title: Adherence to Dietary Recommendations in Maintenance Phase Kidney Transplant Patients.
abstract: OBJECTIVE
  Current adherence to dietary recommendations for chronic kidney disease was evaluated in kidney transplant patients in the maintenance phase.
  
  
  METHODS
  A total of 268 maintenance phase kidney transplant patients were included in the study. Estimated daily intakes of oral protein and salt were calculated from 24-h urinary excretion of nitrogen and sodium, respectively. Dietary recommendations for chronic kidney disease, as issued in 2014 by the Japanese Society of Nephrology, were used as the basis for assessing diet.
  
  
  RESULTS
  The study included 114 female patients and 154 male patients. The mean age, posttransplantation years, body mass index, estimated glomerular filtration rate, and 24-h urinary excretion of protein were 56.3 years, 11.2 years, 22.0 kg/m(2), 42.6 mL/min/1.73 m(2), and 321 mg/d, respectively. Estimated daily protein and salt intakes were 0.98 ± 0.26 g/kg/d and 9.3 ± 3.9 g/d. Only 47 patients (17.5%) in the case of salt intake and 105 patients (39.2%) in the case of protein intake were within reference values. The 24-h urinary protein excretion of the daily salt intake-adherent group (<6 g) was significantly less than that of the nonadherent group (≥6 g) (P = .021).
  
  
  CONCLUSIONS
  The adherence rate to dietary recommendations for chronic kidney disease in kidney transplant patients was low. The 24-h urinary protein excretion of the daily salt intake-adherent group was significantly less than that of the nonadherent group. Dietary therapy for these patients may have the potential to improve kidney graft function and survival.
authors.affiliation: Department of Advanced Technology for Transplantation, Osaka University Graduate School of Medicine, Suita, Japan. Electronic address: ichimaru@att.med.osaka-u.ac.jp.
authors.forename: N
authors.initials: N
authors.lastname: Ichimaru
authors.affiliation: Department of Urology, Osaka University Graduate School of Medicine, Suita, Japan.
authors.forename: S
authors.initials: S
authors.lastname: Nakazawa
authors.affiliation: Department of Urology, Osaka University Graduate School of Medicine, Suita, Japan.
authors.forename: K
authors.initials: K
authors.lastname: Yamanaka
authors.affiliation: Department of Urology, Osaka University Graduate School of Medicine, Suita, Japan.
authors.forename: Y
authors.initials: Y
authors.lastname: Kakuta
authors.affiliation: Department of Urology, Osaka University Graduate School of Medicine, Suita, Japan.
authors.forename: T
authors.initials: T
authors.lastname: Abe
authors.affiliation: Department of Advanced Technology for Transplantation, Osaka University Graduate School of Medicine, Suita, Japan.
authors.forename: J-Y
authors.initials: JY
authors.lastname: Kaimori
authors.affiliation: Department of Urology, Osaka University Graduate School of Medicine, Suita, Japan.
authors.forename: R
authors.initials: R
authors.lastname: Imamura
authors.affiliation: Department of Urology, Osaka University Graduate School of Medicine, Suita, Japan.
authors.forename: N
authors.initials: N
authors.lastname: Nonomura
authors.affiliation: Department of Advanced Technology for Transplantation, Osaka University Graduate School of Medicine, Suita, Japan.
authors.forename: S
authors.initials: S
authors.lastname: Takahara
mesh_terms: D004032:Diet / Q000592:standards*; D005260:Female; D005919:Glomerular Filtration Rate / Q000502:physiology*; D019983:Guideline Adherence; D006801:Humans; D016030:Kidney Transplantation; D008297:Male; D008875:Middle Aged; D051436:Renal Insufficiency, Chronic / Q000178:diet therapy* / Q000503:physiopathology / Q000652:urine; D012964:Sodium / Q000652:urine
chemical_list: D012964:Sodium