Body composition and overweight of liver transplant recipients
Abstract
BACKGROUND: Overweight is often used as a description after liver transplantation (LTx), but studies on body composition of patients submitted to LTx have only been devoted to early postoperative periods; there is little information regarding abdominal obesity after LTx. The aim of this study was to assess body composition, body mass index (BMI), and waist circumference and verify the prevalence and risk factors for excessive weight, obesity, and abdominal obesity in long-term survivors of LTx. METHODS: Post-LTx patients with at least 1 year post-LTx were assessed for their body composition (by bioimpedance), BMI, and waist circumference. Demographic, socioeconomic, lifestyle, and clinical and dietetic variables were collected to assess risk factors using linear and logistic regression analyses. RESULTS: We evaluated 143 patients (51±13 years; 59.4% male; median time since LTx: 4 years). The majority of patients had excessive weight, considering BMI, (58.1%). Considering body composition, 69.9% of patients were overweight and 37.8% obese. Some degree of abdominal obesity was seen in 88% of patients. Independent risk factors for overweight, obesity, and abdominal obesity after LTx included greater BMI before liver disease, weight gain since LTx, family history of overweight, smoking, working, being married, having less time since transplantation, a lower calcium intake, and less sleeping hours. CONCLUSIONS: The majority of patients are overweight or obese after LTx, and many of the associated risk factors are modifiable. Thus, patients, especially those who already have identified risk factors for overweight and obesity, undergoing LTx should be encouraged to engage in lifestyle changes early.
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Weight gain occurs rapidly after liver transplantation (in the first 6 months), frequently leading to a high prevalence of overweight and obesity (58% and 21%, respectively, at 3 years).
“Weight gain occurs rapidly after liver transplantation (in the fi rst 6 months), frequently leading to a high prevalence of overweight and obesity (58% and 21%, respectively, at 3 years). 509”
From EASL-EASD-EASO Clinical Practice Guidelines on the management of metabolic dysfunction-associated steatotic liver disease (MASLD). (2024) · cites this paper as [509]
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- Authors
- Anastácio, L. R., Ferreira, L. G., de Sena Ribeiro, H., Lima, A. S., Garcia Vilela, E., & Toulson Davisson Correia, M. I.
- Affiliations
- Universidade Federal de Minas Gerais (BR)
- Venue
- Transplantation
- Published
- 2011-10-27
- Volume
- 92
- Issue
- 8
- Pages
- 947-951
- ISSN
- 0041-1337 (ISSN-L)
- OpenAlex
- W1964254972
- Semantic Scholar
- 9e7503f693a45c9b1f95eed2357c034806a3db80
- Cited by
- 54
- References
- 30
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 3 · 2023: 3 · 2022: 4 · 2021: 4 · 2020: 3 · 2019: 5 · 2018: 5 · 2017: 2 · 2016: 4 · 2015: 4 · 2014: 6 · 2013: 4 · 2012: 1
- FWCI
- 3.92
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Transplantation (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Pró-Reitoria de Pesquisa, Universidade Federal de Minas Gerais
- Topics
- Health Sciences › Medicine › Surgery › Organ Transplantation Techniques and Outcomes
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Health Sciences › Medicine › Physiology › Body Composition Measurement Techniques
- Keywords
- liver transplantation, body composition, overweight, obesity, abdominal obesity, body mass index, waist circumference, risk factors, long-term transplant survivors, lifestyle modification
- MeSH terms
- Adult, Aged, Body Composition, Cross-Sectional Studies, Female, Humans, Male, Middle Aged, Obesity, Risk Factors, Body Mass Index, Prevalence, Logistic Models, Liver Transplantation, Overweight, Waist Circumference
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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