Center for Healthcare Equity in Kidney Disease (CHEK-D), University of New Mexico Health Science Center, New Mexico.
Nephrology Division, Department of Internal Medicine, University of New Mexico, School of Medicine, New Mexico.
J Ren Nutr. 2022 May;32(3):e1-e12. doi: 10.1053/j.jrn.2022.02.004. Epub 2022 Feb 25.
Kidney transplant (KT) recipients face post-transplant health issues. Immunosuppressive agents can cause hyperlipidemia, hypertension, post-transplant diabetes, and glomerulopathy. Post-transplant weight gain and decreased activity are associated with poor quality of life, sleep, and cardiometabolic outcomes. This study will test the feasibility and acceptability of a culturally tailored diet and exercise intervention for KT patients delivered immediately post-transplant using novel technology. A registered dietitian nutritionist (RDN) and physical rehabilitation therapist will examine participants' cultural background, preferences, and health-related obstacles (with consultation from the transplant team) to create an individualized exercise and meal plan. The RDN will provide medical nutrition therapy via the nutrition care process throughout the course of the intervention. The Twistle Patient Engagement Platform will be used to deliver and collect survey data, communicate with participants, and promote retention. Outcomes to be assessed include intervention feasibility and acceptability and intervention efficacy on patients' adherence, medical, quality of life, and occupational outcomes.
肾移植（KT）受者面临移植后健康问题。免疫抑制剂可导致高血脂、高血压、移植后糖尿病和肾小球病。移植后体重增加和活动减少与生活质量差、睡眠和心脏代谢结果有关。本研究将测试一种针对 KT 患者的文化适应性饮食和运动干预措施的可行性和可接受性，该干预措施在移植后立即使用新技术提供。注册营养师和物理康复治疗师将检查参与者的文化背景、偏好和与健康相关的障碍（与移植团队协商），以制定个性化的锻炼和膳食计划。营养师将通过营养护理过程在整个干预过程中提供医学营养治疗。Twistle 患者参与平台将用于提供和收集调查数据、与参与者沟通和促进保留。将评估的结果包括干预措施的可行性和可接受性以及干预措施对患者的依从性、医疗、生活质量和职业结果的疗效。
