PhD Student and Graduate Assistant, Department of Health Services Administration, University of Maryland, 1222 School of Public Health Building, College Park, MD, 20742; School of Public Health, University of Memphis, Memphis, TN; College of Nursing, The University of Tennessee Health Science Center, Memphis, TN.
Res Nurs Health. 2014 Jun;37(3):253-9. doi: 10.1002/nur.21599. Epub 2014 May 7.
Excessive weight gain is common after renal transplantation, but it is unknown whether environmental factors, such as food availability, contribute to this important clinical problem. We evaluated the effects of food availability (fast food restaurants, convenience stores, and grocery stores within 1, 2, and 3 mile buffers of transplant recipients' residences) on body mass index (BMI) change during the first year post-transplant. Participants (n = 299) resided in Memphis, Tennessee. BMI increased by 1.42 units (p < .001) corresponding to an average weight gain of 9.25 lbs (5.43%) during the first year post-transplant. The number of grocery stores within 1 mile of recipient's residence was associated with an increase in BMI (p < .05), but fast food restaurants and convenience stores were not significantly associated with BMI change.
肾移植后体重过度增加很常见，但尚不清楚环境因素（如食物供应）是否会导致这一重要的临床问题。我们评估了食物供应（快餐店、便利店和距离移植受者住所 1、2 和 3 英里缓冲区的杂货店）对移植后第一年体重指数（BMI）变化的影响。参与者（n=299）居住在田纳西州孟菲斯市。BMI 增加了 1.42 个单位（p<0.001），对应于移植后第一年平均体重增加了 9.25 磅（5.43%）。距离受者住所 1 英里内的杂货店数量与 BMI 的增加呈正相关（p<0.05），但快餐店和便利店与 BMI 变化无显著相关性。
