title: Challenges for preventing the metabolic syndrome in kidney transplant recipients, initial report: survey of the current state of affairs before acting.
abstract: OBJECTIVE
  To prevent the metabolic syndrome preventive in kidney transplant recipients, we measured changes in body composition parameters using bioelectrical impedance analysis (BIA), and measuring renal function, blood tests, quality of life, and consciousness of life improvement. The usefulness of BIA was investigated.
  
  
  METHODS
  Out of all kidney transplant recipients being treated at an outpatient clinic, 20 (13 males and 7 females) gained ≥ 5 kg after transplantation. We investigated changes after 6 months of physical activity versus initiation.
  
  
  RESULTS
  After the initiation of body composition parameters using BIA, consciousness of life improvement changed, and measured body composition values and blood data did not worsen. Both systolic and diastolic blood pressures tended to decrease after initiation.
  
  
  CONCLUSIONS
  Detailed visualization of body composition in addition to the body weight and body mass index, as well as guidance based on the results promoted changes in consciousness, enhanced self-efficacy, and increased motivation for the prevention of the metabolic syndrome, suggesting that BIA is a useful tool in the management of weight gain after kidney transplantation.
authors.affiliation: Department of Urology, St. Marianna University School of Medicine Hospital, Kawasaki, Kanagawa, Japan. Electronic address: m2naka@marianna-u.ac.jp.
authors.forename: M
authors.initials: M
authors.lastname: Nakanome
authors.affiliation: Department of Urology, St. Marianna University School of Medicine Hospital, Kawasaki, Kanagawa, Japan.
authors.forename: H
authors.initials: H
authors.lastname: Sasaki
authors.affiliation: Division of Nephrology and Hypertension, St. Marianna University School of Medicine Hospital, Kawasaki, Kanagawa, Japan.
authors.forename: M
authors.initials: M
authors.lastname: Yazawa
authors.affiliation: Division of Nephrology and Hypertension, St. Marianna University School of Medicine Hospital, Kawasaki, Kanagawa, Japan.
authors.forename: N
authors.initials: N
authors.lastname: Imai
authors.affiliation: Division of Nephrology and Hypertension, St. Marianna University School of Medicine Hospital, Kawasaki, Kanagawa, Japan.
authors.forename: H
authors.initials: H
authors.lastname: Kawarazaki
authors.affiliation: Division of Nephrology and Hypertension, St. Marianna University School of Medicine Hospital, Kawasaki, Kanagawa, Japan.
authors.forename: Y
authors.initials: Y
authors.lastname: Shibagaki
authors.affiliation: Division of Nephrology and Hypertension, St. Marianna University School of Medicine Hospital, Kawasaki, Kanagawa, Japan.
authors.forename: K
authors.initials: K
authors.lastname: Kimura
authors.affiliation: Recipient Renal Transplantation coordinator, St. Marianna University School of Medicine Hospital, Kawasaki, Kanagawa, Japan.
authors.forename: Y
authors.initials: Y
authors.lastname: Saito
authors.affiliation: Recipient Renal Transplantation coordinator, St. Marianna University School of Medicine Hospital, Kawasaki, Kanagawa, Japan.
authors.forename: Y
authors.initials: Y
authors.lastname: Sakurai
authors.affiliation: Department of Urology, St. Marianna University School of Medicine Hospital, Kawasaki, Kanagawa, Japan.
authors.forename: T
authors.initials: T
authors.lastname: Chikaraishi
mesh_terms: D000328:Adult; D000368:Aged; D003625:Data Collection; D005260:Female; D006801:Humans; D016030:Kidney Transplantation / Q000009:adverse effects*; D008297:Male; D024821:Metabolic Syndrome / Q000517:prevention & control*; D008875:Middle Aged