Cited by 54Organ Transplantation Techniques and OutcomesObesity, Physical Activity, DietBody Composition Measurement Techniques

Body composition and overweight of liver transplant recipients

Anastácio, Lucilene Rezende, Ferreira, Lívia Garcia, de Sena Ribeiro, Hélem, Lima, Agnaldo Soares, Garcia Vilela, Eduardo, Toulson Davisson Correia, Maria Isabel·2011·Transplantation

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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Crossref · 10.1097/tp.0b013e31822e0bee

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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
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

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