title: Effects of diet and gemfibrozil on posttransplant hyperlipidemia in renal transplant recipients.
abstract: BACKGROUND
  Posttransplant hyperlipidemia increases cardiovascular morbidity and mortality rate in renal transplant recipients. It also leads to graft loss due to atherosclerosis and glomerular damage. It is essential to control hyperlipidemia in renal transplant recipients to prevent these events.
  
  
  METHODS
  In our study, we determined lipid profiles in 59 renal transplant recipients. Twenty of the recipients had hyperlipidemia; 9 had type IV, and 11 had type II hyperlipoproteinemia. Randomly selected 14 of 20 hyperlipidemic patients consisted of the diet group and were treated with American phase 3 diet for 1 month. Randomly selected 6 of the 20 hyperlipidemic patients received their regular diet as the control group. Five diet-resistant patients in the American phase 3 diet group were given diet plus placebo for another 1 month and then they were given diet plus Gemfibrozil (600 mg twice a day) for 2 months.
  
  
  RESULTS
  Lipid profile was normalized in 9 of the 14 patients on American phase 3 diet. The lipid profile of 5 patients in the American phase 3 diet group did not change significantly after 1-month diet. These 5 diet-resistant patients were given diet plus placebo for another 1 month, and their lipid levels again did not change significantly. Afterward, they were treated with Gemfibrozil (600 mg twice a day) plus American phase 3 diet for 2 months. At the end of this therapy period, their cholesterol level and triglyceride level decreased significantly. No change was observed in low-density lipoprotein cholesterol and high-density lipoprotein cholesterol levels.
  
  
  CONCLUSIONS
  We conclude that American phase 3 diet and/or Gemfibrozil are effective in controlling posttransplant hyperlipidemia in renal transplant recipients.
authors.affiliation: Department of Nephrology, Akdeniz University, Medical Faculty, Antalya, Turkey.
authors.forename: Muzaffer
authors.initials: M
authors.lastname: Sapan
authors.forename: Beste
authors.initials: B
authors.lastname: Ozben
authors.forename: Gulsen
authors.initials: G
authors.lastname: Yakupoglu
authors.forename: Gultekin
authors.initials: G
authors.lastname: Suleymanlar
authors.forename: Tomris
authors.initials: T
authors.lastname: Ozben
mesh_terms: D000328:Adult; D004032:Diet; D005260:Female; D015248:Gemfibrozil / Q000627:therapeutic use*; D006801:Humans; D006949:Hyperlipidemias / Q000097:blood / Q000209:etiology* / Q000628:therapy; D000960:Hypolipidemic Agents / Q000627:therapeutic use*; D016030:Kidney Transplantation; D008297:Male; D011183:Postoperative Complications; D016896:Treatment Outcome
chemical_list: D000960:Hypolipidemic Agents; D015248:Gemfibrozil