title: The Short-Term Impact of Dietary Counseling on Sodium Intake and Blood Pressure in Renal Allograft Recipients.
abstract: BACKGROUND
  Sodium retention causes posttransplant hypertension, and sodium restriction is recommended in kidney allograft recipients. However, there have been few studies on the impact of dietary counseling on sodium intake and blood pressure (BP) in this population.
  
  
  OBJECTIVE
  To determine the effect of dietary counseling on sodium intake and consequent BP control in kidney allograft recipients.
  
  
  METHODS
  A prospective single-arm study to determine the effect of dietary counseling on sodium intake. Enrolled were renal allograft recipients with sodium intake >100 mEq/d, BP >130/80, antihypertensive use, or body mass index >25 kg/m2. Of 53 renal transplant recipients who met the criteria, 48 participated in the present study. Sodium intake was estimated based on 24-hour urinary sodium excretion before and after 3 sessions of dietary counseling by a board-certified dietitian.
  
  
  RESULTS
  Sodium intake was significantly decreased after dietary counseling (158.7 vs 129.6 mEq/d; P = .005). Systolic BP was significantly decreased from 124 mm Hg (interquartile range: 122-134) before counseling to 121 mm Hg (interquartile range: 117-128) after counseling ( P < .001). The number of patients with systolic BP >130 mm Hg was decreased by 30% (n = 19-13; P = .07). Among 34 patients on antihypertensive medications, 8 (23.5%) ceased or reduced their drugs due to improvement in BP, whereas 2 increased or changed the drugs due to poor control of BP.
  
  
  CONCLUSIONS
  Dietary counseling showed a short-term efficacy of reducing sodium intake and clinically relevant BP improvement in renal allograft recipients.
authors: 1 Department of Metabolism and Clinical Nutrition, Kyoto University Hospital, Kyoto, Japan.
authors: Kanae
authors: K
authors: Asai
authors: 2 Department of Urology, Kyoto University Graduate School of Medicine, Kyoto, Japan.
authors: Takashi
authors: T
authors: Kobayashi
authors: 3 Department of Nephrology, Kyoto University Graduate School of Medicine, Kyoto, Japan.
authors: Hitomi
authors: H
authors: Miyata
authors: 4 Department of Nursing, Kyoto University Hospital, Kyoto, Japan.
authors: Yukari
authors: Y
authors: Tanaka
authors: 2 Department of Urology, Kyoto University Graduate School of Medicine, Kyoto, Japan.
authors: Yoshiyuki
authors: Y
authors: Okada
authors: 3 Department of Nephrology, Kyoto University Graduate School of Medicine, Kyoto, Japan.
authors: Kaoru
authors: K
authors: Sakai
authors: 2 Department of Urology, Kyoto University Graduate School of Medicine, Kyoto, Japan.
authors: Hiromitsu
authors: H
authors: Negoro
authors: 2 Department of Urology, Kyoto University Graduate School of Medicine, Kyoto, Japan.
authors: Tomomi
authors: T
authors: Kamba
authors: 1 Department of Metabolism and Clinical Nutrition, Kyoto University Hospital, Kyoto, Japan.
authors: Hidemi
authors: H
authors: Tsuji
authors: 1 Department of Metabolism and Clinical Nutrition, Kyoto University Hospital, Kyoto, Japan.
authors: Kenichiro
authors: K
authors: Shide
authors: 3 Department of Nephrology, Kyoto University Graduate School of Medicine, Kyoto, Japan.
authors: Motoko
authors: M
authors: Yanagita
authors: 5 Department of Diabetes, Endocrinology and Nutrition, Kyoto University Graduate School of Medicine, Kyoto, Japan.
authors: Nobuya
authors: N
authors: Inagaki
authors: 2 Department of Urology, Kyoto University Graduate School of Medicine, Kyoto, Japan.
authors: Osamu
authors: O
authors: Ogawa
mesh_terms: D001794:Blood Pressure; D003376:Counseling; D006801:Humans; D016030:Kidney Transplantation; D011446:Prospective Studies; D012964:Sodium; D012982:Sodium, Dietary
chemical_list: D012982:Sodium, Dietary; D012964:Sodium
keywords: counseling; dietitian; kidney transplantation; posttransplant hypertension; salt intake