Update on Nutritional Advice Post-Heart Transplant: A Cross-Sectional Study across French-Speaking European Centers

被引:0
|
作者
Bonnet, Jean-Baptiste [1 ,2 ]
Tremolieres, Claire [1 ]
Furic-Bego, Clemence [1 ]
Galibert, Laetitia [1 ]
Sultan, Ariane [1 ,3 ]
Attalin, Vincent [1 ]
Avignon, Antoine [1 ,2 ]
机构
[1] Univ Hosp Montpellier, Transversal Nutr Unit, Nutr Diabet, F-34295 Montpellier, France
[2] Univ Montpellier, Inst Desbrest Epidemiol & Publ Hlth, INSERM, UMR 1302,CHU, F-34295 Montpellier, France
[3] Univ Montpellier, PhyMedExp, INSERM U1046, CNRS UMR 9214, F-34295 Montpellier, France
关键词
heart failure; transplantation; undernutrition; cardiovascular risk; foodborne infections; CARE;
D O I
10.3390/nu16172843
中图分类号
R15 [营养卫生、食品卫生]; TS201 [基础科学];
学科分类号
100403 ;
摘要
Introduction: Heart transplantation is the standard treatment for severe heart failure. Graft preservation and infectious risk secondary to immunosuppressive drugs lead healthcare teams to offer nutritional advice to patients upon discharge from the hospital. However, no consensus or recommendation is available. Method: We conducted a study to review the practices in all 26 centers providing heart transplantation in French-speaking Europe. We requested and analyzed the written documents these centers provided to their patients. The same two dieticians categorized the highlighted pieces of advice into distinct, autonomous categories. Results: We identified 116 pieces of advice, categorized into three areas: dietary restrictions for immunosuppressant/food interaction; environmental and food preparation guidelines and prevention of foodborne infections; and healthy and active lifestyle recommendations. Except for advice on immunosuppressant/food interaction, over one-third of the centers suggest discontinuing advice within 2 years post-transplant. General dietary advice covers lipids, carbohydrates, protein, calcium, sodium, and fiber but offers limited guidance on fatty acids despite their importance in cardiovascular risk prevention. Conclusion: This study represents a pioneering exploration of the nutritional advice provided to patients following cardiac transplantation. It underscores the critical necessity of establishing consensus-based clinical guidelines in this domain.
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页数:11
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