Selçuk Topbaş Sedef, Sarıgöl Ordin Yaprak
From Metin Sabanci Bone Diseases Training and Research Hospital, Istanbul, Turkey.
Exp Clin Transplant. 2024 Mar;22(3):200-206. doi: 10.6002/ect.2022.0001. Epub 2022 May 23.
It is necessary to examine weight gain and affecting factors after kidney transplant. This study was performed to examine weight gain and affecting factors in kidney transplant recipients in the first 2 years after transplant.
This descriptive cross-sectional study included 139 kidney transplant recipients who were regularly followed by 2 university hospitals in the first 2 years after transplant. Data were collected with the use of a sociodemographic and clinical features' form and the General Self-Efficacy Scale. Weight and body mass index at 3, 6, 12, and 24 months after transplant were evaluated. Differences between weight (in kilograms) and body mass index (in kilograms divided by height in meters squared) at the first outpatient clinic visit and weight and body mass index at 24 months after transplant were calculated.
The mean age of patients was 46.32 ± 12.39 years. Differences in mean weight and body mass index between the first posttransplant outpatient clinic visit and at month 24 posttransplant were 7.07 ± 7.57 and 2.6 ± 2.37, respectively. Statistically significant differences were found in weight and body mass index at 2 years posttransplant. As age increased, weight gain decreased. Differences in weight gain and body mass index were not significantly associated with sex, presence of chronic diseases, donor type, steroid dose, and self-efficacy.
Kidney transplant recipients in our study population had increased weight and body mass index at 2 years after transplant. Younger kidney transplant recipients had higher weight gains. Therefore, kidney transplant recipients, especially younger ones, should be closely followed in terms of weight gain after transplant.
有必要研究肾移植后的体重增加情况及影响因素。本研究旨在探讨肾移植受者移植后前两年的体重增加情况及影响因素。
这项描述性横断面研究纳入了139例肾移植受者，这些受者在移植后的前两年由两家大学医院进行定期随访。通过社会人口统计学和临床特征表格以及一般自我效能感量表收集数据。评估移植后3个月、6个月、12个月和24个月时的体重和体重指数。计算首次门诊就诊时的体重（以千克为单位）和体重指数（以千克除以身高米的平方为单位）与移植后24个月时的体重和体重指数之间的差异。
患者的平均年龄为46.32±12.39岁。移植后首次门诊就诊时与移植后24个月时的平均体重和体重指数差异分别为7.07±7.57和2.6±2.37。移植后2年时体重和体重指数存在统计学显著差异。随着年龄增加，体重增加减少。体重增加和体重指数的差异与性别、慢性病的存在、供体类型、类固醇剂量和自我效能感无显著相关性。
我们研究人群中的肾移植受者在移植后2年体重和体重指数增加。年轻的肾移植受者体重增加更高。因此，肾移植受者，尤其是年轻受者，在移植后应密切关注体重增加情况。
