A obesidade sarcopênica não tem associação com o consumo alimentar em pessoas que realizaram transplante renal

Abstract

Introduction: Sarcopenic obesity (SO) is characterized by the simultaneous presence of excess body fat and reduced muscle strength and mass. This condition leads to more severe consequences, such as a decline in quality of life and disability. In kidney transplant patients, the dietary factors associated with the development of SO are not yet fully understood, considering that these individuals have additional factors that influence muscle strength and mass, functional capacity, and body composition.Objectives: To associate dietary intake with SO in kidney transplant patientes. Methods: A cross-sectional study was conducted with 125 kidney transplant recipients. Body composition was assessed using bioelectrical impedance, following hydration and fasting recommendations, and appendicular skeletal muscle mass was estimated using Sergi et al.'s equation. The diagnosis of SO followed the ESPEN and EASO consensus, based on the simultaneous alteration of muscle function and body composition. Dietary intake was analyzed through two 24-hour recalls using the 5 Step Multiple Pass method. The analysis assessed energy intake, carbohydrates, total protein, animal and vegetable protein, total fat, saturated fat, monounsaturated fat, polyunsaturated fat, trans fat, cholesterol, omega-3, omega-6, total fiber, insoluble fiber, soluble fiber, and alcohol. Results: Dietary variables were not associated with sarcopenic obesity SO. Conclusion: SO was not associated with dietary factors in kidney transplant patients. These findings highlight the complexity of clinical management in these patients. Additionally, these individuals may have other physiological conditions that more strongly influence the development of SO.