan. Transplant Proc. 2019;51(5):1325-30. doi: 10.1016/j.transproceed.2019.02.026.

Ferreira S, Anastácio LR, Penaforte FRO, Cardoso A, Silva M, Lima AS, et al. OR41: Weight gain and obesity are related to eating behavior and food craving after liver tansplantation. Curr Opin Clin Nutr Metab Care. 2017;36 Suppl 1:S17. doi: 10.1016/S0261-5614(17)30746-X.

No authors listed. Chapter 3: Management of progression and complications of CKD. Kidney Int Suppl (2011). 2013;3(1):73-90. doi: 10.1038/kisup.2012.66.

Sanchez ZV, Cashion AK, Cowan PA, Jacob SR, Wicks MN, Velasquez-Mieyer P. Perceived barriers and facilitators to physical activity in kidney transplant recipients. Prog Transplant. 2007;17(4):324-31.

Nielens H, Lejeune TM, Lalaoui A, Squifflet JP, Pirson Y, Goffin E. Increase of physical activity level after successful renal transplantation: a 5 year follow-up study. Nephrol Dial Transplant. 2001;16(1):134-40. doi: 10.1093/ndt/16.1.134.

Zelle DM, Kok T, Dontje ML, Danchell EI, Navis G, van Son WJ, et al. The role of diet and physical activity in post-transplant weight gain after renal transplantation. Clin Transplant. 2013;27(4);E484-90. doi: 10.1111/ctr.12149.